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Psychosocial Functioning of Bariatric Surgery Patients 6-Years Postoperative.

Authors :
Marek RJ
Martin-Fernandez K
Ben-Porath YS
Heinberg LJ
Source :
Obesity surgery [Obes Surg] 2021 Feb; Vol. 31 (2), pp. 712-724. Date of Electronic Publication: 2020 Oct 11.
Publication Year :
2021

Abstract

Introduction: Mental health professionals routinely assess psychosocial risk factors prior to bariatric surgery to help identify factors that may impede surgical outcomes. Data regarding longer-term psychosocial functioning postoperatively are needed.<br />Purpose: Assess the psychosocial functioning of patients who obtained bariatric surgery approximately 6 years ago.<br />Methods: A total of 161 patients consented to participate in the outcome study. Participants were compensated for their time and participation. Participants were weighed by the research/clinical staff and asked to complete a battery of self-report measures, including the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF). Other measures targeted adherence, eating behaviors/body image, alcohol use, and quality of life.<br />Results: Postoperative MMPI-2-RF scores indicate psychosocial functioning is largely similar to previously published pre-surgical functioning data. Six-year weight loss outcomes were lower than previous studies reported for a similar postoperative time period (mean %total weight loss = 22.98%; standard deviation = 11.71), though quality of life scores were relatively high. Postoperative MMPI-2-RF scale scores were associated with poorer psychosocial functioning, reduced adherence, greater eating behaviors/body image concerns, greater alcohol use severity, lower quality of life, and less overall weight loss.<br />Conclusions: Psychological dysfunction 6 years after surgery is associated with various adverse outcomes. Ongoing, postoperative treatment may result in better long-term functioning for patients.

Details

Language :
English
ISSN :
1708-0428
Volume :
31
Issue :
2
Database :
MEDLINE
Journal :
Obesity surgery
Publication Type :
Academic Journal
Accession number :
33040294
Full Text :
https://doi.org/10.1007/s11695-020-05025-x