The long-term effect of bariatric surgery on depression and anxiety

Gill, Hartej; Kang, Simratdeep; Lee, Yena; Rosenblat, Joshua D.; Brietzke, Elisa; Zuckerman, Hannah; McIntyre, Roger S.

doi:10.1016/j.jad.2018.12.113

Cited by 139 publications

(114 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…21,27 In contrast, 75% of studies reported improvements in the severity of anxiety during the first 2 years, and the improvements tended to be smaller. 27 Recent prospective research suggests that initial improvements in the prevalence of psychological disorders may not be maintained over longer-term followup. 20 Moreover, there is some evidence to suggest that post-operative depression is associated with greater weight regain, 20 and both postoperative depression and anxiety are associated with poorer mental quality of life.…”

Section: Psychological Functioning Among Bariatric Surgery Patientsmentioning

confidence: 98%

“…Approximately one-third of bariatric surgery candidates present with a concurrent psychological disorder, 20 with depression (19%) and anxiety (12%) among the most prevalent. 21 Although meta-analytic reviews 21 and prospective studies 27 have found no clear evidence that preoperative mental health conditions predict post-operative weight loss and/or regain, preoperative depression and anxiety have been shown to predict poorer post-operative mental quality of life. 20 Bariatric surgery has been associated with improvements in psychological functioning, with the most consistent and robust effects being reported for depression: Over 90% of studies included in two meta-analytic reviews reported improvements in the prevalence of depression or severity of symptoms during at least the first 2 to 3 years following surgery.…”

Section: Psychological Functioning Among Bariatric Surgery Patientsmentioning

confidence: 99%

“…Approximately one‐third of bariatric surgery candidates present with a concurrent psychological disorder, with depression (19%) and anxiety (12%) among the most prevalent . Although meta‐analytic reviews and prospective studies have found no clear evidence that preoperative mental health conditions predict post‐operative weight loss and/or regain, preoperative depression and anxiety have been shown to predict poorer post‐operative mental quality of life …”

Section: Introductionmentioning

confidence: 99%

“…Bariatric surgery has been associated with improvements in psychological functioning, with the most consistent and robust effects being reported for depression: Over 90% of studies included in two meta‐analytic reviews reported improvements in the prevalence of depression or severity of symptoms during at least the first 2 to 3 years following surgery . In contrast, 75% of studies reported improvements in the severity of anxiety during the first 2 years, and the improvements tended to be smaller . Recent prospective research suggests that initial improvements in the prevalence of psychological disorders may not be maintained over longer‐term follow‐up .…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Preoperative and post‐operative psychosocial interventions for bariatric surgery patients: A systematic review

2020

View full text Add to dashboard Cite

Summary Psychosocial interventions are increasingly being utilized to help patients prepare for, and adjust to changes following, bariatric surgery in order to optimize psychosocial adjustment and weight loss. The current systematic review examined the impact of preoperative and post‐operative psychosocial interventions with a behavioural and/or cognitive focus on weight, dietary behaviours, eating pathology, lifestyle behaviours, and psychological functioning. A PsycINFO and Medline search of publications was conducted in March 2019. Two authors assessed retrieved titles and abstracts to determine topic relevance and rated the quality of included studies using a validated checklist. Forty‐four articles (representing 36 studies) met the study inclusion criteria. The current evidence is strongest for the impact of psychosocial interventions, particularly cognitive behavioural therapy, on eating behaviours (eg, binge eating and emotional eating) and psychological functioning (eg, quality of life, depression, and anxiety). The evidence for the impact of psychosocial interventions on weight loss, dietary behaviours (eg, dietary intake), and lifestyle behaviours (eg, physical activity) is relatively weak and mixed. Psychosocial interventions can improve eating pathology and psychosocial functioning among bariatric patients, and the optimal time to initiate treatment appears to be early in the post‐operative period before significant problematic eating behaviours and weight regain occur.

show abstract

Section: Psychological Functioning Among Bariatric Surgery Patientsmentioning

confidence: 98%

Section: Psychological Functioning Among Bariatric Surgery Patientsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Preoperative and post‐operative psychosocial interventions for bariatric surgery patients: A systematic review

2020

View full text Add to dashboard Cite

show abstract

“…In most current literature, improved long-term depression outcomes among BS patients have been shown, although some studies have not demonstrated improvement and others have revealed worsening [9][10][11]. However, little is known about the impact that the diagnosis of depression before bariatric surgery (DDBS) may have on weight loss.…”

Section: Introductionmentioning

confidence: 99%

Impact of Depression on Weight Variation after Bariatric Surgery: A Three-Year Observational Study

et al. 2020

View full text Add to dashboard Cite

Introduction: The association between obesity and depression has been repeatedly established. However, little is known about the impact that the diagnosis of depression before bariatric surgery (DDBS) may have on weight loss. Objective: To evaluate the impact of DDBS on weight outcomes. Methods: Retrospective study of patients submitted to BS. Patients with no weight, no current medication data, or those submitted to revision surgery were excluded. Patients were considered to have DDBS based on taking antidepressants prior to BS or if there was a medical history of past or current depression. Patients with and without a depression history were compared using independent t test. A multivariate logistic regression model was created to evaluate predictors of weight variation (variables included: age, sex, and type of surgery). Results: A total of 616 patients did not have a history of depression and 230 had DDBS. There was a statistically significant difference in the BMI variation between groups. On average, individuals with DDBS lost 1.4 kg/m 2 less than those without DDBS. In the multivariate analysis, the group with DDBS, compared with the group without DDBS, presented on average less -0.9 kg/m 2 (95% CI -1.7 to -0.2, p = 0.018) BMI variation. Conclusion: DDBS is a predictor of lower weight loss after the surgical procedure. Even after adjusting for confounding variables such as age, sex, and BS type, this effect remains.

show abstract

Abdominal Pain After Roux-en-Y Gastric Bypass

Fry,

Finks

2023

JAMA Surg

View full text Add to dashboard Cite

ImportanceRoux-en-Y gastric bypass (RYGB) remains one of the most commonly performed operations for morbid obesity and is associated with significant long-term weight loss and comorbidity remission. However, health care utilization rates following RYGB are high and abdominal pain is reported as the most common presenting symptom for those seeking care.ObservationsGiven the limitations of physical examination in patients with obesity, correct diagnosis of abdominal pain following RYGB depends on a careful history and appropriate use of radiologic, laboratory and endoscopic studies, as well as a clear understanding of post-RYGB anatomy. The most common etiologies of abdominal pain after RYGB are internal hernia, marginal ulcer, biliary disease (eg, cholelithiasis and choledocholithiasis), and jejunojejunal anastomotic issues. Early identification of the etiology of the pain is essential, as some causes, such as internal hernia or perforated gastrojejunal ulcer, may require urgent or emergent intervention to avoid significant morbidity. While laboratory findings and imaging may prove useful, they remain imperfect, and clinical judgment should always be used to determine if surgical exploration is warranted.Conclusions and RelevanceThe etiologies of abdominal pain after RYGB range from the relatively benign to potentially life-threatening. This Review highlights the importance of understanding key anatomical and technical aspects of RYGB to guide appropriate workup, diagnosis, and treatment.

show abstract

The long-term effect of bariatric surgery on depression and anxiety

Cited by 139 publications

References 37 publications

Preoperative and post‐operative psychosocial interventions for bariatric surgery patients: A systematic review

Preoperative and post‐operative psychosocial interventions for bariatric surgery patients: A systematic review

Impact of Depression on Weight Variation after Bariatric Surgery: A Three-Year Observational Study

Abdominal Pain After Roux-en-Y Gastric Bypass

Contact Info

Product

Resources

About