Navigating Mental health post Bariatric Surgery: A review of depression and Quality of Life factors
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Abstract
Obesity, a global epidemic affecting over 650 million adults (WHO,2021), increases the risk of chronic diseases and imposes significant physical and psychological burdens. Bariatric Surgery is a common intervention of severe obesity, leading to weight loss and improvement in related conditions but this also requires mental and emotional adjustments.
The Literature review examines the psychosocial impacts of bariatric surgery, focusing on depression and quality of life outcomes. The review finds that while many patients experience improved mood and quality of life post-surgery, a notable subset faces worsened depressive symptoms, substance abuse and self-harm. key factors influencing these outcomes include social support, perceived stress and body image. Enhancing resilience, self-efficacy and supportive social networks can mitigate adverse effects. Future research should include long-term studies across diverse populations and incorporate positive psychology factors to promote sustainable health improvements
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References
Adams, T. D., Gress, R. E., Smith, S. C., Halverson, R. C., Simper, S. C., Rosamond, W. D., Lamonte, M. J., Stroup, A. M., & Hunt, S. C. (2007). Long-term mortality after gastric bypass surgery. New England Journal of Medicine, 357(8), 753-761. https://doi.org/10.1056/nejmoa066603
Alshammari, S. A., Alassiri, M. A., Allami, H. A., Almousa, H. M., Alobaid, A. S., Ismail, D. H., & Onayq, A. I. B. (2022). The prevalence of depression and anxiety in post-bariatric surgery patients at King Khalid University Hospital, Riyadh. Curēus. https://doi.org/10.7759/cureus.32500
American Diabetes Association (ADA). (2022). Obesity management for the treatment of type 2 diabetes: Standards of medical care in diabetes—2022. Diabetes Care, 45(Supplement 1), S144-S174. https://doi.org/10.2337/dc22-S009
American Society for Metabolic and Bariatric Surgery (ASMBS). (2018). Estimate of bariatric surgery numbers, 2011-2017. https://asmbs.org/resources/estimate-of-bariatric-surgery-numbers
An, R. (2020). Health care expenses in relation to obesity and obesity-related health conditions: Evidence from the medical expenditure panel survey, 2013-2014. American Journal of Health Promotion, 34(8), 899-909.
Angrisani, L., Santonicola, A., Iovino, P., Vitiello, A., Zundel, N., Buchwald, H., & Scopinaro, N. (2020). Bariatric surgery worldwide 2013. Obesity Surgery, 30(4), 1577-1595. https://doi.org/10.1007/s11695-017-2666-x
Arterburn, D. E., Telem, D. A., Kushner, R. F., & Courcoulas, A. P. (2020). Benefits and risks of bariatric surgery in adults: A review. JAMA, 324(9), 879–887. https://doi.org/10.1001/jama.2020.12567
Becerra, B. J., Xia, C., Berlin, I., & Huybrechts, I. (2022). Comparative short-term risk of psychological disorders following bariatric surgery versus no surgery among patients with obesity. JAMA Network Open, 5(8).
Behrens, S. C., Lenhard, K., Lippert, H., & Herbig, B. (2021). The mediating role of body image on the relationship between weight loss and depressive symptoms in bariatric surgery candidates. Frontiers in Psychology, 12.
Bocchieri, L. E., Meana, M., & Fisher, B. L. (2002a). Perceived psychosocial outcomes of gastric bypass surgery: A qualitative study. Obesity Surgery, 12(6), 781–788.
Bocchieri-Ricciardi, L. E., Meana, M., & Fisher, B. L. (2006). The psychology of bariatric surgery: A review of the weight loss surgery journey. Obesity Surgery, 16(9), 1131–1140. https://doi.org/10.1381/096089206778392188
Burgmer, R., Grigutsch, K., Zipfel, S., Wolf, A. M., de Zwaan, M., Husemann, B., Albus, C., Senf, W., & Herpertz, S. (2005). The influence of eating behavior and eating pathology on weight loss after gastric restriction operations. Obesity Surgery, 15(5), 684-691.
Canetti, L., Berry, E. M., & Elizur, Y. (2009). Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program https://doi.org/10.1002/eat.20592
Centers for Disease Control and Prevention (CDC). (2022). Adult obesity facts. https://www.cdc.gov/obesity/php/data-research/adult-obesity-facts.html
Colquitt, J. L., Pickett, K., Loveman, E., & Frampton, G. K. (2014). Surgery for weight loss in adults. The Cochrane Database of Systematic Reviews, 8(8), CD003641. https://doi.org/10.1002/14651858.CD003641.pub4
Coulman, K. D., MacKichan, F., Blazeby, J. M., & Owen-Smith, A. (2020). Patient experiences of outcomes of bariatric surgery: A systematic review and qualitative synthesis. Obesity Reviews, 21(3), e12952.
Dahlberg, L. E., Marsk, R., Fredrikson, M., Näslund, I., & Fandiño‐Szabo, H. (2023). Self‐harm after bariatric surgery in Sweden: A nationwide matched cohort study with up to 18 years of follow‐up. Obesity, 31(1), 48-57.
Green, A. E., Dymek-Valentine, M., Pytluk, S., le Grange, D., & Alverdy, J. (2004). Psychosocial outcome of gastric bypass surgery for patients with and without binge eating. Obesity Surgery, 14(7), 975-985https://doi.org/10.1381/0960892041719590
Hales, C. M., Carroll, M. D., Fryar, C. D., & Ogden, C. L. (2022). Prevalence of obesity and severe obesity among adults: United States, 2017–2018. NCHS Data Brief, no 360. Hyattsville, MD: National Center for Health Statistics.
Hall, K. D., & Kahan, S. (2018). Maintenance of lost weight and long‐term management of obesity. Medical Clinics, 102(1), 183-197. https://doi.org/10.1016/j.mcna.2017.08.012
King, W. C., Hinerman, A. S., & White, G. E. (2022). Changes in Marital Status Following Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: A US Multicenter Prospective Cohort Study. Annals of Surgery Open, 3(3), e182. https://doi.org/10.1097/as9.0000000000000182
Herpertz, S., Kielmann, R., Wolf, A. M., Langkafel, M., Senf, W., & Hebebrand, J. (2003). Does obesity surgery improve psychosocial functioning? A systematic review. International Journal of Obesity, 27(11), 1300-1314. https://doi.org/10.1038/sj.ijo.0802410
Jumbe, S., Hamlet, C., & Meyrick, J. (2017). Psychological aspects of bariatric surgery as a treatment for obesity. Current Obesity Reports, 6(1), 71-78. https://doi.org/10.1007/s13679-017-0242-2
Klassen, A. F., Cano, S. J., Scott, A., Johnson, J., & Pusic, A. L. (2012). Satisfaction and quality-of-life issues in body contouring surgery patients: A qualitative study. Obesity Surgery, 22(10), 1527-1534. https://doi.org/10.1007/s11695-012-0640-1
Kubik, J. F., Gill, R. S., Laffin, M., & Karmali, S. (2013). The impact of bariatric surgery on psychological health. Journal of Obesity, 2013, 837989. https://doi.org/10.1155/2013/837989
Lyons, K., Meisner, B. A., Sockalingam, S., & Cassin, S. E. (2014). Body image after bariatric surgery: A qualitative study. Bariatric Surgical Practice and Patient Care, 9(1), 41–49. https://doi.org/10.1089/bari.2014.0001
Markovitz, S. E., Schrooten, W., Arntz, A., & Peters, M. L. (2015). Resilience as a predictor for emotional response to the diagnosis and surgery in breast cancer patients. Psycho-oncology, 24(12), 1639–1645. https://doi.org/10.1002/pon.3834
Matzka, M., Mayer, H., Köck-Hódi, S., Moses-Passini, C., Dubey, C., Jahn, P., & Eicher, M. (2016). Relationship between resilience, psychological distress and physical activity in cancer patients: A cross-sectional observation study. PloS One, 11(4), e0154496. https://doi.org/10.1371/journal.pone.0154496
Mitchell, J. E., Crosby, R., De Zwaan, M., Engel, S., Roerig, J., Steffen, K., Gordon, K. H., Karr, T., Lavender, J., & Wonderlich, S. (2013). Possible risk factors for increased suicide following bariatric surgery. Obesity, 21(4), 665–672. https://doi.org/10.1002/oby.20066 .
Pecori, L., Serra Cervetti, G. G., Marinari, G. M., Migliori, F., & Adami, G. F. (2007). Attitudes of morbidly obese patients to weight loss and body image following bariatric surgery and body contouring. Obesity Surgery, 17(1), 68-73. https://doi.org/10.1007/s11695-007-9008-3
Peterhänsel, C., Petroff, D., Klinitzke, G., Kersting, A., & Wagner, B. (2013). Risk of completed suicide after bariatric surgery: A systematic review. Obesity Reviews, 14(5), 369-382. https://doi.org/10.1111/obr.12014
Pfeil, M., Pulford, A., Mahon, D., Ferguson, Y., & Lewis, M. P. (2013). The patient journey to gastric band surgery: A qualitative exploration. Bariatric Surgical Practice and Patient Care, 8(3), 97–105. https://doi.org/10.1089%2Fbari.2013.9985
Rao, R. S., Yanagisawa, S., Kini, S., & Ghaferi, A. A. (2020). Bariatric surgery and mental health conditions: A systematic review and meta‐analysis. Obesity, 28(4), 672-677. https://doi.org/10.1002/oby.22737
Salazar-Maya, Á. M., Bello-Bravo, J., & Ramos-López, M. A. (2014). Quality of life after bariatric surgery: A cross-sectional study using the Bariatric Analysis and Reporting Outcome System (BAROS). Cirugía y Cirujanos, 82(2), 128-135.
Sall, A. R., & Jones, M. W. (2023). Bariatric Surgery Preoperative Assessment. PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK594256/
Sarwer, D. B., & Heinberg, L. J. (2020). A review of the psychosocial aspects of clinically severe obesity and bariatric surgery. American Psychologist, 75(2), 252. https://doi.org/10.1037/amp0000550
Sarwer, D. B., Wadden, T. A., Moore, R. H., Eisenberg, M. H., Raper, S. E., & Williams, N. N. (2010). Changes in quality of life and body image after gastric bypass surgery. Surgery for Obesity and Related Diseases, 6(6), 608-614. https://doi.org/10.1016/j.soard.2010.07.015
Sjöström, L. (2013). Review of the key results from the Swedish Obese Subjects (SOS) trial-a prospective controlled intervention study of bariatric surgery. Journal of Internal Medicine, 273(3), 219-234. https://doi.org/10.1111/joim.12012
Smith, K. E., Mason, T. B., Cao, L., Crosby, R. D., Steffen, K. J., Garcia, L., King, W. C., & Mitchell, J. E. (2020). Trajectories of depressive symptoms and relationships with weight loss in the seven years after bariatric surgery. Obesity Research & Clinical Practice, 14(5), 456–461. https://doi.org/10.1016/j.orcp.2020.08.007
Song, A. Y., Rubin, J. P., Thomas, V., Dudas, J. R., Marra, K. G., & Fernstrom, M. H. (2006). Body image and quality of life in post massive weight loss body contouring patients. Obesity, 14(9), 1626-1636.
Spadola, C. E., Wagner, E. F., Dillon, F. R., Trepka, M. J., De La Cruz-Munoz, N., & Messiah, S. E. (2015). Alcohol and Drug Use Among Postoperative Bariatric Patients: A Systematic Review of the Emerging Research and Its Implications. Alcoholism, clinical and experimental research, 39(9), 1582–1601. https://doi.org/10.1111/acer.12805
Strain, G. W., Kolotkin, R. L., Dakin, G. F., Gagner, M., Inabnet, W. B., Christos, P., & Pomp, A. (2014). The effects of weight loss after bariatric surgery on health-related quality of life and depression. Nutrition & Diabetes, 4(9), e132-e132. https://doi.org/10.1038/nutd.2014.29
Tolvanen, L., Mäkelä, J., Sintonen, H., & Jokelainen, J. (2021). A qualitative study on social support for weight loss after bariatric surgery. BMJ Open, 11(11), e053734.
Upadhyay, J., Farr, O., Perakakis, N., Ghaly, W., & Mantzoros, C. (2018). Obesity as a disease. Medical Clinics, 102(1), 13-33. https://doi.org/10.1016/j.mcna.2017.08.004
Weber, M., Müller, M. K., Bucher, T., Wildi, S., Dindo, D., Horber, F., Hauser, R., & Clavien, P. A. (2004). Laparoscopic gastric bypass is superior to laparoscopic gastric banding for treatment of morbid obesity. Annals of surgery, 240(6), 975–983. https://doi.org/10.1097/01.sla.0000145924.64932.8f
Welbourn, R., Fiennes, A., Kinsman, R., & Walton, P. (2019). The United Kingdom national bariatric surgery registry (NBSR): Second registry report. Henley-on-Thames: Dendrite Clinical Systems.
White, M. A., Kalarchian, M. A., Masheb, R. M., Marcus, M. D., & Grilo, C. M. (2010). Loss of control over eating predicts outcomes in bariatric surgery patients: A prospective, 24-month follow-up study. The Journal of Clinical Psychiatry, 71(2), 175. https://doi.org/10.4088/JCP.08m04328blu
Wimmelmann, C. L., Dela, F., & Mortensen, E. L. (2014). Psychological predictors of mental health and health-related quality of life after bariatric surgery. https://doi.org/10.1016/j.orcp.2013.09.003
World Health Organization (WHO). (2021). Obesity and overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight