Depression Before and After Bariatric Surgery in Low-Income Patients: the Utility of the Beck Depression Inventory

Alabi, F.; Guilbert, Laure; Villalobos, Gabriela; Mendoza, Karen; Hinojosa, Rocío; Lermas, Juan Carlos Melgarejo; Espinosa, Omar; Sepúlveda, Elisa; Zerrweck, Carlos

doi:10.1007/s11695-018-3371-0

Cited by 25 publications

(25 citation statements)

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“…A total of 11,255 subjects from 49 articles were included in the present meta‐analysis (Figure 1). All were prospective studies, except for one cross‐sectional 26 and three retrospective study design 27–29 . Roux‐en‐Y gastric bypass was performed in 31 studies, biliopancreatic diversion in 4, gastric banding in 24, sleeve gastrectomy in 15 and vertical gastroplasty in 7.…”

Section: Methodsmentioning

confidence: 99%

“…All were prospective studies, except for one cross‐sectional 26 and three retrospective study design. 27 , 28 , 29 Roux‐en‐Y gastric bypass was performed in 31 studies, biliopancreatic diversion in 4, gastric banding in 24, sleeve gastrectomy in 15 and vertical gastroplasty in 7. A total of 24 studies examined the proportion of anxiety symptoms and 28 studies compared the proportion of depressive symptoms pre‐ and post‐surgery.…”

Section: Methodsmentioning

confidence: 99%

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Improvement in mood symptoms after post‐bariatric surgery among people with obesity: A systematic review and meta‐analysis

Loh

Francis

Lim

et al. 2021

Diabetes Metabolism Res

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Aims We aimed to examine if bariatric surgery was associated with a reduction in the prevalence of depressive and anxiety symptoms among people with obesity. Materials and Methods We pooled data from 49 studies involving 11,255 people with obesity who underwent bariatric surgery. The study outcomes were the prevalence of depressive and anxiety symptoms among these patients pre‐ and post‐surgery. Results There was a significant reduction in body mass index (BMI) post‐operatively (pooled d+: −13.3 kg/m2 [95% confidence interval [CI] 15.19, −11.47], p < 0.001). The pooled proportion of patients with anxiety symptoms reduced from 24.5% pre‐operatively to 16.9% post‐operatively, with an odds ratio (OR) of 0.58 (95% CI 0.51, 0.67, p < 0.001). The reduction remained significant in women aged ≥40 years and irrespective of post‐operative BMI. There were significant reductions in Hospital Anxiety and Depression Score (HADS) (anxiety component) by 0.64 (pooled d+: −0.64 [95% CI −1.06, −0.22], p = 0.003) and Generalized Anxiety Disorder Assessment‐7 score by 0.54 (pooled d+: −0.54 [95% CI −0.64, −0.44], p < 0.001). The pooled proportion of depressive symptoms reduced from 34.7% pre‐operatively to 20.4% post‐operatively, with an OR of 0.49 (95% CI 0.37, 0.65, p < 0.001). The reduction remained significant irrespective of patient's age and post‐operative BMI. There were also significant reductions in HADS score (depressive component) (pooled d+: −1.34 [95% CI −1.93, −0.76], p < 0.001), Beck’s Depression Inventory score (pooled d+: −1.04 [95% CI −1.46, −0.63], p < 0.001) and Patient Health Questionnaire‐9 score (pooled d+: −1.11 [95% CI −1.21, −1.01], p < 0.001). Conclusion Bariatric surgery was associated with significant reduction in the prevalence and severity of depressive and anxiety symptoms among people with obesity.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Improvement in mood symptoms after post‐bariatric surgery among people with obesity: A systematic review and meta‐analysis

Loh

Francis

Lim

et al. 2021

Diabetes Metabolism Res

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“…Research has shown that individuals with obesity have a 55% greater chance of developing depression and individuals with depression have a 58% greater chance of developing obesity . Furthermore, 45% of bariatric surgery candidates present with a depressive disorder, while 56% have experienced a depressive disorder throughout their life . Higher lifetime prevalence rates have been reported among women presenting for surgery, with up to 60% experiencing a depressive disorder across the lifetime .…”

Section: Psychological Outcomes Following Surgical and Endoscopic Barmentioning

confidence: 99%

Psychological outcomes following surgical and endoscopic bariatric procedures: A systematic review

2020

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Obesity is a leading global epidemic. Bariatric surgery is the only treatment demonstrating substantial long-term weight loss and medical benefits. However, there is limited research on the psychological outcomes following surgery.Therefore, the primary aim of this study was to systematically review depression, anxiety, and binge eating outcomes at different time points following bariatric surgery and identify whether bariatric surgery significantly reduces psychological symptoms over time. These outcomes were also examined among endoscopic bariatric procedures as a secondary aim. Forty-eight studies met inclusion criteria.

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“…It has also been suggested that the incidence of psychopathologies and severe psychiatric affections is higher, being this partly responsible for the lack of adherence to the dietetic treatment and lifestyle changes. Weight loss has been related to a significative decrease in psychological symptoms [5].…”

Section: Introductionmentioning

confidence: 99%

"Comorbidity Resolution and Quality of Life after Bariatric Surgery"

Román¹

2021

BJSTR

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Background: Obesity is a well-known risk factor for type 2 diabetes (DM2), obstructive sleep apnea (OSA) and cardiovascular illnesses and it also entails a worse quality of life (QoL).Aim: Evaluate results of bariatric surgery (BS) by using the Bariatric analysis and reporting outcome system (BAROS).Methods: Observational clinical study of consecutive cases of patients undergoing BS and clinical follow-up at University Hospital Reina Sofia (HURS) in Córdoba, Spain, in 2018.Results: 152 patients. Age: 48.64 ± 10,12 years. 78.3% women. Technique: gastric bypass (GBP) (65.1%), gastric sleeve (GS) (31.6%) and gastric banding (GB) (3.3%).BMI after surgery was 32.75 ± 6.16 kg/m2, being this reduction statistically significant compared to the presurgical BMI (48.34 ± 7.25 kg/m2). Percentage of excess weight loss (%EWL) was 60.46 ± 18.8%. Before surgery 31.6% suffered from DM2, 40.8% from high blood pressure (HBP), 35.5% from dyslipidemia and 19.7% from OSA. DM2 was reversed in 72% of patients, HBP in 38.1%, dyslipidemia in 51.9%, OSA in 33% and vasculopathy in 57.1%. No statistically significant differences between comorbidity resolution and technique were found. QoL after surgery was good or very good in 77.6% without statistically significant differences between QoL and type of surgery. Patients with very good QoL had a statistically significant higher excess weight loss percentage (%EWL) (64.29%) than patients with fair (57.39%) and good (57.12%) QoL. Although this difference was found among other groups, it didn't reach statistical significance. BAROS questionnaire classified 81% of patients as having good, very good or excellent outcome.

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Depression Before and After Bariatric Surgery in Low-Income Patients: the Utility of the Beck Depression Inventory

Cited by 25 publications

References 43 publications

Improvement in mood symptoms after post‐bariatric surgery among people with obesity: A systematic review and meta‐analysis

Improvement in mood symptoms after post‐bariatric surgery among people with obesity: A systematic review and meta‐analysis

Psychological outcomes following surgical and endoscopic bariatric procedures: A systematic review

"Comorbidity Resolution and Quality of Life after Bariatric Surgery"

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Depression Before and After Bariatric Surgery in Low-Income Patients: the Utility of the Beck Depression Inventory

Cited by 25 publications

References 43 publications

Improvement in mood symptoms ​after post‐bariatric surgery among people with obesity: A systematic review and meta‐analysis

Improvement in mood symptoms ​after post‐bariatric surgery among people with obesity: A systematic review and meta‐analysis

Psychological outcomes following surgical and endoscopic bariatric procedures: A systematic review

"Comorbidity Resolution and Quality of Life after Bariatric Surgery"

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Improvement in mood symptoms after post‐bariatric surgery among people with obesity: A systematic review and meta‐analysis

Improvement in mood symptoms after post‐bariatric surgery among people with obesity: A systematic review and meta‐analysis