Characterization of the Improvement in Depressive Symptoms Following Bariatric Surgery

Hayden, Melissa J.; Dixon, John; Dixon, Maureen Elizabeth; Shea, Tracey; O'Brien, Paul Edmond

doi:10.1007/s11695-010-0215-y

Cited by 53 publications

(37 citation statements)

References 50 publications

(95 reference statements)

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“…Hayden et al 14 observed that weight loss greatly reduces depressive symptoms in bariatric patients regardless of their preoperative condition. This same position is advocated by more recent studies that consider that preoperative psychological assessments should identify and propose treatment of pathological situations, rather than excluding the patient from surgery [15][16][17][18][19][20] .…”

Section: Discussionmentioning

confidence: 99%

Abordagem psicológica em cirurgia plástica pós-bariátrica

Pinho¹,

Chillof²,

Mendes

et al. 2011

Rev. Bras. Cir. Plást.

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Nowadays, plastic surgery plays an important role in the surgical treatment of morbid obesity, and it is used to restore optimal body contour in a large number of patients with massive weight loss. The outcome of surgery may affect the patient's psychological behavior, and a multispecialty approach should be adopted, before and after the gastric bypass, to better educate and prepare patients for the dramatic changes they will experience in their body image. The increase in bariatric surgery has also resulted in a greater demand for plastic surgery. In addition to the multispecialty services, patients are seeking out private practice surgeons who will need to recognize and manage the psychological aspects of candidates who undergo body reshaping. This paper reviews the literature on the complex psychological environment of obese patients, emphasizing the identification and management of psychological disorders, and providing plastic surgeons with tools for safer planning and superior outcomes in body contouring after massive weight loss.Keywords: Mental disorders. Plastic surgery. Bariatric surgery. Motivation. RESUMOAtualmente, a cirurgia plástica vem se firmando cada vez mais como parte integrante do tratamento cirúrgico da obesidade mórbida, na medida em que visa a devolver as melhores condições de contorno corporal ao enorme contingente de pacientes submetidos a grandes perdas ponderais. Os aspectos peculiares que acompanham essa nova trajetória do paciente obeso exigem abordagem interdisciplinar, com cuidadoso acompanhamento psicológico, antes e depois da cirurgia bariátrica, que deverá prepará-lo continuamente para as grandes transformações impostas a sua imagem corporal. Com a popularização das gastroplastias e a crescente demanda por procedimentos de contorno corporal após grandes emagrecimentos, é cada vez mais comum a presença desses pacientes nos consultórios de cirurgiões que não estão ligados aos serviços multidisciplinares, e que, portanto, precisam conhecer, avaliar e lidar também com os aspectos psicológicos envolvendo candidatos a cirurgia plástica pós--bariátrica. Este trabalho estabelece uma revisão da literatura acerca do complexo ambiente psicológico na obesidade, voltada para o cirurgião plástico, com ênfase na identificação e no controle das condições psíquicas desfavoráveis, possibilitando o melhor planejamento operatório em pacientes com perda significativa de peso após cirurgia bariátrica.Descritores: Transtornos mentais. Cirurgia plástica. Cirurgia bariátrica. Motivação.

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Section: Discussionmentioning

confidence: 99%

Abordagem psicológica em cirurgia plástica pós-bariátrica

Pinho¹,

Chillof²,

Mendes

et al. 2011

Rev. Bras. Cir. Plást.

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“…These authors have observed that 23% of patients had an increase in their antidepressant use, 40% continued to require the same dose of antidepressant, 18% had a change in antidepressant medication and only 16% of patients had a decrease or discontinued the antidepressant therapy 62 . In addition, in a sample of 67 bariatric patients with high level of depressive symptomology was found that 30% used antidepressants preoperatively and 24% were on antidepressants after bariatric surgery 55 .…”

Section: Mood Disordersmentioning

confidence: 99%

“…The majority of studies have reported a decrease in depression and depressive symptoms after bariatric surgery 24,27,[48][49][50][51][52][53][54][55][56] . Women seem to show a more marked decline than men 57 .…”

Section: Mood Disordersmentioning

confidence: 99%

A psychiatric perspective view of bariatric surgery patients

Brandão¹,

Fernandes²,

Osório³

et al. 2015

Arch. Clin. Psychiatry (São Paulo)

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Background: Bariatric surgery is the only procedure that has significant results in weight loss and improvements in medical comorbidities in morbid obese patients. Severely obese patients are also associated with a higher prevalence of psychiatric disorders and poor quality of life. Objective: To evaluate specific areas of psychopathology in individuals undergoing bariatric surgery. Methods: A review of the literature was conducted from January 2002 to March 2014 by researching PubMed database using the following query: "morbid AND obesity AND bariatric AND surgery AND (psychiatry OR psychology)". Results: Overall improvements in eating behaviors, mood disorders and body image are reported after bariatric surgery, and the mechanism is not enlightened. Risk of suicide and consumption of substances of abuse, especially alcohol, after gastric bypass surgery are problems that clinicians must be aware. Discussion: Bariatric patients should be monitored after surgery to identify who did not show the expected benefits postoperatively and the ones who develop psychiatric symptoms after an initial positive response.

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“…The need to accommodate the growing numbers of severely obese patients will require wideranging changes in new and existing healthcare facilities. Of concern, WLS patients have a higher prevalence of mental health disorders and substance abuse problems [5].…”

Section: Betsy Lehman Center For Patient Safety and Medical Error Redmentioning

confidence: 99%

Panel report: best practices for the surgical treatment of obesity

et al. 2010

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Background Bariatric surgery is a rapidly growing field. Advances in surgical technologies and techniques have raised concerns about patient safety. Bariatric surgeons and programs are under increased scrutiny from regulatory agencies, insurers, and public health officials to provide high quality and safe care for bariatric patients at all phases of care. Methods During the 2009 annual meeting of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), a panel of experts convened to provide updated information on patient safety and best practices in bariatric surgery. The following article is a summary of this panel presentation. Results and ConclusionsWeight loss surgery is a field that is evolving and adapting to multiple external pressures. Safety concerns along with increasing public scrutiny have led to a systematic approach to defining best practices, creating standards of care, and identifying mechanisms to ensure that patients consistently receive the best and most effective care possible. In many ways, bariatric surgery and multidisciplinary bariatric surgery programs may serve as a model for other programs and surgical specialties in the near future.

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Characterization of the Improvement in Depressive Symptoms Following Bariatric Surgery

Cited by 53 publications

References 50 publications

Abordagem psicológica em cirurgia plástica pós-bariátrica

Abordagem psicológica em cirurgia plástica pós-bariátrica

A psychiatric perspective view of bariatric surgery patients

Panel report: best practices for the surgical treatment of obesity

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