Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery (original) (raw)
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REVIEW STUDY: THE RELATION BETWEEN BARIATRIC SURGERY WITH DEPRESSION AND ANXIETY
Obesity has been linked to a variety of psychological problems and has been demonstrated to have a detrimental effect on one's overall well-being in several research investigations. Research has found that the link between obesity and mental health varies by culture. Predictors of reduced family income are associated with poorer self-assessed beauty; gender; health policy; life satisfaction; and socioeconomic situations. More weight reduction and better comorbidity remission have been seen in trials comparing bariatric surgery with non-surgical therapy for obesity. Some studies have shown that bariatric surgery improves mental health and quality of life, as well as the financial condition of patients. A few experts, like Borgeraas et al., have studied the impact of bariatric surgery on health, including psychological elements. Variability in weight loss results after bariatric surgery might be rather high. The kind of bariatric surgery done, weight reduction, medical comorbidity, and social support are all important predictors of improved mental health in bariatric surgery patients. Mental health benefits from bariatric surgery may be influenced by variables other than weight reduction alone, such as pre-existing health conditions and the aftermath of surgery. Sleeve-gastrectomy and gastric bypass surgery resulted in higher improvements in mental health than laparoscopic adjustable gastric banding and vertical banding gastroplasty, research by Picot et al. found (2 years). Possibly due to the fact that these operations result in increased weight loss throughout this timeframe.
Revista do Colégio Brasileiro de Cirurgiões, 2014
OBJECTIVE: To assess psychiatric symptoms, substance use, quality of life and eating behavior of patients undergoing bariatric surgery before and after the procedure. METHODS: We conducted a prospective longitudinal study of 32 women undergoing bariatric surgery. To obtain data, the patients answered specific, self-administered questionnaires. RESULTS: We observed a reduction in depressive and anxious symptoms and also in bulimic behavior, as well as an improved quality of life in the physical, psychological and environmental domains. There was also a decrease in use of antidepressants and appetite suppressants, but the surgery was not a cessation factor in smoking and / or alcoholism. CONCLUSION: a decrease in psychiatric symptoms was observed after bariatric surgery, as well as the reduction in the use of psychoactive substances. In addition, there was an improvement in quality of life after surgical treatment of obesity.
The Complex Association Between Bariatric Surgery and Depression: a National Nested-Control Study
Obesity Surgery, 2021
Background Although bariatric surgery has been shown to reduce weight loss and obesity-related conditions, an improvement in depression remains unclear. The aim of this study was to determine whether bariatric surgery is associated with a resolution of depression, and the prevention of its onset. Method Patients with a BMI ≥ 30 kg/m2 who had undergone bariatric surgery were identified from the Clinical Practice Research Datalink (CPRD), matched 5:1 to controls. Cox regression analysis was used to determine the risk of developing de novo depression. Kaplan-Meier analysis compared the proportion of patients with no further consultations related to depression between the two groups. Results In total, 3534 patients who underwent surgery, of which 2018 (57%) had pre-existing depression, were matched to 15,480 controls. Cox proportional hazard modelling demonstrated surgery was associated with a HR of 1.50 (95% CI 1.32–1.71, p < 0.005) for developing de novo depression. For those with ...
Psychosocial Consequences of Bariatric Surgery: Two Sides of a Coin: a Scoping Review
Obesity Surgery, 2021
This scoping review summarizes current evidence with regard to the impact of bariatric surgery on psychological health in adults with obesity. While a large body of evidence reports major metabolic benefit and improved quality of life, there is also ample evidence suggesting an increased incidence of self-harming behavior, a greater likelihood of developing an alcohol problem and higher rates of completed suicide amongst bariatric patients. Being able to identify the 'at risk' patient population requires more longitudinal research into the risk factors for psychological complications after bariatric surgery. Bariatric surgery remains an extremely valuable long-term treatment option for managing obesity, however there is a need to invest in mitigating psychological complications after the surgery, such as depression, alcohol consumption, and other self-harming behaviors. MS #OBSU-D-21-00379 2 Key Points: 1. Quality of life improves in patients that undergo bariatric surgery. 2. Increased risk for depression, substance abuse, and self-harm after bariatric surgery. 3. More longitudinal research is necessary to identify at risk patient population. 4. Uniformity in screening methods, instruments are necessary to decrease complications.
Depression, Anxiety, and Binge Eating Before and After Bariatric Surgery: Problems That Remain
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
Background: As the number of surgeries increases and the elapsed time of the realization increases as well, the postoperative evaluations would become increasingly necessary. Aim: To assess the psychological profile before and after surgery. Methods: Were evaluated 281 patients from the public service of bariatric surgery. In this study, 109 patients completed the evaluations before surgery (T0) and up to 23 months after surgery (T1); 128 completed the evaluations in T0 and between 24 months and 59 months after surgery (T2); and 44 completed the evaluations in T0 and 60 months after surgery (T3). A semi-structured interview, the Beck Depression Inventory (BDI), Beck Anxiety (BAI), and the Binge Eating Scale (BES) were used. Results: There was a higher prevalence of female (83%), patients with less than 12 years of education (83%), and patients who have a partner (64%). Analyzing all times of evaluation, regarding anxiety, depression, and binge eating, there was a reduction in all sy...
Clinical versus patient-reported measures of depression in bariatric surgery
Surgical endoscopy, 2018
Bariatric surgery patients with mental illness may experience worse surgical outcomes compared to those without. Depression is the most prevalent mental health diagnosis amongst Americans with obesity. Accurate diagnosis and treatment is of paramount importance to mitigate perioperative risk. Unfortunately, there is no standard method to screen patients for depression prior to surgery. Our goal was to understand the relationship between traditional clinical screening tools and a novel patient-reported depression screening survey, Patient Health Questionnaire 8 (PHQ-8), in the setting of the bariatric surgery preoperative assessment. The study included all adult bariatric surgery patients from January 2014 through June 2016. Patients who were not assessed using both the PHQ-8 and a traditional clinical depression screening were excluded from the study. There were a total of 4486 patients who met the eligibility criteria and were included in analysis. We used comparative statistics to...
Obesity, 2014
Objective: To examine changes in depressive symptoms and treatment in the first 3 years following bariatric surgery. Methods: The longitudinal assessment of bariatric surgery-2 (LABS-2) is an observational cohort study of adults (n 5 2,458) who underwent a bariatric surgical procedure at 1 of 10 US hospitals between 2006 and 2009. This study includes 2,148 participants who completed the Beck depression inventory (BDI) at baseline and one follow-up visit in years 1-3. Results: At baseline, 40.4% self-reported treatment for depression. At least mild depressive symptoms (BDI score 10) were reported by 28.3%; moderate (BDI score 19-29) and severe (BDI score 30) symptoms were uncommon (4.2 and 0.5%, respectively). Mild-to-severe depressive symptoms independently increased the odds (OR 5 1.75; P 5 0.03) of a major adverse event within 30 days of surgery. Compared with baseline, symptom severity was significantly lower at all follow-up time points (e.g., mild-to-severe symptomatology was 8.9%, 6 months; 8.4%, 1year; 12.2%, 2 years; 15.6%, 3 years; ps < 0.001), but increased between 1 and 3 years postoperatively (P < 0.01). Change in depressive symptoms was significantly related to change in body mass index (r 5 0.42; P < 0001). Conclusion: Bariatric surgery has a positive impact on depressive features. However, data suggest some deterioration in improvement after the first postoperative year. LABS-2, #NCT00465829,
Psychiatric Diagnoses and Psychiatric Treatment Among Bariatric Surgery Candidates
Obesity Surgery, 2004
Methods: Prior to surgery, all participants completed the Weight and Lifestyle Inventory, the Questionnaire on Eating and Weight Patterns, and the Beck Depression Inventory-II. Participants also underwent a behavioral/psychological evaluation with a psychologist, which reviewed responses to the measures and provided further assessment of participants' psychiatric status. The evaluation also was used to produce a recommendation on the patients' psychological appropriateness for surgery.
A B S T R A C T The current study investigates the patterns of disease persistence and comorbidity of psychiatric disorders among patients with class III obesity in pre-operative period. For 393 treatment-seeking patients with severe obesity recruited from a bariatric center, we ascertained their psychiatric diagnosis through Structured Clinical Interview for DSM-IV (SCID-I). Following, the frequency, persistence and comorbidity pattern of psychiatric disorders in this sample were determined. Current psychiatric disorders were observed in over half of patients during preoperative period, being anxiety disorders the most frequent diagnosis. For lifetime disorders, mood disorders were the most frequent diagnosis. Most of the sample presented 2 or more concurrent lifetime psychiatric disorders. While mood and eating disorders were frequent conditions, anxiety disorders were the most persistent conditions (the highest one month-to-lifetime prevalence ratio) and were significantly correlated with bipolar, depressive and eating disorders. Psychiatric disorders are frequent and enduring conditions among patients looking for bariatric surgery. Comorbid anxiety, mood, and eating disorders are remarkable features in treatment-seeking patients with obesity. Prognostic implications of preoperative psychiatric disorders on surgery outcome should be demonstrated prospectively in intervention studies.
DergiPark (Istanbul University), 2021
Psychiatric comorbidities are commonly encountered in obese patients admitted for bariatric surgery among which major depressive disorder and anxiety disorder are the most common types. Although most studies demonstrate a significant reduction in psychiatric complaints at postoperative follow-up, the relationship or mechanism of such effect is not definitive. We report the emergence of major depressive disorder and anxiety disorder in a 57-yearold female patient at sixth-month follow-up with no family history of psychiatric disorder or preoperative psychiatric disorder. Symptomatic control has been achieved with selective serotonin reuptake inhibitor therapy. Hereby, we recommend close psychiatric follow-up of bariatric surgery candidates at pre and postoperative periods.