Psychological outcomes following surgical and endoscopic bariatric procedures: A systematic review.

Spirou, D; Raman, J; Smith, E

Psychological outcomes following surgical and endoscopic bariatric procedures: A systematic review.

Spirou, D

Raman, J

Smith, E

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Obesity Reviews, 2020, 21, (6)
Issue Date:: 2020-01-28

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Field	Value	Language
dc.contributor.author	Spirou, D https://orcid.org/0000-0001-7073-7356
dc.contributor.author	Raman, J https://orcid.org/0000-0002-1320-6177
dc.contributor.author	Smith, E
dc.date.accessioned	2020-09-11T05:19:38Z
dc.date.available	2021-01-28T18:06:37Z
dc.date.issued	2020-01-28
dc.identifier.citation	Obesity Reviews, 2020, 21, (6)
dc.identifier.issn	1467-7881
dc.identifier.issn	1467-789X
dc.identifier.uri	http://hdl.handle.net/10453/142621
dc.description.abstract	Obesity is a leading global epidemic. Bariatric surgery is the only treatment demonstrating substantial long-term weight loss and medical benefits. However, there is limited research on the psychological outcomes following surgery. Therefore, the primary aim of this study was to systematically review depression, anxiety, and binge eating outcomes at different time points following bariatric surgery and identify whether bariatric surgery significantly reduces psychological symptoms over time. These outcomes were also examined among endoscopic bariatric procedures as a secondary aim. Forty-eight studies met inclusion criteria. Findings suggested that most patients experience a short-term reduction in anxiety and depression symptoms from pre-surgery. Over time, however, these symptoms increase and may even return to pre-surgery levels. Furthermore, while binge eating was uncommon after surgery, other disordered eating patterns may emerge. Binge eating may also restart over time as the stomach enlarges again. Overall, the complex psychological difficulties faced by individuals with obesity continue after surgery and may contribute to longer-term weight recidivism. More comprehensive and standardised psychological assessment procedures, including clinical interviews and longer-term follow-up, may provide insight into the psychological mechanisms maintaining weight management issues, and may serve as a starting point for improving the long-term success of patients with obesity.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Obesity Reviews
dc.relation.isbasedon	10.1111/obr.12998
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Endocrinology & Metabolism
dc.title	Psychological outcomes following surgical and endoscopic bariatric procedures: A systematic review.
dc.type	Journal Article
utslib.citation.volume	21
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Students
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2020-09-11T05:19:28Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	21
utslib.citation.issue	6

Abstract:

Obesity is a leading global epidemic. Bariatric surgery is the only treatment demonstrating substantial long-term weight loss and medical benefits. However, there is limited research on the psychological outcomes following surgery. Therefore, the primary aim of this study was to systematically review depression, anxiety, and binge eating outcomes at different time points following bariatric surgery and identify whether bariatric surgery significantly reduces psychological symptoms over time. These outcomes were also examined among endoscopic bariatric procedures as a secondary aim. Forty-eight studies met inclusion criteria. Findings suggested that most patients experience a short-term reduction in anxiety and depression symptoms from pre-surgery. Over time, however, these symptoms increase and may even return to pre-surgery levels. Furthermore, while binge eating was uncommon after surgery, other disordered eating patterns may emerge. Binge eating may also restart over time as the stomach enlarges again. Overall, the complex psychological difficulties faced by individuals with obesity continue after surgery and may contribute to longer-term weight recidivism. More comprehensive and standardised psychological assessment procedures, including clinical interviews and longer-term follow-up, may provide insight into the psychological mechanisms maintaining weight management issues, and may serve as a starting point for improving the long-term success of patients with obesity.

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http://hdl.handle.net/10453/142621