Buyer's Remorse: What predicts post-decision dissonance after bariatric surgery?

Wallace, Lyndsey; Helm, Melissa C.; Lak, Kathleen; Higgins, Rana M.; Gould, Jon C.; Kindel, Tammy L.

doi:10.1016/j.soard.2018.09.051

Cited by 2 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20,21 Furthermore, it makes intuitive sense that patients with higher psychosocial risk on the BIPASS might experience poorer mental health-related QOL early on postsurgery. For example, for those patients with questionable knowledge of the bariatric procedure, disappointment about the rate or extent of weight loss, 22 difficulty adhering to postsurgical guidelines, and/or unanticipated complications and excess skin, 23 could all negatively impact on QOL. In addition, such patients might not have the means to reduce the negative impact of these challenges without adequate support and socioeconomic stability.…”

Section: Discussionmentioning

confidence: 99%

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale predicts binge eating, quality of life and weight regain following bariatric surgery

et al. 2020

View full text Add to dashboard Cite

SummaryPresurgical psychosocial evaluations are an important component of bariatric care; yet, bariatric programs vary widely in their assessment and interpretation of psychosocial risk. There is a need for validated clinical tools that help to standardize and streamline the assessment of variables relevant to surgical outcomes. The present study contributes to the validation of the Bariatric Interprofessional Psychosocial Assessment of Suitability Scale (BIPASS), a novel presurgical psychosocial evaluation tool, by: (a) examining the psychometric properties and optimal cutoff score, and; (b) examining the ability of the BIPASS tool to predict outcomes 1 and 2 years postsurgery, including weight regain, quality of life, psychiatric symptoms and adherence to postsurgical follow‐up appointments. The BIPASS was applied retrospectively to the charts of 179 consecutively referred patients to a metropolitan bariatric surgery programme. Internal consistency for the BIPASS was acceptable, and interrater reliability was excellent. Higher BIPASS scores predicted higher binge eating symptomatology and lower mental health‐related quality of life at 1 year postsurgery, and weight regain at 2 years (all P < .01). The BIPASS did not predict adherence to postsurgical follow‐up appointments. Findings suggest that the BIPASS can be used to identify patients at increased risk of disordered eating, poor quality of life and weight regain early in the postsurgical course, thereby facilitating patient education and appropriate interventions.

show abstract

Section: Discussionmentioning

confidence: 99%

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale predicts binge eating, quality of life and weight regain following bariatric surgery

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Patient‐related factors refer to modifiable health behaviours that could be targeted by education and psychosocial interventions. They include weight control practices, eating behaviours, substance use and physical activity 15,16 . Specifically, a recent prospective study by King et al identified sedentary lifestyle, eating fast food, engaging in binge eating or loss of control eating, eating when full, and not self‐weighing at least once a week to be associated with weight regain post‐surgery 14 .…”

Section: Introductionmentioning

confidence: 99%

Understanding bariatric patients' experiences of self‐management post‐surgery: A qualitative study

et al. 2021

View full text Add to dashboard Cite

Summary Although most bariatric patients achieve significant weight loss and improvements in both physical and mental health‐related quality of life (HRQoL) in the short‐term, there is wide variability in weight and long‐term HRQoL outcomes. The role of bariatric patients' self‐management style in explaining variability in long‐term outcomes is unclear. This qualitative study examined bariatric patients' self‐management experiences after bariatric surgery in relation to long‐term outcomes. A qualitative study was conducted using semi‐structured individual interviews with post‐surgery patients (n = 23) at a Canadian bariatric surgery program. A constant comparative approach was used to systematically analyse the data and identify overarching themes. Variation in patients' experiences and follow‐up time were the two primary units of analysis. Patients were predominantly female (n = 19; 82.6%) and had a mean age of 50 ± 8.49 years. The median time post‐surgery was 2 years (range: 6 months–7 years). Three distinct phases described the process of self‐management post‐bariatric surgery: (1) rediscovering self‐esteem and confidence in one's ability to self‐manage (1‐month to 1.5‐years post‐surgery), (2) achieving weight maintenance and addressing emotion dysregulation (1.5–3‐years post‐surgery) and (3) embracing a flexible balanced lifestyle (beyond 3‐years). Bariatric surgery patients experience distinct challenges relative to their post‐surgery time course. Facilitating access to interprofessional bariatric care after surgery allowed patients to acquire the self‐management knowledge and skills necessary to address challenges to following the bariatric guidelines in the long‐term.

show abstract

Buyer's Remorse: What predicts post-decision dissonance after bariatric surgery?

Cited by 2 publications

References 0 publications

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale predicts binge eating, quality of life and weight regain following bariatric surgery

The Bariatric Interprofessional Psychosocial Assessment of Suitability Scale predicts binge eating, quality of life and weight regain following bariatric surgery

Understanding bariatric patients' experiences of self‐management post‐surgery: A qualitative study

Contact Info

Product

Resources

About