Behavioral and Psychological Factors in the Assessment and Treatment of Obesity Surgery Patients

Abstract

Results: We found a high incidence of depression, negative body image, eating disorders, and low QOL in severely obese patients. Our task subgroup recommended that all WLS candidates be evaluated by a licensed mental health care provider (i.e., psychiatrist, psychologist, or social worker), experienced in the treatment of severely obese patients and working within the context of a multidisciplinary care team. We also recommended development of pre-and postsurgical treatment plans that address psychosocial contraindications for WLS and potential barriers to postoperative success. Discussion: The psychological consequences of obesity can range from lowered self-esteem to clinical depression. Rates of anxiety and depression are three to four times higher among obese individuals than among their leaner peers. A comprehensive multidisciplinary program that incorporates psychological and behavior change services can be of critical benefit in enhancing compliance, outcome, and QOL in WLS patients.

Coding and Reimbursement for Weight Loss Surgery: Best Practice Recommendations

“…In particular, they are concerned about perceived variations in short-term morbidity and mortality rates and long-term outcomes. Available data indicate that a surgeon's training, experience, and ongoing clinical activity are strong predictors of complication rates (see the Surgical Care and Multidisciplinary Care Task Group reports in this issue) (22)(23)(24). The availability of comprehensive pre-and postoperative care and the degree to which patients participate in multidisciplinary programs also seem to affect short-and long-term outcomes.…”

Personality characteristics and bariatric surgery outcomes: a systematic review

“…15,16 Depressive, bipolar, anxiety, and eating disorders stand out as the most prevalent. 14,15,17 While there may be a higher incidence of mental disorders in the BS candidate population than in the general population, there is a body of work showing that symptoms of depression and anxiety, [18][19][20] psychopathology in general, and eating compulsion 20 improve after the procedure has been conducted.…”

Intervención psicológica a candidatos de cirugía bariátrica en un hospital público de Brasil

“…Datos de la Organización Mundial de la Salud (OMS) (4) indican la creciente tendencia de la obesidad, de manera que la incidencia en todo el mundo se ha más que duplicado desde 1980, pues en 2008 más de 1,4 mil millones de adultos (de 20 o más años de edad) tenía sobrepeso. La obesidad se encuentra relacionada con una mayor incidencia de otras enfermedades, entre las cuales están las enfermedades cardíacas y psicológicas como la ansiedad y la depresión (5,6) .…”