Preoperative psychological characteristics affecting mid-term outcome after bariatric surgery: a follow-up study
| Autor: | Marco Raffaelli, Francesca Romana Santucci, Gianluca Castelnuovo, Carlo Lai, Paola Aceto, Liliana Sollazzi, Marco Cacioppo, Ilaria Petrucci, Rocco Domenico Alfonso Bellantone, Laura Pierro |
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| Rok vydání: | 2020 |
| Předmět: |
050103 clinical psychology
medicine.medical_specialty 030309 nutrition & dietetics Settore MED/18 - CHIRURGIA GENERALE Gastric Bypass Bariatric Surgery Psychological therapy Alexithymia Anxiety Bariatric surgery Depression Obesity Weight loss Anxiety Alexithymia Depression Bariatric surgery Obesity Weight loss 03 medical and health sciences Toronto Alexithymia Scale medicine Humans 0501 psychology and cognitive sciences Longitudinal Studies Depression (differential diagnoses) Retrospective Studies 0303 health sciences medicine.diagnostic_test business.industry 05 social sciences Follow up studies medicine.disease Obesity Morbid Surgery Psychiatry and Mental health Clinical Psychology Treatment Outcome Laparoscopy medicine.symptom business Follow-Up Studies |
| Zdroj: | Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity. 26:585-590 |
| ISSN: | 1590-1262 |
| DOI: | 10.1007/s40519-020-00892-w |
| Popis: | 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. 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. 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). 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 III, longitudinal cohort study. |
| Databáze: | OpenAIRE |
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