Psychosocial Factors and 2-Year Outcome Following Bariatric Surgery for Weight Loss

Matthew M Clark, Bruno M. Balsiger, Christopher D. Sletten, Kristi L. Dahlman, Gretchen Ames, Donald E. Williams, Haitham S. Abu-Lebdeh, Michael G. Sarr

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

Background: How psychosocial factors may impact on weight loss after bariatric surgery is not well understood. This lack of knowledge is problematic, because there is a high prevalence of psychosocial distress in patients seeking treatment for obesity in hospital-based programs. The purpose of this study was to examine the relationship between preoperative psychosocial factors and eventual weight loss. Method: Between 1987 and 1998, all individuals undergoing Roux-en-Y gastric bypass for weight loss in our institution had psychologic preoperative evaluations. Patients who were followed prospectively were studied. The relation of having received mental health treatment to percentage of excess weight loss at 2 years is examined using t-tests. Results: 62 women and 18 men completed a 2-year follow-up. Patients who had received treatment for either substance abuse (n=10) or psychiatric co-morbidity (n=39) lost more weight compared with those without such histories (P<0.05, P<0.001 respectively). Conclusion: Given these results, it is plausible that a history of having received either psychiatric treatment for a disorder or counseling for substance abuse should not be a contraindication to bariatric surgery, and, in fact, may be prognostic of favorable outcome. Further research examining psychosocial factors and outcome from bariatric surgery is clearly warranted.

Original languageEnglish (US)
Pages (from-to)739-745
Number of pages7
JournalObesity Surgery
Volume13
Issue number5
DOIs
StatePublished - Oct 2003

Fingerprint

Bariatric Surgery
Weight Loss
Psychology
Substance-Related Disorders
Psychiatry
Gastric Bypass
Therapeutics
Counseling
Mental Health
Obesity
Morbidity
Weights and Measures
Research

Keywords

  • Bariatric surgery
  • Gastric bypass
  • Morbid obesity
  • Prospective
  • Psychosocial factors

ASJC Scopus subject areas

  • Surgery

Cite this

Clark, M. M., Balsiger, B. M., Sletten, C. D., Dahlman, K. L., Ames, G., Williams, D. E., ... Sarr, M. G. (2003). Psychosocial Factors and 2-Year Outcome Following Bariatric Surgery for Weight Loss. Obesity Surgery, 13(5), 739-745. https://doi.org/10.1381/096089203322509318

Psychosocial Factors and 2-Year Outcome Following Bariatric Surgery for Weight Loss. / Clark, Matthew M; Balsiger, Bruno M.; Sletten, Christopher D.; Dahlman, Kristi L.; Ames, Gretchen; Williams, Donald E.; Abu-Lebdeh, Haitham S.; Sarr, Michael G.

In: Obesity Surgery, Vol. 13, No. 5, 10.2003, p. 739-745.

Research output: Contribution to journalArticle

Clark, MM, Balsiger, BM, Sletten, CD, Dahlman, KL, Ames, G, Williams, DE, Abu-Lebdeh, HS & Sarr, MG 2003, 'Psychosocial Factors and 2-Year Outcome Following Bariatric Surgery for Weight Loss', Obesity Surgery, vol. 13, no. 5, pp. 739-745. https://doi.org/10.1381/096089203322509318
Clark, Matthew M ; Balsiger, Bruno M. ; Sletten, Christopher D. ; Dahlman, Kristi L. ; Ames, Gretchen ; Williams, Donald E. ; Abu-Lebdeh, Haitham S. ; Sarr, Michael G. / Psychosocial Factors and 2-Year Outcome Following Bariatric Surgery for Weight Loss. In: Obesity Surgery. 2003 ; Vol. 13, No. 5. pp. 739-745.
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