“I Want to Lose Weight and it Has to Be Fair”: Predictors of Satisfaction After Bariatric Surgery

Predicting satisfaction with outcome and follow‐up care 5 years after bariatric surgery: A prospective evaluation

“…Most studies exploring group differences between satisfied and dissatisfied patients after bariatric surgery have found weight loss, 13 , 14 higher body mass index (BMI), 3 and weight regain after surgery to be related to dissatisfaction 6,15 . Though a study by Hotter et al 16 .…”

“…Reduced health‐related quality of life (both physical and mental) and more obesity‐related problems in the dissatisfied group have been reported 5, 3 10, 18 and 12 years after surgery 19 . Some studies support the notion that unattainable or unrealistic expectations, such as the expected degree of weight loss and comorbidity improvement, may lead to lower satisfaction 13 . For example, a “disappointing” weight loss experienced by patients has often been viewed as a successful outcome by healthcare professionals, 13,20,21 and a study by Shai et al 22 .…”

“…In the long‐term, a relapse in psychological concerns, such as depressive symptoms and body image problems, has been documented, often in association with suboptimal weight loss 23,24 . For example, depressive symptoms have been associated with less outcome satisfaction at 2 years 12 and 4 years after surgery, 6 and body dissatisfaction has generally been related to lower satisfaction when assessed at the same time 6,13 . As post‐surgical psychological factors are often interrelated with both weight loss and negative somatic symptoms, 25 , 26 it can be challenging to dissect the specific impact of mental health and body image on the degree of satisfaction with the outcome.…”

“… 19 Some studies support the notion that unattainable or unrealistic expectations, such as the expected degree of weight loss and comorbidity improvement, may lead to lower satisfaction. 13 For example, a “disappointing” weight loss experienced by patients has often been viewed as a successful outcome by healthcare professionals, 13 , 20 , 21 and a study by Shai et al. 22 found that satisfaction was higher when the weight outcome was closer to the patients' ideal body weight.…”

“…4 However, studies have indicated a minor but significant decrease in satisfaction over time. 11,12 Most studies exploring group differences between satisfied and dissatisfied patients after bariatric surgery have found weight loss, 13,14 higher body mass index (BMI), 3 and weight regain after surgery to be related to dissatisfaction. 6,15 Though a study by Hotter et al 16 did not find any difference in weight and weight changes between the two groups.…”