Psychosocial Variables Predict Weight Loss After Obesity Surgery
Hypercaloric Eating Behavior and Poor Weight Loss After Surgery
| Bariatric Surgery information Psychosocial Variables Predict Weight Loss After Obesity Surgery |
Hypercaloric Eating Behavior and Poor Weight Loss After Surgery |
Guide to Weight Loss Surgery - Research Into Gastric Reduction Surgery |
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Do Psychosocial Variables Predict Weight Loss or Mental Health After Obesity Surgery? The objective of this study was to present a systematic review of psychological and psychosocial predictors of weight loss and mental health after bariatric surgery. This systematic review included all controlled and non-controlled trials of the last 2 decades with either a retrospective or prospective design and a follow-up period of at least 1 year. Methods The relevant literature was identified by a search of computerized databases. All articles published in English and German between 1980 and 2002 were reviewed. Results Using the above inclusion/exclusion criteria, 29 articles were identified focusing on psychosocial predictors of weight loss and mental health after obesity surgery. Issues Personality traits have no predictive value for the post-operative course of weight or mental state. Apart from serious psychiatric disorders including personality disorders, psychiatric comorbidity seems to be of more predictive value for mental and physical well-being as two essential aspects of quality of life than for weight loss after surgery. However, depressive and anxiety symptoms as correlates of psychological stress with regard to obesity seem to be positive predictors of weight loss post-surgery. The severity of the symptoms or the disorder is more relevant for the outcome of obesity surgery than the specificity of the symptoms. It is also not solely the consumption of distinct "forbidden" foods, such as sweets or soft drinks, but rather a general hypercaloric eating behavior, either as an expression of the patient's inadequate compliance or a dysregulation in energy balance, which is associated with a poor weight loss postsurgery. Authors: Source: Stomach Bypass Surgery Information |