Psychosocial Functioning of Bariatric Surgery Patients 6-Years Postoperative
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ORIGINAL CONTRIBUTIONS
Psychosocial Functioning of Bariatric Surgery Patients 6-Years Postoperative Ryan J. Marek 1
&
Katy Martin-Fernandez 2 & Yossef S. Ben-Porath 2 & Leslie J. Heinberg 3
Received: 10 July 2020 / Revised: 29 September 2020 / Accepted: 5 October 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
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. Purpose Assess the psychosocial functioning of patients who obtained bariatric surgery approximately 6 years ago. 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. Results Postoperative MMPI-2-RF scores indicate psychosocial functioning is largely similar to previously published presurgical 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. 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. Keywords Bariatric surgery . Outcomes . Psychosocial . Adherence . Quality of life
Introduction Bariatric surgery for the treatment of severe obesity leads to long-term reduction in medical comorbidity and sustained weight loss for as long as 15 postoperative years [1–4]. Patients seeking bariatric surgery are generally evaluated and managed by a multidisciplinary team. Many teams include a mental health professional. One of the roles of the mental
* Ryan J. Marek [email protected] 1
Department of Clinical, Health, and Applied Sciences, University of Houston-Clear Lake, Houston, TX 77058, USA
2
Department of Psychological Sciences, Kent State University, Kent, OH 44242, USA
3
Cleveland Clinic Lerner College of Medicine, 9500 Euclid Avenue/ M61, Cleveland, OH 44195, USA
health professional is to conduct pre-surgical psychological evaluations to assess for psychosocial risk factors that may affect outcomes [5]. Worldwide, psychopathology is quite prevalent among patients seeking bariatric surgery, with mood/anxiety disorders, substance use disorders, and binge eating disorder amo
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