Mental Health Conditions before Bariatic Surgery

Bariatic Surgery is a method that is accepted for promoting weight loss to those severely obese individuals. This is also to decrease the risk of obesity-related conditions.
Mental health conditions has been suggested that it may be widespread among patients who are involved in such interventions.

Dr. Aaron J. Dawes, from David Geffen School of Medicine at the University of California, Los Angeles, together with his colleagues wanted to know how common mental health conditions were in patients who are seeking and undertaking bariatic surgery.

They also aim to see if there was a connection between preoperative mental health cnditions and weight loss after surgery.
Moreover, they wanted to examine the relation between surgery and the result of mental health conditions.

After conducting a meta-analysis of 59 publications reporting the generality of mental health conditions before surgery in 65,363 patients and 27 studies, the results indicatedd that 23% of patients for bariatic surgery were affected by current mood disorder. Seen in 19% participants, depression was most common while 17% were diagnosed with binge-eating disorder. 12% of the subjects were affected by anxiety.

The bariatic patients have a higher rate for depression than the general US population.
A fall in the rate of depression was noted after surgery, 8-74% decrease in the rate after surgery according to seven studies reviewed and six studies indicated a 40-70% drop off in the severity of depressive symptoms.

The relationship between preoperative mental health and postoperative weight loss was explicit. Depression nor binge-eating disorder was consistently related with differences in weight outcomes.

The authors write:

“Previous reviews have suggested that self-esteem, mental image, cognitive function, temperament, support networks and socioeconomic stability play major roles in determining outcomes after bariatric surgery.”

Researchers suggested to incorporate these factors in future studies. A call for standardized instruments, clear eligibility criteria, regular measurement intervals and transparency regarding time-specific follow-up rates when dealing with patients for bariatic surgery were also suggested.

The measures would help create “an optimal strategy for evaluating patients’ mental health prior to bariatric surgery.”

This is limited to different scales and methods used in original studies.


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