Psychosocial characteristics associated with symptom perception 1 year after gastric bypass surgery—a prospective study

Kvalem, Ingela Lundin; Bergh, Irmelin; Sogg, Stephanie; Mala, Tom

doi:10.1016/j.soard.2017.06.008

Cited by 11 publications

(10 citation statements)

References 31 publications

(37 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The significantly higher levels of catastrophizing at follow‐up may be associated with CAP. Catastrophizing may be a target for therapeutic intervention, and should be explored further in patients experiencing CAP.…”

Section: Discussionmentioning

confidence: 99%

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

et al. 2019

View full text Add to dashboard Cite

Background Despite increased emphasis on patient‐reported outcomes, few studies have focused on abdominal pain symptoms before and after Roux‐en‐Y gastric bypass (RYGB). The aim of this study was to quantify chronic abdominal pain (CAP) in relation to RYGB. Methods Patients with morbid obesity planned for RYGB were invited to participate at a tertiary referral centre from February 2014 to June 2015. Participants completed a series of seven questionnaires before and 2 years after RYGB. CAP was defined as patient‐reported presence of long‐term or recurrent abdominal pain lasting for more than 3 months. Results A total of 236 patients were included, of whom 209 (88·6 per cent) attended follow‐up. CAP was reported by 28 patients (11·9 per cent) at baseline and 60 (28·7 per cent) at follow‐up ( P < 0·001). Gastrointestinal Symptom Rating Scale (GSRS) scores (except reflux scores) and symptoms of anxiety increased from baseline to follow‐up. Most quality of life (QoL) scores (except role emotional, mental health and mental component scores) also increased. At follow‐up, patients with CAP had higher GSRS scores than those without CAP, with large effect sizes for abdominal pain and indigestion syndrome scores. Patients with CAP had more symptoms of anxiety, higher levels of catastrophizing and lower QoL scores. Baseline CAP seemed to predict CAP at follow‐up. Conclusion The prevalence of CAP is higher 2 years after RYGB compared with baseline values.

show abstract

Section: Discussionmentioning

confidence: 99%

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In cases of undefined cause of chronic abdominal pain, consultations by pain specialist in a multidisciplinary pain management program may be beneficial. For some, the perceived impact of pain may be associated with negative effect and previous traumatic experiences including violence and sexual abuse (18). Counseling by a psychologist may thus be of use for a subgroup of patients.…”

Section: General Therapeutic Considerationsmentioning

confidence: 99%

Abdominal Pain After Roux-En-Y Gastric Bypass for Morbid Obesity

Mala

Høgestøl

2018

Scand J Surg

View full text Add to dashboard Cite

show abstract

“…The mean value for total impact of symptoms was computed. The response for each symptom was also grouped into three categories: No symptoms (1), Some impact of symptoms (2-3), and High impact of symptoms (4)(5)(6).…”

Section: Methodsmentioning

confidence: 99%

“… The most common somatic symptoms at 3 years after RYGB were fatigue and dumping  Pre-surgery mental health predicted impact of somatic symptoms 3 years after RYGB  High symptom burden at 1 year predicted increased depression the next 2 years Somatic symptoms and side effects, like fatigue, dumping, and abdominal pain, are common and often catalyzers for patients to seek help or hospitalization after bariatric surgery (1,2,3,4) .…”

Section: Highlightsmentioning

confidence: 99%

“…Moreover, research showed that patients reporting higher levels of anxiety or depression at baseline also experienced higher impact of symptoms, such as dumping, one year after surgery (5) . Dumping usually levels off following the first year, while symptoms like abdominal pain and fatigue tend to last longer (1,4,15) . Gastrointestinal symptoms, pain, and fatigue are often ambiguous, and thus more susceptible to psychological influences and previous illness experiences (9,16) .…”

Section: Highlightsmentioning

confidence: 99%

See 1 more Smart Citation

Associations between perceived somatic symptoms and mental health after Roux-en-Y gastric bypass: a 3-year prospective cohort study

Kvalem

Bårdstu

Bergh³

et al. 2020

Surgery for Obesity and Related Diseases

Self Cite

View full text Add to dashboard Cite

BackgroundPreoperative anxiety, and to some extent depression, predict the perceived impact of somatic symptoms (such as dumping, pain, and fatigue) one year after Roux-en-Y gastric bypass (RYGB). Negative attention to and interpretation of somatic symptoms may thus be associated with post-operative changes in affect. ObjectivesThe aim of this study was to explore whether preoperative anxiety and depressive symptoms predicted the perceived impact of somatic symptoms three years after RYGB.Secondly, we aimed to examine the three-year trajectory of depressive and anxiety symptoms, and their interaction with perceived somatic symptoms postoperatively. SettingUniversity hospital. MethodsPre-surgery, 1-, and 3-years post-surgery data were collected from 169 participants (62.4% follow-up). A cross-lagged, autoregressive regression analysis was employed to examine the mutual interaction of trajectories over the follow-up period. ResultsFatigue (30.8%) and dumping (23.7%) were common high-impact symptoms three years postoperatively. Pre-surgery anxiety was associated with higher impact of fatigue (p<.001), pain (p<.001), and diarrhea (p<.001), while pre-surgery depressive mood was related to reporting higher impact of diarrhea (p<.01) at 3-year follow-up. Higher anxiety/depression symptoms were related to higher perceived total symptom impact at one and three years postoperatively, controlling for percent total weight loss. Higher impact of somatic symptoms at one-year post-surgery predicted a significant increase in depressive symptoms 3-years postsurgery. ConclusionHigher perceived total symptom burden (pain, fatigue, dumping, diarrhea, and vomiting) at one-year post-surgery predicted increase in depression over the next two years. The results underscore the importance of managing somatic symptoms after surgery to prevent patients' distress..

show abstract

Psychosocial characteristics associated with symptom perception 1 year after gastric bypass surgery—a prospective study

Cited by 11 publications

References 31 publications

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

Abdominal pain and symptoms before and after Roux‐en‐Y gastric bypass

Abdominal Pain After Roux-En-Y Gastric Bypass for Morbid Obesity

Associations between perceived somatic symptoms and mental health after Roux-en-Y gastric bypass: a 3-year prospective cohort study

Contact Info

Product

Resources

About