Psychosocial Functioning following Bariatric Surgery

Abstract

Morbid obesity is associated with an increased risk of morbidity and mortality as well as psychosocial problems and poor quality of life. The ultimate goal of bariatric surgery is not only reduced weight and reduction of co-morbidities, but also improved psychosocial functioning and quality of life. However, not all patients are successful. A systematic literature search of recent articles identified relevant variables reflecting postoperative psychosocial functioning. Most studies showed that bariatric surgery does not only lead to substantial weight reduction, but also to improvement or cure of physical as well as psychological co-morbidities. Although most studies are optimistic and report broad psychosocial improvement, a significant minority of patients do not benefit psychologically from surgery. Although there are mixed results, the overall improvements in psychosocial functioning provide additional justification for surgical treatment of morbid obesity.

Obesitas Surgery Can Cure More than Obesitas Alone. Contact Can Change a World

“…The improvement in his psycho-social functioning is also striking, but not altogether unexpected [4,5].…”

A psychiatric perspective view of bariatric surgery patients

“…According to Zunker et al, bariatric surgery patients seem to interpret "grazing" as a healthy eating behavior characterized by mindful food choices that are consumed in small amounts frequently throughout the day 39 . However, the result is a greater intake of food which often ends in weight regain 20,40,41 .…”

“…A large number of published studies have shown an overall improvement in mental health and psychosocial factors related to metabolic improvement and weight loss in most individuals undergoing weight loss surgery 19,20 . Additionally, a greater appreciation of life, greater sense of inner strength and improvement of interpersonal capabilities were experienced 21 .…”

“…On the other hand, improvements in psychological functioning were observed even though some patients remained obese after surgery when only a small amount of weight was lost. Therefore, greater optimism, higher self-esteem and taking an active role in life, leads to a better outcome 20 .…”

“…It has been reported that despite limited weight loss or side effects following bariatric surgery, most patients were satisfied with the results and did not regret the surgical option 19 . However, up to 20% appeared to be dissatisfied and the reasons pointed were psychosocial problems, surgical complications and not fulfilling their weight expectations 3,7 .…”