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Psychosocial Predictors of Weight Loss and Quality of Life at 1 Year Post-Bariatric Surgery: A Cohort Study.
Hsu, Chia-Hao Damien; Kordunova, Dorina; Kim, Chungwon; Kolbe, Laura; Geliebter, Allan.
Afiliação
  • Hsu CD; Department of Psychiatry, Mt Sinai St. Luke's, Icahn School of Medicine, New York, USA.
  • Kordunova D; Department of Psychiatry, Mt Sinai St. Luke's, Icahn School of Medicine, New York, USA.
  • Kim C; Department of Psychiatry, Mt Sinai St. Luke's, Icahn School of Medicine, New York, USA.
  • Kolbe L; Department of Psychiatry, Mt Sinai St. Luke's, Icahn School of Medicine, New York, USA.
  • Geliebter A; Department of Psychiatry, Mt Sinai St. Luke's, Icahn School of Medicine, New York, USA.
J Obes Chronic Dis ; 4(2): 59-65, 2020.
Article em En | MEDLINE | ID: mdl-36156871
Background: Psychosocial factors, identified in pre-bariatric surgery evaluation, may affect surgical outcomes, as well as defer surgery, making it important to identify psychosocial predictors of surgery outcomes. Methods: Baseline depressive and social anxiety symptom scores were analyzed as predictors of post-surgical weight loss (WL) and quality of life (QOL) following Roux-en-Y gastric bypass (RYGB) and adjustable gastric banding (AGB). Eighty-nine (82F, 7M) participants underwent surgery and completed depression, anxiety and QOL questionnaires 3-weeks pre-surgery and 1-year post-surgery. Results: Depressive scores and QOL scores improved post-surgery (P < 0.001), whereas social anxiety scores did not (P = 0.20). Baseline depressive (P = 0.90) and social anxiety (P = 0.20) scores did not predict % weight loss (WL) at 1 year, but higher baseline depressive (P = 0.04) and social anxiety (P = 0.005) scores predicted lower post-surgical QOL at 1 year. RYGB showed greater improvement in %WL (P < 0.001) than AGB, but no difference between the groups in QOL (P = 0.10). Improvement in QOL correlated with %WL (P < 0.001), whereas improvement in depressive scores did not correlate with %WL (P = 0.70) but did correlate with improvement in QOL (P = 0.01). Conclusions: Baseline depressive and social anxiety scores predicted QOL but not %WL. Depressive and QOL scores improved post-surgery, but social anxiety scores did not. The findings suggest that patients who present with depressive or social anxiety symptoms pre-surgery perhaps should not be deferred; however, more studies are needed to confirm this. Patients with pre-operative social anxiety symptoms may benefit from counseling.
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Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2020 Tipo de documento: Article