Psychological and Psychiatric Traits in Post-bariatric Patients Asking for Body-Contouring Surgery

Abstract

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266 .

The complexity of body image following bariatric surgery: a systematic review of the literature

“…Across the varied body image measures, individuals with a history of bariatric surgery seeking BCS reported higher body image dissatisfaction than the general population and a non‐surgical control group matched on BMI and demographic variables . Individuals who underwent BCS reported improvements in various body image indices compared to post‐bariatric patients who did not undergo BCS including improvements in appearance evaluation, body area satisfaction and physical functioning, even after adjusting for weight loss and time since surgery .…”

“…Six studies utilized a cross‐sectional design, seven utilized a longitudinal design and two involved scale development. Of the six cross‐sectional studies, two studies consisted of post‐bariatric surgery patients seeking BCS ( n = 35 and n = 36 ), while four included post‐BCS patients ( n = 10 ; n = 10 ; n = 20 ; and n = 62 ). Two of the cross‐sectional studies compared more than two study groups cross‐sectionally (i.e.…”

“…pre‐bariatric surgery patients, post‐bariatric surgery patients without BCS and post bariatric surgery patients who underwent BCS ). A variety of bariatric surgery samples were studied with some studies including more than one bariatric surgery type and time since bariatric surgery ranged from 27.2 to 38.71 months. Of the seven longitudinal studies, BCS sample sizes were small, ranging from 18 to 47, and follow‐up assessments ranged from three to 61 months post‐BCS.…”

“…Note. *"Bypass" includes papers describing gastric bypass and Roux-en-Y gastric bypass; "Band" includes papers describing various forms of adjustable banding procedures; BAT=Body Attitude Test; BIA-O=Body Image Assessment for Obesity; BISA=Body Image and Satisfaction Assessment; BMI=Body Mass Index; BPQ=Body Perception Questionnaire; BSQ=Body Shape Questionnaire; BUT=Body Uneasiness Test; CBIA; Current Body Image Assessment; DAS=Derriford Appearance Scale; FBeK=Body Appraisal Inventory; FKB-20=Body Image Questionnaire; MBSRQ=Multidimensional Body-Self Relations Questionnaire; NI=Not Indicated; PBIA=Pictorial Body Image Assessment; PBSQOL=Post-Bariatric Surgery Quality of Life; WLS=Weight Loss Surgery.variables(67). Individuals who underwent BCS reported improvements in various body image indices compared to postbariatric patients who did not undergo BCS (68-70,74,76- 78) including improvements in appearance evaluation, body area satisfaction and physical functioning, even after adjusting for weight loss and time since surgery(71).…”

Persistent Opioid Use and High-Risk Prescribing in Body Contouring Patients

“…Prior studies suggest that 6% of opioid-naïve patients continue to fill opioid prescriptions more than three months after undergoing major and minor surgical procedures [9]. Moreover, opioid misuse is higher among patients with obesity and following bariatric surgery [12,13], due in part to the prevalence of chronic pain and comorbid psychiatric conditions [14–17]. Body contouring procedures may further contribute to opioid use in these patients, and utilization of these procedures continues to rise [18].…”