Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: a brief report.
BACKGROUND
While Roux-en-Y gastric bypass (RYGBP) appears to be the most effective procedure for weight loss in morbidly obese patients, objective outcome data regarding quality of life (QoL) and psychosocial status following surgery are lacking.


METHODS
The present study examined the effects of RYGBP in 32 morbidly obese subjects on a variety of outcome measures including QoL and psychosocial functioning. Assessments were conducted before surgery, 1 to 3 weeks post-surgery, and at 6-month follow-up.


RESULTS
In addition to weight loss, results show significant improvements in health-related QoL, depression, and self-esteem, as well as a significant reduction in eating pathology following surgery. Results also show that neither the presence of binge-eating disorder nor clinical depression predicted poorer outcome post-surgery.


CONCLUSIONS
RYGBP results in a dramatic reduction in weight, and marked improvements in health-related QoL, depression, self-esteem, and eating pathology, including binge-eating in the short term. These findings need to be replicated in a larger cohort of patients and followed for a longer time before we can reach more definitive conclusions regarding the psychosocial outcome in RYGBP.
Dymek
M P
MP
Department of Psychiatry, The University of Chicago Hospitals, IL, USA.
le Grange
D
D
Neven
K
K
Alverdy
J
J
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects / Q000379:methods / Q000523:psychology*; D001828:Body Image; D015992:Body Mass Index; D001835:Body Weight; D002032:Bulimia / Q000523:psychology; D003863:Depression / Q000175:diagnosis / Q000523:psychology; D015390:Gastric Bypass / Q000009:adverse effects / Q000379:methods / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008603:Mental Health; D008875:Middle Aged; D009767:Obesity, Morbid / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology* / Q000601:surgery*; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012649:Self Concept; D013270:Stomach / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D015431:Weight Loss