Psychosocial Functioning Before and After Laparoscopic Adjustable Gastric Banding: a Cross-Sectional Study

Larsen, Junilla K.; Geenen, Rinie; Ramshorst, Bert van; Brand, Nico; Wit, Pieter de; Stroebe, Wolfgang; Doornen, Lorenz J.P. van

doi:10.1381/096089203322190871

Cited by 58 publications

(42 citation statements)

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“…Several authors showed an improving mental health and quality of life by the first year that eroded over the subsequent years. [22][23][24][25][26][27] In our cross-sectional study, performed a mean of 8.7 years after the operation, we were able to show that a more impaired health and psychological status was present in those operated more than 5 years ago compared to subjects operated more recently. The time lapse since operation played an important role as health status scores showed a higher physical, emotional and social dysfunction in those operated more than 5 years ago and out of the psychological features sensitivity was also more present in these subjects.…”

Section: Discussionmentioning

confidence: 55%

Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits

Mathus-Vliegen

2006

Int J Obes

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Objective: Obesity management is focused at weight loss to obtain health, psychological and social benefits. Outcomes from controlled trials, however, do not reflect the everyday routine practice. Therefore, we aimed to investigate the results from surgically induced weight loss in patients devoid of a protocol-wise follow-up, who were visited at home. Patients and methods: Patients who underwent a vertical banded gastroplasty or a gastric bypass between 1980 and 1997 were eligible. Body weight and height were measured. Patients filled out questionnaires on health status (Nottingham Health Profile (NHP)), psychological symptoms (Symptom Check List (SCL-90-R)), personality traits (Dutch Personality Questionnaire (DPQ)) and eating behaviour (Dutch Eating Behaviour Questionnaire (DEBQ)). Results: Out of 451 operated patients the addresses of 313 subjects could be traced and 236 (75%) agreed to participate. They maintained a mean (s.d.) loss of 32.1 (22.6) kg and 45.2 (29.3) % of excess weight, 8.2 (4.5) years after the operation, about two-third of the largest weight loss they achieved after 17 months postoperatively. The NHP and SCL-90-R conformed to norm values in males except for energy, sleep and emotional reactions. Females differed from norm values in every aspect and even women achieving a BMIo30 kg/m 2 did not catch up to norm values. Weight loss was inversely related to physical immobility and pain. Personality traits (DPQ) showed a higher grievance and dominance and a lower rigidity and self-esteem compared to norm values. Females scored higher in inadequacy and lower in social inadequacy. Eating patterns (DEBQ) showed mainly emotional eating and restrained eating. Effect sizes of X0.8 s.d. were chosen to reflect the clinical relevance of statistically significant findings. Pain, disturbances in sleep, energy and mobility and emotional and restrained eating proved to be clinically relevant. In subjects operated 45 years ago, a higher sensitivity, a higher inadequacy and a lower social inadequacy were observed compared to more recently operated subjects. A more restrained eating pattern was related to an operation of recent date. Conclusions: Surgically induced weight losses are satisfactory in the long-term, even in patients not attending a strict follow-up protocol. Health, psychological symptoms, personality traits and eating behaviour were related to weight loss and time lapse since the operation and did not return to reference normal-weight subject values.

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Section: Discussionmentioning

confidence: 55%

Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits

Mathus-Vliegen

2006

Int J Obes

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“…The questionnaire has a five-point Likert rating format, ranging from 1 (almost never) to 5 (almost always). The psychometric characteristics of the OPSQ, established in a sample of 287 patients before and after (surgical or dietary) treatment for (severe) obesity, are satisfactory [21].…”

Section: Instrumentsmentioning

confidence: 99%

“…The actual, expected, and past psychosocial states were measured using the "Obesity Psychosocial State Questionnaire" (OPSQ) [21]. The OPSQ measures seven domains: "physical function" (15 items, e.g., "to kneel or stoop easily"), "mental well-being" (six items, e.g., "to feel depressed"), "physical appearance" (nine items, e.g., "to feel fat when photographed"), "social acceptance" (four items, e.g., "to be singled out because of my weight"), "self-efficacy regarding eating and weight control" (three items, e.g., "to feel helpless about my eating behavior"), "intimacy" (four items, e.g., "to have sexual problems because of my weight"), and "social network" (two items, e.g., "to visit friends and acquaintances").…”

Section: Instrumentsmentioning

confidence: 99%

Initiation and Maintenance of Weight Loss after Laparoscopic Adjustable Gastric Banding. The role of Outcome Expectation and Satisfaction with the Psychosocial Outcome

et al. 2008

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Background A premise of this study was that different psychological processes would predict the initiation and maintenance of weight loss after surgery for morbid obesity. Our aim was to examine whether more favorable preoperative expectations of psychosocial outcomes predict weight loss in the first year after laparoscopic adjustable gastric banding (LAGB) and whether postoperative satisfaction with these outcomes predicts weight maintenance in the second year after the operation. Methods Six months before and 1 year after surgery, the "Obesity Psychosocial State Questionnaire" was filled out by 91 patients (77 female, 14 male, mean age 45 ± 9 years, mean preoperative body mass index 47 ± 6 kg/m 2 ). We evaluated the preoperative outcome expectations and the postoperative satisfaction for the seven domains of psychosocial and physical functioning of this questionnaire, as well as the correlations between these scores and both weight loss and weight maintenance.Results Patients showed high satisfaction with psychosocial outcomes after LAGB in all seven domains ( p < 0.001), even though the improvement was less than expected in five of the domains ( p ≤ 0.01). While weight loss 1 year after the operation was related to satisfaction with psychosocial outcomes ( p ≤ 0.05), preoperative expectations were not related to weight loss in the first year after surgery, and satisfaction with the outcomes was not related to weight maintenance in the second year after surgery. Conclusion Our study suggests that surgically induced effects of weight loss and weight maintenance are achieved independently of the patient's preoperative expectations of and postoperative satisfaction with the psychosocial outcomes.

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“…Bariatric surgery is reported to be the most effective method for achieving dramatic, long-term weight loss and is only indicated for the morbidly obese (Bocchieri et al, 2002a;Dziurowicz-Kozlowska, Wierzbicki, Lisik, Wasiak, & Kosieradzki, 2006;Puzziferri, 2005;van Hout, Fortuin, Pelle, & van Heck, 2008). The morbidly obese includes persons who may be classified as having Class II obesity with significant physical comorbidities and Class III obesity (Bocchieri, Meana, & Fisher, 2002a;Larsen et al, 2003;Dziurowicz-Kozlowska et al, 2006;Shai, Henkin, Weitzman, & Levi, 2003;WHO, 2000). Individuals who elect to undergo bariatric surgery are required to make several lifestyle changes (e.g., dietary choices and eating habits) prior to surgery and are expected to maintain adherence to those changes following surgery in order to maximize and maintain weight losses initiated by the effects of the surgery (Alvarado et al, 2005;Mechanick et al, 2008).…”

Section: Behavioral Weight Management Behavioral Weight Management Pmentioning

confidence: 99%

Adoption of Recommended Eating Behaviors Following Bariatric Surgery: Predicting Group Membership

Lester

Gerstein

Nicholas

et al. 2014

Bariatric Surgical Practice and Patient Care

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Psychosocial Functioning Before and After Laparoscopic Adjustable Gastric Banding: a Cross-Sectional Study

Cited by 58 publications

References 24 publications

Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits

Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits

Initiation and Maintenance of Weight Loss after Laparoscopic Adjustable Gastric Banding. The role of Outcome Expectation and Satisfaction with the Psychosocial Outcome

Adoption of Recommended Eating Behaviors Following Bariatric Surgery: Predicting Group Membership

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