The Relationship Between Addictions and Bariatric Surgery for Nurses in Recovery

Fogger, Susanne A.; McGuinness, Teena M

doi:10.1111/j.1744-6163.2010.00298.x

Cited by 17 publications

(15 citation statements)

References 20 publications

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“…Wiedemann et al also found that patients with a preoperative SUD history tended to use more types of substances than new-onset SUD patients. In another study examining 173 nurses who underwent bariatric surgery (Fogger & McGuinness, 2012), 68% (n=17) of them reported their problems initiated after surgery. Tedesco et al (2013) suggested that the prevalence of postoperative substance abuse among bariatric patients with a prior history was much higher than those without the history, although the difference was not significant (8.1% vs.1.5%, p= .234), which might be related to a small sample of postoperative substance abuse group (n=8, 6 with prior history and 2 without).…”

Section: Resultsmentioning

confidence: 99%

“…tolerance or overdose). Adults in some occupations might be vulnerable to developing substance use problems, such as nurses, who have high levels of job stressors and access to substances at work (Fogger & McGuinness, 2012). Veterans are also at high risk of postoperative substance use due to their high prevalence of psychological and psychiatric problems (Adams et al, 2012; Tedesco et al, 2013).…”

Section: Discussionmentioning

confidence: 99%

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Substance use after bariatric surgery: A review

2016

Journal of Psychiatric Research

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Background Prevalence of obesity has increased dramatically. Obese individuals may undergo bariatric surgery to lose excessive body fat and mitigate obesity-related comorbidities. However, bariatric patients are particularly vulnerable to substance use problems. We conducted a review to examine the prevalence change and factors associated with substance use and determine the association between substance use and health status after weight loss among bariatric patients. Methods We searched peer-reviewed articles published between January 1990 and January 2015 in several databases (PubMed, PsycINFO, Cochrane Library, Google Scholar) using different keywords combinations. Studies that focused on pre-surgery substance use only or without reported effect measurements were excluded. Results Overall, 40 studies were included in the review. Preoperative history of substance use was a reliable correlate of postoperative substance use. The prevalence of postoperative alcohol use was higher among patients with preoperative history of alcohol use than those without. Postoperative prevalence of alcohol use ranged from 7.6% to 11.8%. No significant prevalence change in cigarette smoking from pre- to postoperative period was observed. Time effect was not observed on smoking or drug use prevalence, while an increase in alcohol consumption was inconsistent across studies. The proportion of new-onset substance users among bariatric patients after surgery ranged from 34.3% to 89.5%. Conclusion Substance use is associated with poor health among bariatric patients. Preoperative assessment and postoperative follow-up should include interventions to reduce relapse among users and prevent substance use initiation.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Substance use after bariatric surgery: A review

2016

Journal of Psychiatric Research

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“…Roux-en-Y gastric bypass (RYGB) patients may be at risk for alcohol use disorders, particularly by the second postoperative year (King et al, 2012), and they may also encounter drug problems (Fogger & McGuinness, 2012;Saules et al, 2010). One study found that post-bariatric surgery patients are overrepresented in substance abuse detoxification/ 406 S. RESLAN ET AL. rehabilitation programs for alcohol and other drug use disorders.…”

Section: Introductionmentioning

confidence: 98%

Substance Misuse Following Roux-en-Y Gastric Bypass Surgery

Reslan

Saules

Greenwald

et al. 2013

Substance Use & Misuse

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Post-bariatric surgery patients are overrepresented in substance abuse treatment, particularly those who have had the Roux-en-Y gastric bypass (RYGB) procedure. The severity of the substance use disorder (SUD; i.e., warranting inpatient treatment) and related consequences necessitate a better understanding of the variables associated with post-RYGB SUDs. This investigation assessed factors associated with post-RYGB substance misuse. Post-RYGB patients (N = 141; at least 24 months postsurgery) completed an online survey assessing variables hypothesized to contribute to post-RYGB SUDs. Fourteen percent of participants met criteria for postoperative substance misuse. Those with a lower percent total weight loss (%TWL) were more likely to endorse substance misuse. Family history of substance misuse was strongly associated with postoperative substance misuse. Eating-related variables including presurgical food addiction and postsurgical nocturnal eating, subjective hunger, and environmental responsiveness to food cues were also associated with a probable postoperative SUD. These findings have clinical utility in that family history of substance misuse can be easily assessed, and at-risk patients can be advised accordingly. In addition, those who endorse post-RYGB substance misuse appear to have stronger cognitive and behavioral responses to food, providing some support for the theory of behavioral substitution (or "addiction transfer").

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“…Much of this literature has focused on the development of problems with alcohol use. Until recently, published empirical literature in this area has been quite limited, and generally has involved cross-sectional or retrospective studies with relatively small sample sizes (13–16) , with several notable exceptions. Three recent prospective reports are of particular interest.…”

Section: Introductionmentioning

confidence: 99%

Addictive disorders after Roux-en-Y gastric bypass

Mitchell

Steffen

Engel

et al. 2015

Surgery for Obesity and Related Diseases

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Background Recent literature suggests that some patients may develop addictive disorders after bariatric surgery, in particular following Roux-en-Y gastric bypass (RYGB). These may include traditional addictions and so called “behavioral addictions”, although prevalence data on the latter have not been published. Objectives To establish prevalence of addictive behaviors in adults following RYGB. Setting 2 university hospitals and 1 not-for-profit research institute in the U.S. Methods Participants from a large observational study of bariatric surgery who had undergone RYGB were recruited to complete additional measures. Of 241 consented participants, 201 provided data (i.e., Structured Clinical Interview for DSM-IV Axis I [SCID], additional Impulsive Control Disorder Modules, and various self-report measures, including the Alcohol Use Disorder Identification Test [AUDIT]) to assess status prior to surgery and in the first three post-operative years.). Results Based on the SCID, 16 (8.0%) developed alcohol use disorder [AUD] within three years post-RYGB, 7 (43.8%) of whom had no history of AUD. When both the SCID and AUDIT were used to identify AUD, the corresponding numbers/percentages were 32 (18.4%) and 13 (40.6%). Data on other behavioral addictive disorders indicated 19 (9.5%) had a post-surgery disorder, 6 (31.6%) of whom had no history. Conclusions These data add to a growing literature suggesting there is a substantial risk for the development of AUD after bariatric surgery. Understanding the risk for non-drug related addictive disorders requires more data from larger studies before clear conclusions can be drawn.

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The Relationship Between Addictions and Bariatric Surgery for Nurses in Recovery

Abstract: Evidence suggests that some individuals may require additional treatment, similar to those with pharmacological addictions.

Cited by 17 publications

References 20 publications

Substance use after bariatric surgery: A review

Substance use after bariatric surgery: A review

Substance Misuse Following Roux-en-Y Gastric Bypass Surgery

Addictive disorders after Roux-en-Y gastric bypass

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