[Psychological assessment of candidates for bariatric surgery]. / Bariátriai mutétekre való pszichológiai alkalmasság felmérése.

Nowadays, the number of bariatric surgery for treating morbid obesity is significant. There is strong evidence about the influence of mental state (depression, anxiety, eating disorder, etc.) on patient's cooperation with the medical team and the outcome, and on the short or long-term effectiveness of surgery. However, no protocol or recommendation exist for screening patients before bariatric procedures in Hungary. Thus, even if the surgeon or the hospital requires psychological expertise, neither doctors are familiar with the expectable results of such an expertise, nor psychologists know exactly what the most important areas are to talk through with patients. This article shortly reviews the mostly used bariatric surgery procedures and presents a protocol that was developed by the Ochsner Clinic, New Orleans in detail. Based on the protocol, the core parts of the psychological interview are the following: reasons for seeking surgery (I.), weight and diet history (II.), current eating behaviors (III.), understanding of the surgery and its associated lifestyle changes (IV.), social supports (V.), and history and psychiatric symptoms (current and past) (VI.). The original protocol was completed with newer, more recent studies, statements, and with examples by the authors. Orv Hetil. 2019; 160(12): 448-455.

[Narcissism in the world of Facebook. An evolutionary psychopathological interpretation]. / Nárcizmus a Facebook világában. Egy evolucios pszichopatológiai elemzés.

In the last few decades there has been a considerable increase in the levels of narcissism among the population of individualistic, western cultures. The phenomena of narcissism induced a large number of psychological researches, some of which approaches the issue from changes in environmental factors. The modern environment of these days is substantially different from the one to which our ancestors have adapted over millions of years of evolution. The research results of narcissism from the perspective of evolutionary psychopathology approach have yet to integrate.The present review focuses on two studies and empirical findings induced by them in which an attempt is made to explore the evolutionary origins of narcissism. Relating to these studies we present the main mechanisms by which evolution may have played a role in the development and maintenance of narcissism. One of the significant elements of the current, changing social environment allowing virtual contacts is the social networking site called Facebook. Following the presentation of the main features of the site we discuss research results in connection with narcissistic traits and Facebook usage. Finally an attempt is made to integrate these findings into an evolutionary psychopathological framework.