Depression and Anxiety: Their Predictive Function for Weight Loss in Obese Individuals

Legenbauer, Tanja; Zwaan, Martina de; Benecke, Andrea; Mühlhans, Barbara; Petrak, Frank; Herpertz, Stephan

doi:10.1159/000226278

Cited by 88 publications

(59 citation statements)

References 58 publications

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“…Moreover GAD is considered a risk for bariatric surgery. Many studies stress that it can worsen after surgery determining an increase of the symptoms and failure of weight loss [56][57][58].…”

Section: Generalized Anxiety Disorder: Gadmentioning

confidence: 99%

Obesity and Psychiatric Disorders in a Sample of Obese Candidates for Bariatric Surgery in Campania Region

Micanti¹,

Pecoraro²,

Mosca³

et al. 2017

Primary Health Care

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Introduction: Obesity is now considered as pandemic. 40% of Italian population is overweight or obese. Many studies emphasize the association of obesity with mental disorders specifically depressive and anxiety disorders, substance use disorder, personality disorder. It has to be distinguished from the mental dimensions: impulsivity, mood, anxiety and body image connected to the emotional regulation system producing eating behaviors. Obesity subjects differ in eating behaviors: gorging, snacking, sweeteating, grazing and binge that are characterised by different level of psychopathology. Mental disorders are also associated to eating behaviors. Bariatric surgery is considered gold standard therapy for obesity. However, follow-up studies underline that the association obesity-mental disorders determines weight loss failure.Methods: 2205 obese subjects underwent psychiatric assessment before bariatric surgery. Patients were divided into two groups as result of psychiatric assessment: 1392 obese subjects without association with mental disorders and 813 with mental disorders. These last (mean age 37,63 SD ± 12,07; 181 M, 632 W; mean body mass index (BMI), 45,16 SD ± 12,14) were enrolled in this study. Every patient underwent psychiatric evaluation. The absence of mental disorders was considered an exclusion criteria.

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Section: Generalized Anxiety Disorder: Gadmentioning

confidence: 99%

Obesity and Psychiatric Disorders in a Sample of Obese Candidates for Bariatric Surgery in Campania Region

Micanti¹,

Pecoraro²,

Mosca³

et al. 2017

Primary Health Care

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“…21 En cambio, en población obesa se ha reportado en un 30%, es decir en tres de cada 10 pacientes y al igual que en la población general, con mayor frecuencia en el sexo femenino. 22,23 La asociación TD-obesidad surgió de la comorbilidad con el trastorno por atracón (TPA) observada en los pacientes obesos. La mayor intensidad del TD en pacientes obesos con atracón, a diferencia de aquellos obesos sin atracón, fue lo que postuló la hipótesis de la asociación TD-obesidad.…”

Section: Depresión Y Ansiedadunclassified

“…La mayor intensidad del TD en pacientes obesos con atracón, a diferencia de aquellos obesos sin atracón, fue lo que postuló la hipótesis de la asociación TD-obesidad. 23 El trastorno de ansiedad se presenta hasta en un 35% de los pacientes con obesidad y se ha reportado que con frecuencia coexiste con la depresión. 22,23 Aunque el víncu-lo ansiedad-obesidad ha sido menos estudiado que depresión-obesidad, una explicación para éste es el fenómeno descrito como "ingesta emocional" derivado de un pobre autocontrol y de una limitación para contender con situaciones estresantes, siendo la conducta alimentaria mediadora entre estas condiciones.…”

Section: Depresión Y Ansiedadunclassified

“…23 El trastorno de ansiedad se presenta hasta en un 35% de los pacientes con obesidad y se ha reportado que con frecuencia coexiste con la depresión. 22,23 Aunque el víncu-lo ansiedad-obesidad ha sido menos estudiado que depresión-obesidad, una explicación para éste es el fenómeno descrito como "ingesta emocional" derivado de un pobre autocontrol y de una limitación para contender con situaciones estresantes, siendo la conducta alimentaria mediadora entre estas condiciones. 23,24 Un estudio encontró como factores asociados a estos trastornos, haber tenido o iniciado la obesidad en la infancia y haber presentado cambios en el IMC a lo largo de la vida.…”

Section: Depresión Y Ansiedadunclassified

“…22,23 Aunque el víncu-lo ansiedad-obesidad ha sido menos estudiado que depresión-obesidad, una explicación para éste es el fenómeno descrito como "ingesta emocional" derivado de un pobre autocontrol y de una limitación para contender con situaciones estresantes, siendo la conducta alimentaria mediadora entre estas condiciones. 23,24 Un estudio encontró como factores asociados a estos trastornos, haber tenido o iniciado la obesidad en la infancia y haber presentado cambios en el IMC a lo largo de la vida. 25 Otros estudios reportaron la asociación del TD con una mayor frecuencia de estigmatización debida al peso corporal.…”

Section: Depresión Y Ansiedadunclassified

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La salud mental en el paciente con obesidad en protocolo para cirugía bariátrica

Esquivias-Zavala

Reséndiz-Barragán

García³

et al. 2016

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BackgroundThe association between obesity and psychopathology is well known. However, the presence of psychopathology in patients with morbid obesity who attend bariatric surgery and its impact in weight loss has been less studied. ObjectiveTo perform a theme update about the general context of psychiatric disorders associated with morbid obesity, and to assess the impact of such disorders in patients undergoing bariatric surgery. Method EBSCO ResearchDatabase and PubMed databases were consulted. Articles published between 2011 and today were selected. Key words related to the topic of study were used. ResultsThe studies reviewed showed five psychopathological clinical entities with high prevalence in patients who attend bariatric surgery: Depression and anxiety, attention deficit hyperactivity disorder, disorders of eating behavior, substance abuse, and some dimensions of personality. The presence of these disorders was associated to a poor post-surgical weight loss. Discussion and conclusionBinge eating disorder and substance abuse impact on weight loss after bariatric surgery is controversial. The evaluation of obese patients who attend bariatric surgery must emphasize, according with reported disorders prevalence, the identification of depression, anxiety and attention deficit hyperactivity disorder.Key words: Mental health, morbid obesity, bariatric surgery, weight loss, psychopathology, depressive disorder. RESUMEN AntecedentesLa asociación entre obesidad y psicopatología es bien conocida; sin embargo, la presencia de esta última en los pacientes con obesidad mórbida sometidos a cirugía bariátrica y su impacto en la pérdida de peso ha sido menos estudiado. ObjetivoRealizar una actualización sobre el panorama general de los trastornos psiquiátricos asociados con la obesidad mórbida, y el impacto de éstos sobre la pérdida de peso en pacientes bariátricos. MétodoSe consultaron las bases de datos EBSCO Research Database y PubMed. Se seleccionaron los artículos publicados de 2011 a la fecha. Fueron utilizadas palabras clave relacionadas con el tema de estudio. ResultadosLos estudios revisados mostraron cinco entidades clínicas psicopatológicas con alta prevalencia en pacientes que se encuentran en protocolo de cirugía bariátrica: Depresión y ansiedad, trastorno por déficit de atención e hiperactividad, trastornos de la conducta alimentaria, abuso de sustancias y algunas dimensiones de la personalidad. La presencia de estas condiciones se asoció a una menor pérdida de peso posterior al procedimiento quirúrgico. Discusión y conclusiónEl impacto del trastorno por atracón y por abuso de sustancias en la pérdida de peso, posterior a la cirugía bariátrica, es controversial. La evaluación del paciente con obesidad candidato a cirugía bariá-trica debe enfatizar, de acuerdo con la prevalencia de los trastornos reportados, la identificación de trastornos depresivos-ansiosos y del trastorno por déficit de atención e hiperactividad.Palabras clave: Salud mental, obesidad mórbida, cirugía bariátri-ca, pérdida de pes...

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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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Depression and Anxiety: Their Predictive Function for Weight Loss in Obese Individuals

Cited by 88 publications

References 58 publications

Obesity and Psychiatric Disorders in a Sample of Obese Candidates for Bariatric Surgery in Campania Region

Obesity and Psychiatric Disorders in a Sample of Obese Candidates for Bariatric Surgery in Campania Region

La salud mental en el paciente con obesidad en protocolo para cirugía bariátrica

Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery

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