Comprehensive Behavioral-Motivational Nutrition Education Improves Depressive Symptoms Following Bariatric Surgery: A Randomized, Controlled Trial of Obese Hispanic Americans

Nijamkin, Monica Petasne; Campa, Adriana; Nijamkin, Shani Samiri; Sosa, Jorge

doi:10.1016/j.jneb.2013.04.264

Cited by 43 publications

(29 citation statements)

References 28 publications

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“…larger improvements in the intervention group. 27 The second found lower Hospital Anxiety and Depression Scale scores at 1 year for both groups of an intervention assessing preoperative cognitive behavioral therapy. 42 Eight prospective 14,33,36,39,41,43,44,48 and 2 retrospective cohort studies 25,28 found improvements in depression: 5 reporting on prevalence 25,33,41,43,48 ; 4 on symptoms 28,36,39,44 ; and 1 on both.…”

Section: Bariatric Surgery and Postoperative Mental Health Outcomesmentioning

confidence: 93%

“…We identified 27 publications from 26 studies reporting data on associations: 6 reporting on bariatric outcomes 24,26,31,35,[45][46][47] ; 17 reporting on mental health outcomes ( References 3,14,25,[27][28][29][30][32][33][34]36,37,39,40,[42][43][44]; and 3 studies reporting on both. 38,41,48 Patient demographics were similar to those re- ported in prevalence studies.…”

Section: Preoperative Mental Health Conditions and Bariatric Outcomesmentioning

confidence: 99%

“…Depression improved following bariatric surgery in 11 of the 12 studies (References 14, 25, 27, 28, 33, 36, 39, 42-44, 48) including 2 RCTs that evaluated behavioral health interventions after surgery. This included a reduction in both depression prevalence 14,25,27,33,41,43,48 and the frequency and severity of depressive symptoms. 14,28,36,39,42,44 Ten studies were prospective (5 with high follow-up, 5 with moderate) and 3 controlled for confounding using multivariable regression.…”

Section: Bariatric Surgery and Postoperative Mental Health Outcomesmentioning

confidence: 99%

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Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery

Dawes

Maggard-Gibbons

Maher

et al. 2016

JAMA

458

315

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IMPORTANCE Bariatric surgery is associated with sustained weight loss and improved physical health status for severely obese individuals. Mental health conditions may be common among patients seeking bariatric surgery; however, the prevalence of these conditions and whether they are associated with postoperative outcomes remains unknown. OBJECTIVE To determine the prevalence of mental health conditions among bariatric surgery candidates and recipients, to evaluate the association between preoperative mental health conditions and health outcomes following bariatric surgery, and to evaluate the association between surgery and the clinical course of mental health conditions. DATA SOURCES We searched PubMed, MEDLINE on OVID, and PsycINFO for studies published between January 1988 and November 2015. Study quality was assessed using an adapted tool for risk of bias; quality of evidence was rated based on GRADE (Grading of Recommendations Assessment, Development and Evaluation) criteria. FINDINGS We identified 68 publications meeting inclusion criteria: 59 reporting the prevalence of preoperative mental health conditions (65 363 patients) and 27 reporting associations between preoperative mental health conditions and postoperative outcomes (50 182 patients). Among patients seeking and undergoing bariatric surgery, the most common mental health conditions, based on random-effects estimates of prevalence, were depression (19% [95% CI, 14%-25%]) and binge eating disorder (17% [95% CI, 13%-21%]). There was conflicting evidence regarding the association between preoperative mental health conditions and postoperative weight loss. Neither depression nor binge eating disorder was consistently associated with differences in weight outcomes. Bariatric surgery was, however, consistently associated with postoperative decreases in the prevalence of depression (7 studies; 8%-74% decrease) and the severity of depressive symptoms (6 studies; 40%-70% decrease). CONCLUSIONS AND RELEVANCE Mental health conditions are common among bariatric surgery patients-in particular, depression and binge eating disorder. There is inconsistent evidence regarding the association between preoperative mental health conditions and postoperative weight loss. Moderate-quality evidence supports an association between bariatric surgery and lower rates of depression postoperatively.

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Section: Bariatric Surgery and Postoperative Mental Health Outcomesmentioning

confidence: 93%

Section: Preoperative Mental Health Conditions and Bariatric Outcomesmentioning

confidence: 99%

Section: Bariatric Surgery and Postoperative Mental Health Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery

Dawes

Maggard-Gibbons

Maher

et al. 2016

JAMA

458

315

View full text Add to dashboard Cite

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“…Nevertheless, a clear improvement in psychological symptoms was found following surgery. Eleven out of 12 studies Crémieux et al 2010;Petasne Nijamkin et al 2013;Hayden et al 2014;Dixon et al 2003Dixon et al , 2015Dixon et al , 2016Morseth et al 2015;Gade et al 2015;Booth et al 2015;Sockalingam et al 2015;White et al 2015) demonstrated an improvement of depressive disorder both, with regard to prevalence and symptoms. The majority of the studies comprised a postoperative observation period that was not longer than three years.…”

Section: Depression and Anxiety Disordersmentioning

confidence: 99%

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Herpertz

Kessler

Jongen

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

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ZusammenfassungPsychosoziale Fragen zur Adipositas-Chirurgie: was SummarySubject: In view of the epidemic increase in severe obesity and the ineffectiveness of conservative weight-loss interventions, bariatric surgery delivers compelling results for patients with class II (BMI ≥ 35 kg/m²) and class III obesity (BMI ≥ 40 kg/m²), not only in reducing weight over the long term, but also in reducing obesity-related somatic comorbidity and improving psychosocial functioning and quality of life. Investigations into the psychosocial aspects of obesity surgery have proliferated over the last 15 years, providing a huge amount of essential research data. Yet the results are partly contradictory and highly dependent on the duration of follow-up. Method: Based of a narrative review, this article provides an overview of the current status and recent developments of the reciprocal effects between bariatric surgery and psychosocial functioning. The review focused on eight domains representing important psychosomatic and psychosocial aspects of bariatric surgery. Results: Especially in cases of class II and III obesity, bariatric surgery is the only means to reduce bodyweight significantly and permanently, though they carry with them the associated risk factors of metabolic, cardiovascular, and oncological diseases. With regard to psychosocial and psychosomatic aspects, studies with a short-term catamnesis (approx. 3 years) speak in favor of an improvement in the quality of life including mental disorders. If we consider studies with longer follow-ups, however, the results are not as uniform. In particular, we observe an increase in harmful alcohol consumption, self-harm behavior, and suicide risk. Discussion: In light of mental well-being and thus also quality of life, bariatric surgery would appear to convey an elevated risk for a minority of patients. Yet identifying these patients before surgery has so far been insufficient.

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“…This improvement in depression can then lead to more ideal weight loss [46 ▪ ,47]. Obese patients receiving weight management services can achieve better psychosocial health [48].…”

Section: Postsurgical Outcomes and Interventionmentioning

confidence: 99%

Psychiatric aspects of bariatric surgery

Yen

Huang

Tai

2014

Current Opinion in Psychiatry

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Purpose of reviewBariatric surgery has been consistently shown to be effective in long-term marked weight loss and in bringing significant improvement to medical comorbidities such as metabolic syndrome. Empirical data suggest a high prevalence of psychiatric disorders among bariatric surgery candidates. In this review, we focus on the studies published recently with a high impact on our understanding of the role of psychiatry in bariatric surgery.Recent findingsThis article reviews the specific psychopathologies before surgery, changes in psychopathologies after surgery, suicide risk related to bariatric surgery, factors associated with weight loss, and recommendations for presurgical and postsurgical assessment and management. Research indicates a decrease in certain psychiatric symptoms after weight loss with bariatric surgery. However, the risk of suicide and unsuccessful weight loss in some bariatric surgery patients make monitoring following surgery as important as careful assessment and management before surgery. Specific considerations for youth and older populations and future potential research foci are discussed.SummaryRecent publications suggest new directions for psychiatric evaluation and interventions for bariatric surgery patients. Future research on outcomes of specific populations, effectiveness of psychopharmacotherapy, and underlying pathophysiology are warranted for the advancement of treating bariatric surgery patients.

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Comprehensive Behavioral-Motivational Nutrition Education Improves Depressive Symptoms Following Bariatric Surgery: A Randomized, Controlled Trial of Obese Hispanic Americans

Cited by 43 publications

References 28 publications

Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery

Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Psychiatric aspects of bariatric surgery

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