1. Preoperative psychological characteristics affecting mid-term outcome after bariatric surgery: a follow-up study
- Author
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Lai, C., Aceto, P., Santucci, F. R., Pierro, L., Petrucci, I., Cacioppo, M., Castelnuovo, G., Sollazzi, L., Bellantone, R., Raffaelli, M., Lai C., Aceto P. (ORCID:0000-0002-0228-0603), Petrucci I. (ORCID:0000-0002-9280-3673), Castelnuovo G. (ORCID:0000-0003-2633-9822), Sollazzi L. (ORCID:0000-0002-2973-6236), Bellantone R. (ORCID:0000-0002-0844-3469), Raffaelli M. (ORCID:0000-0002-1259-2491), Lai, C., Aceto, P., Santucci, F. R., Pierro, L., Petrucci, I., Cacioppo, M., Castelnuovo, G., Sollazzi, L., Bellantone, R., Raffaelli, M., Lai C., Aceto P. (ORCID:0000-0002-0228-0603), Petrucci I. (ORCID:0000-0002-9280-3673), Castelnuovo G. (ORCID:0000-0003-2633-9822), Sollazzi L. (ORCID:0000-0002-2973-6236), Bellantone R. (ORCID:0000-0002-0844-3469), and Raffaelli M. (ORCID:0000-0002-1259-2491)
- Abstract
Background: The purpose of this study was to investigate the relationship between preoperative psychological factors and percentage of total weight loss (%TWL) after laparoscopic Roux-en-Y gastric bypass (LRYGB) to identify possible psychological therapy targets to improve the outcome of bariatric surgery. Methods: Seventy-six patients completed the Hamilton's Anxiety and Depression Scales (HAM-A, HAM-D) and Toronto Alexithymia Scale (TAS-20) the day before surgery (T0). The pre-operative body weight and the %TWL at 3 (T1), 6 (T2), and 24–30 (T3) months were collected. Results: At T3, depressed and alexithymic patients showed a lower %TWL compared to non-depressed patients (p = 0.03) and to non-alexithymic patients (p = 0.02), respectively. Finally, patients who had at least one of the three analyzed psychological factors showed less weight loss, at T2 (p = 0.02) and T3 (p = 0.0004). Conclusions: Psychological factors may also affect long-term outcome of bariatric surgery. This study shows an association between alexithymia/depression pre-operative levels and the weight loss at 30 months’follow-up after bariatric surgery. Level of evidence: Level III, longitudinal cohort study.
- Published
- 2020