Psychiatric aspects of bariatric surgery

Yen, Yung-Chieh; Huang, Chih-Kuan; Tai, Chi‐Ming

doi:10.1097/yco.0000000000000085

Cited by 77 publications

(57 citation statements)

References 60 publications

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“…[48] Presence of psychopathology, including eating disorders, is not a contraindication of bariatric and metabolic surgery. Some successful outcomes have been obtained among patients having major depressive disorders, bipolar disorders, stable schizophrenia, and binge eating.…”

Section: Psychiatric Illnessmentioning

confidence: 99%

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Definitions of obesity and current indications for obesity surgery

Sümer¹

2017

Laparosc Endosc Surg Sci

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Section: Psychiatric Illnessmentioning

confidence: 99%

“…For patients with active psychoses or recent hospitalization, suicidal idea, and recent suicidal attempt, surgery should be delayed or postponed. [19,48] …”

Section: Psychiatric Illnessmentioning

confidence: 99%

Definitions of obesity and current indications for obesity surgery

Sümer¹

2017

Laparosc Endosc Surg Sci

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“…The most common psychiatric disorders that may co-exist with obesity are: dysthymic disorder, major depressive disorder, generalized anxiety disorder and binge eating disorder [36,37,38]. Patients with a history of such disorders experience poor weight loss due to the nature of their psychiatric illness [39].…”

Section: Methodsmentioning

confidence: 99%

“…It may impair judgement and result in a suicide attempt. A history of sexual abuse also affects weight loss [37] as patients use dysfunctional eating habits as a way of coping with the associated emotional distress. In addition, the extra body fat could act as a protective mechanism against further sexual abuse.…”

Section: Methodsmentioning

confidence: 99%

Clinical Practice Recommendations for the Management of Obesity in the United Arab Emirates

et al. 2018

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With rapid urbanisation and improved living conditions as a result of rising incomes in Gulf Cooperation Council (GCC) countries, obesity has become a major and growing health problem for the region. The United Arab Emirates (UAE) has a resident population of 9.3 million (in 2016), many of whom (85.5%) lived in urban areas and led sedentary lifestyles. Based on the World Health Organisation (WHO) estimates for 2010, 25% of Emirati men and 40% of the women were obese. Obesity rates in this country has doubled from 16 to 34% compared to the year 2000, and severe obesity (BMI > 40 kg/m²) has risen dramatically from 2 to 11%. While a number of international guidelines for the management of obesity are already available in public domain, local guidelines for the UAE and the region, which are structured and individualized for the management of obesity, are sorely needed to help the family physician to provide affordable treatment for the patient at the point-of-care and to reduce the burden on the local healthcare system. A multi-disciplinary panel of international and regional experts who treat patients with overweight and obesity was convened with the aim of developing consensus recommendations for the UAE. The objective is to have a simple and easy-to-refer set of recommendations for busy clinicians as there were already many comprehensive international guidelines available. The panel reviewed and streamlined these recommendations in its entirety for relevance, coherence and usability in the local context. These recommendations for overweight and obesity management were circulated and endorsed by the local practising family medicine community, namely, the Emirates Medical Association and Family Medicine Society. We believe these recommendations would also be of interest to clinicians in other GCC countries. A summary and algorithm of these recommendations are provided.

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“…However, the American and European International guide lines, recognizing the importance of psychiatric/psychological factors contributing to obesity, stress the importance of a careful assessment before bariatric surgery [14,15]. Many mental disorders determine weight regain in short and long term or worsen after surgery [16,17]. This study shows the results of a sample of obese patients living in Campania, a region in the South of Italy, and stresses the prevalence of different mental disorders and their relationship with eating behaviors, considering each of them according to data literature and methods.…”

Section: Introductionmentioning

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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Psychiatric aspects of bariatric surgery

Cited by 77 publications

References 60 publications

Definitions of obesity and current indications for obesity surgery

Definitions of obesity and current indications for obesity surgery

Clinical Practice Recommendations for the Management of Obesity in the United Arab Emirates

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

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