Overall results (score 67)

John seems to have most of the tools and traits required to handle the Bariatric procedure, although he might still be weak in a few areas. From a psychological point of view, there are few reservations in allowing the surgery. He should be given advice on potential problem areas but overall, he seems to be fairly well prepared for the surgery. Review the rest of his for more information.

Compliance (score 65)

John's score indicates that he is fairly likely to comply with medical advice and regime, but may falter occasionally. This may result in complications during post-operative recovery and/or reverting to past eating habits and other risky behaviors. Review his results on the subscales to follow in order to determine which areas may need improvement.

Sense of Control Over Health (score 72)

John feels fairly strongly that how he behaves can and will have an impact on his health in both the short and long-term. While he may believe that some aspects of his health are predetermined or unavoidable, many short-term and even long-term illnesses can be prevented if he makes sure to take care of himself. Taking complete ownership of his health can result in fewer problems post-operatively and later in life.

Adherence History (score 66)

According to the assessment of John's past adherence history, he appears to have generally abided by medical advice and requirements on most occasions. Although this doesn't necessarily mean that the same situation will occur should he undergo Bariatric Surgery, past behaviors do often reflect future ones. John should strive to keep this up, as it will be essential for him to adhere to medical and post-operative recommendations.

Self-discipline (score 54)

John appears to be moderately self-disciplined. He sometimes allows obstacles and distractions to push him off track and hinder his progress or goal achievement. With the requirements of a strict diet and regular exercise in order to maintain a healthy lifestyle after surgery, a somewhat stronger dose of self-discipline is essential. Otherwise, John may sometimes fall back into his old habits.

Procrastination (score 31)

According to John's results, he rarely procrastinates. If a task needs to be done, he will usually tackles it immediately, seldom putting it off for too long. When it comes to unpleasant tasks, most people will do whatever they can (whether consciously or not) to avoid them. However, John doesn't seem to be the type who will make excuses or wait until the last minute to do something - at least not too often. This is important, particularly in relation to taking medication for his recovery, as well as adhering to a regular exercise routine.

Self-motivation (score 50)

According to John's score, he seems to be able to motivate himself to some degree, but could still definitely improve in this area. Fragile self-motivation may be a result of inconsistent use of intrinsic encouragement, a deficient sense of self-worth, or difficulty dealing with change and its potentially lifelong requirements. The process of Bariatric Surgery doesn't end after a patient leaves the hospital. Those who take on this challenge need to be willing to deal with the fact that the ultimate benefit of this surgery is only realized if they make and maintain permanent, healthy changes in their behavior and lifestyle. Self-motivation is essential - if John sometimes has difficulty finding encouragement from within, chances of success are seriously hindered.

Reward Dependence (score 64)

John had a moderate score on this scale. While he does not act strictly to obtain external incentives such as recognition or other extrinsic rewards, he certainly doesn't mind such benefits. A good balance of internal and external motivators is essential for his recovery because the objective of Bariatric Surgery will require a lifelong commitment - and this will likely require some inspiration along the way. Overall, John seems to possess a respectable combination of both intrinsic and extrinsic motivators.

Proactive Attitude (score 47)

It terms of taking initiative and action, John appears to be somewhat hesitant. He is sometimes known to be proactive, but it likely depends on the situation and is certainly not consistent. Unless he is willing to adopt a more proactive attitude when it comes to his health, keeping up a healthy lifestyle post-operatively will prove to be a bit of a challenge. Make sure that John has adopted healthy motivators, as they will give him that kick-start he sometimes needs to get himself going.

Self-efficacy (score 69)

John is usually fairly self-assured. He tends to know what his strengths are and usually focuses on them rather than his weaknesses and what he can't do. He likely feels that he can accomplish a great deal if he puts his mind to it. Confidence is essential to the recovery process because John needs to believe that he can deal with the challenges ahead. He should work to further strengthen his self-esteem and confidence, as they are the key to success in life.

Emotional Strength (score 40)

According to John's results, he displays some emotional strength, but there may be some situations that can send him off-kilter. When this does occur, it may inhibit his ability to deal with adversity, stress, and temptation. The ability to stay calm and disciplined is what will give him the strength to face life's up and downs, which has a significant impact on his post-operative recovery and behavior. It would be to his advantage to put a greater effort into learning more effective ways to control his emotions; it will improve both his mental and physical health.

Resilience (score 28)

Life's blows often knock John down and leave him generally unable to function as well as he normally would. Depending on the situation or his mindset at the time, he sometimes has difficulty bouncing back from both day-to-day and more life-altering problems. The good news, though, is that he can learn and practice the skills that will better prepare him for upcoming trials and tribulations, and any other obstacles encountered.

Anger Control (score 33)

John's anger control is rather poor. He seems to get angry fairly often. He should be careful - he might be on dangerous ground. Anger is a firecracker of an emotion, and isn't something anyone wants to overdo. Difficulty finding a healthy outlet for this emotion can result in tension, stress, and other physical and mental problems.

Tolerance for Frustration (score 37)

According to John's results, he often seems to have difficulty tolerating frustration, and this can have a significant negative impact on post-operative recovery. People who have a low tolerance for frustration will go to great lengths to find pleasure and avoid discomfort. When faced with unpleasant circumstances or when things don't go their way, they tend to get upset quite easily. They will often go out of their way to put off tasks that they won't enjoy, and will opt for something that is more interesting and pleasurable - they desire immediate gratification. In terms of weight loss, this could result in frustration if John doesn't see immediate results, or an unwillingness to stick to a strict diet or exercise. He needs to work on being more flexible and willing to adapt to unpleasant or unalterable situations, if he wishes to take full advantage of the benefits this surgery could offer.

Emotional Eating (score 37)

John's score indicates that he has a fairly low tendency towards emotional eating - he is not likely to do this very often. This is good news in terms of his recovery and lifelong commitment toward better eating habits. Most of the time, he will likely choose other and hopefully better avenues for coping with emotional ups and downs.

Coping Skills (score 49)

John's coping skills appear to be acceptable. He likely uses a mix of effective and ineffective methods of handling difficult situations. Working on his coping skills by adopting more positive method will help him persevere through tough times with greater resiliency. Refer to the results below for further information on the type of coping strategies he uses.

Problem Solving (score 60)

On a fairly regular basis, John uses problem-solving as a method of coping with stressors in his life, making concrete plans to try to improve or resolve his situation. Taking active steps can be very empowering, as it gives him something positive to focus on, helps to provide motivation, and establishes worthy goals to strive for. However, in some situations, particularly if he has no control over the outcome of a stressful situation, using problem solving as a way of coping may lead to frustration.

Information Seeking (score 86)

When John experiences stressful situations, he usually seeks out information from a variety of sources in order to help cope. Gathering information can help him better deal with a situation for a variety of reasons; it helps him know what to expect, to evaluate and understand why the circumstances have occurred, and it may help him discover appropriate solutions. Even if what he learn about the source of the stress is upsetting, knowing what to expect can help him feel more in control.

Negotiation (score 62)

It appears that negotiation is a fairly major part of John's coping repertoire. Negotiation can include compromising with other people when in a stressful conflict situation. It can also mean adjusting his behavior, attitudes, or thinking style in order to adapt to the situation at hand. These are useful strategies because they help him find constructive solutions to problems - adjusting one's reactions to stressful situations is often easier to do than preventing or totally overcoming them.

Support Seeking (score 63)

John often seeks emotional support from others when under stress. This means that he often takes full advantage of a major source of comfort: friends and loved ones. There are several benefits to this coping strategy. Trusting others can help him feel less alone and it also helps build closeness between people. Finally, others may have new valuable perspectives on his problem and may offer some reliable advice. Although he uses this strategy often when stressed, he may still occasionally opt to handle things on his own. When this is the case, he should make sure to get the emotional support he needs.

Positive Cognitive Restructuring (score 50)

John sometimes utilizes positive cognitive restructuring as a part of his coping repertoire. On some occasions when he is under stress, it can be useful to think about the problem in a different manner. If not, the problems can become overwhelming, increasing in severity as the other issues in his life seem to shrink in importance. Even for the most severe stressors, such as illness or death of a loved one, reframing his way of thinking can be of help. Strategies such as putting things into perspective, comparing his situation to others who have it worse or looking for the hidden benefits of a crisis can help him feel better about what he is going through.

Emotional Regulation (score 26)

John rarely tries to self-regulate his emotions when he is under stress. Learning how to relax even in stressful times and finding other outlets for emotions are good strategies, particularly in scenarios where he has little control over the source of stress. He may find himself extremely tense during difficult periods in his life, and may find that he is unable to get problems off his mind. Perhaps he leans on others when stressed because he can't figure out how to deal with things on his own. People who are in touch with their emotions are able to learn what techniques work for them. This gives them an advantage when coping with life's difficulties.

Distraction (score 34)

John rarely tries to distract himself from stressful situations. While completely avoiding dealing with hardships is not a smart approach, no one can afford to think about these issues all the time. Sometimes it can really be helpful for him to get his mind off things and just have fun. Learning to distract himself even when things are crazy can be an effective coping strategy, so long as the things chosen to help unwind are not unsafe or harmful to his health.

Rumination (score 78)

John often has trouble controlling his thoughts when he is under stress. Unhealthy levels of rumination can lead to a number of problems. It can cause people to allow their troubles to take over their thoughts completely, leaving little room for the enjoyment of the good things in life. It can also lead to depression or other mental health issues. It's fine for this patient to think about his problems as long as he is able to keep them in perspective, preventing them from taking over his life.

Avoidance (score 46)

John generally does not try to avoid facing his problems and stressors in life. This is important because people who avoid dealing with their problems will rarely be able to overcome them, unless the issues resolve themselves by chance While it is not always possible to totally overcome major stressors (after all, not everything in life is within our control), we can always learn to deal with the emotions involved. People who avoid problems will not learn the skills needed to be able to do this.

Helplessness (score 70)

John often concedes defeat and just gives up trying to deal with harsh situations in life. He may regard his fate as predetermined or outside of his control, and consequently gives up all hope. When people feel helpless, they tend to lose all motivation to do something active to resolve the crisis and their helplessness may even keep them from even learning to deal with the emotions that arise in stressful situations.

Opposition (score 44)

When pressures in John's life abound, he sometimes lashes out at others. He may at times blame others for his problems or use stress as an excuse to treat others badly. This is problematic because people who verbally attack others in times of stress can lose trusted friends; while it can be forgiven every once in a while, people will resent him if stress leads him to become a ticking time bomb, ready to blow up at the slightest provocation.

Social Withdrawal (score 56)

John sometimes avoids social contact when feeling stressed. This can be problematic because others will often want to help him deal with hardships. Rejecting offers of help and avoiding the people he cares about will only make matters worse. It's important that he doesn't isolate himself when dealing with stressful situations, as it may deprive him of helpful social support - both concrete and emotional.

Current Mental Health Issues (score 56)

The results below are an evaluation of the state of John's mental health. It is highly recommended that any problematic issues highlighted below be further explored and addressed by a mental health professional.

Suicide Concern (score 27)

The following section assesses John's likelihood of committing suicide. A high score on ANY of these scales should be interpreted as a warning sign. Surgery is NOT recommended for anyone with a high score in this section without prior intervention - even if he scored well overall.

Mental Disorder History (score 0)

People who have been identified as having certain pathologies or mental health issues may have difficulty with recovery and weight loss after surgery. Review the results below for the mental disorders (if any) that John has been diagnosed with in the past 12 months.

Drug History (score 0)

Drug use and abuse can be a serious concern if a person has not undergone rehabilitation. Review the results below for any indication of drug use in John's profile.

Substance Use History (score 17)

Addiction to unhealthy substances could have a negative impact on John's health, and significantly hinder his recovery after surgery. If the results below highlight any addictions, the help of a mental health professional is strongly recommended.

Impression Management (score 0)

This scale assesses to what degree the results on this assessment are distorted or manipulated. Many people will try to present themselves in a better light, especially if the stakes are high.

Test-takers' answers are compared to the responses obtained from a large sample of players. When someone systematically selects socially desirable responses that are rarely endorsed by others, there is a good reason to believe that a positive self-presentation bias is at play. A score that is suspiciously high may indicate that a person was lying, which may invalidate the whole assessment.

There was little or no indication in John's results to suggest that he was either lying or trying to present himself in a favorable light. Therefore, his results can be seen as accurately reflecting who he is.