Prevalence of psychiatric disorders before and 1 year after bariatric surgery: The role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery

Lier, Haldis Økland; Biringer, Eva; Stubhaug, Bjarte; Tangen, Tone

doi:10.3109/08039488.2012.684703

Cited by 56 publications

(54 citation statements)

References 46 publications

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“…However, a substantial proportion of people eligible for BS have a history of eating disorders or mental health problems [29,30]. Research looking at psychological predictors of obesity presents complex findings and is not well understood [31][32][33].…”

mentioning

confidence: 99%

The effectiveness of bariatric surgery on long term psychosocial quality of life – A systematic review

Jumbe

Bartlett

Jumbe

et al. 2016

Obesity Research & Clinical Practice

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mentioning

confidence: 99%

The effectiveness of bariatric surgery on long term psychosocial quality of life – A systematic review

Jumbe

Bartlett

Jumbe

et al. 2016

Obesity Research & Clinical Practice

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“…On reading, it was found that 13 did not meet at least one criterion and the data of interest for this review were the same in two articles, 16,29 so the one with the earlier publication date was included and the later article was excluded 29 (Figure 1). At the end of this process, 16…”

Section: Methodsmentioning

confidence: 99%

“…Rates of clinical disorders (excluding personality disorders [PD] and mental deficiency) exceed 40% among candidates for BS [14][15][16] and psychiatric comorbidities are also evident. 15,16 Depressive, bipolar, anxiety, and eating disorders stand out as the most prevalent.…”

Section: Introductionmentioning

confidence: 99%

“…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.…”

Section: Introductionmentioning

confidence: 99%

“…16,21,22 While these are elevated rates, there is no consensus in the literature with regards to associations between personality characteristics or psychopathologies and outcomes of BS. The psychological/ psychiatric practice of assessing candidates for BS needs empirical evidence to support the indications of which patients should be given the procedure, and also to identify factors that represent potential risks to patients.…”

Section: Introductionmentioning

confidence: 99%

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Personality characteristics and bariatric surgery outcomes: a systematic review

Bordignon

Aparício

Bertoletti

et al. 2017

Trends Psychiatry Psychother.

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Suggested citation: Bordignon S, Aparício MJ, Bertoletti J, Trentini CM. Personality characteristics and bariatric surgery outcomes: a systematic review. Trends Psychiatry Psychother. 2017;39(2):124-134. http://dx.doi.org/10.1590/2237-6089-2016 Abstract Introduction: Numerous studies have focused on psychological assessment of bariatric surgery candidates, aiming to identify which psychological variables, including personality characteristics, are related to successful surgical prognosis. Objective: To analyze, by means of a systematic literature review, longitudinal studies that investigated personality traits and disorders as possible predictors of outcomes in bariatric surgery. Method: PsycInfo, PubMed, and Scopus databases were searched for studies published between 2005 and 2015, using the keywords "bariatric" AND "personality." Quantitative longitudinal studies in English, Portuguese, or Spanish were selected for review if they assessed personality as an outcome predictor of BS in people aged 18 years or older. Results: Sixteen articles were analyzed. The results of this review suggest that externalizing dysfunctions might be associated with less weight reduction, while internalizing dysfunctions appear to be associated with somatic concerns and psychological distress. The persistence dimension (of temperament in Cloninger's model) was positively associated with greater weight loss, while neuroticism (Five Factor Model) and the occurrence of personality disorders were not predictive of weight loss. Furthermore, the results indicate a tendency towards a reduction in personality disorders and neuroticism scores, and an increase in extroversion scores, after BS. Conclusions: Assessment of personality characteristics, whether to identify their predictive power or to detect changes during the BS process, is important since it can provide grounds for estimating surgical prognosis and for development of interventions targeting this population.

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Retracted: Weight Bias, Shame, and Self‐Compassion: Risk/Protective Mechanisms of Depression and Anxiety in Prebariatic Surgery Patients

Braun

Quinn

Stone

et al. 2020

Obesity

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Objective Psychopathology in bariatric surgery patients may contribute to adverse postoperative sequelae, including weight regain, substance use, and self‐harm. This cross‐sectional study aimed to advance the understanding of the risk and protective paths through which weight bias associates with depressive and anxiety symptoms in bariatric surgery candidates (BSC). Methods BSC recruited from a surgical clinic (N = 213, 82.2% women, 43 [SD 12] years, mean BMI: 49 [SD 9] kg/m2) completed measures of experienced weight bias (EWB), internalized weight bias (IWB), body and internalized shame, and self‐compassion; anxiety and depression screeners were accessed from medical charts. Multiple regression and PROCESS bootstrapping estimates tested our hypothesized mediation model as follows: EWB→IWB→body shame→shame→self‐compassion→symptoms. Results After accounting for EWB and IWB, internalized shame accounted for greater variance in both end points than body shame. EWB was associated with greater anxiety through risk paths implicating IWB, body shame, and/or internalized shame. Protective paths associated EWB with fewer depressive and anxiety symptoms among those with higher self‐compassion. Conclusions The findings suggest a potentially important role for weight bias and shame in psychological health among BSC and implicate self‐compassion, a trainable affect‐regulation strategy, as a protective factor that may confer some resiliency. Future research using longitudinal and causal designs is warranted.

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Prevalence of psychiatric disorders before and 1 year after bariatric surgery: The role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery

Cited by 56 publications

References 46 publications

The effectiveness of bariatric surgery on long term psychosocial quality of life – A systematic review

The effectiveness of bariatric surgery on long term psychosocial quality of life – A systematic review

Personality characteristics and bariatric surgery outcomes: a systematic review

Retracted: Weight Bias, Shame, and Self‐Compassion: Risk/Protective Mechanisms of Depression and Anxiety in Prebariatic Surgery Patients

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