title: Psychiatric aspects of bariatric surgery.
abstract: While most conventional treatments for individuals with severe obesity have a modest and short lived impact bariatric surgery has been consistently shown to result in long-term marked weight loss and significant improvement in medical comorbidities. Empirical data suggest a high prevalence of mental disorders among bariatric surgery candidates. This article reviews specific areas of psychopathology, problems in using psychopharmacological medications post-surgery, body contouring, and recommendations for pre and post-surgery care. Available research indicates a decrease in psychiatric symptoms post-surgery. However, in some patients the improvement appears to erode over time. Therefore, bariatric surgery patients should be monitored not only before surgery but also following surgery and referred for mental health treatment if problems develop.
authors: Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, D-30625, Hannover, Germany. mueller.astrid@mh-hannover.de
authors: Astrid
authors: A
authors: Müller
authors: James E
authors: JE
authors: Mitchell
authors: Cindy
authors: C
authors: Sondag
authors: Martina
authors: M
authors: de Zwaan
mesh_terms: D050110:Bariatric Surgery / Q000523:psychology*; D001828:Body Image; D015897:Comorbidity; D001068:Feeding and Eating Disorders / Q000523:psychology; D006801:Humans; D001523:Mental Disorders / Q000209:etiology* / Q000517:prevention & control; D009765:Obesity / Q000523:psychology / Q000601:surgery*
references: Obes Rev. 2013 May;14(5):369-82
references: 23297762
references: Eur Eat Disord Rev. 2012 May;20(3):e144-7
references: 22367789
references: N Engl J Med. 2009 Jul 30;361(5):445-54
references: 19641201
references: Obesity (Silver Spring). 2006 Sep;14(9):1626-36
references: 17030974
references: Int J Obes (Lond). 2007 Aug;31(8):1248-61
references: 17356530
references: Am J Psychiatry. 2007 Feb;164(2):328-34; quiz 374
references: 17267797
references: Obes Surg. 2012 Oct;22(10):1527-34
references: 22467000
references: JAMA Surg. 2013 Feb;148(2):145-50
references: 23560285
references: Surg Obes Relat Dis. 2013 May-Jun;9(3):470-3
references: 23507629
references: Obes Surg. 2013 Jan;23(1):24-30
references: 22923310
references: J Clin Psychiatry. 2010 Feb;71(2):175-84
references: 19852902
references: Ann Surg. 2013 Jan;257(1):87-94
references: 23235396
references: Am J Psychiatry. 2009 Mar;166(3):285-91
references: 19255051
references: Obes Surg. 2012 Feb;22(2):201-7
references: 21188544
references: Obes Surg. 2012 Jan;22(1):70-89
references: 21833817
references: Surgeon. 2012 Jun;10(3):172-82
references: 22405735
references: J Genet Syndr Gene Ther. 2011 Dec 23;2012(1):
references: 23483116
references: N Engl J Med. 2013 Jan 31;368(5):446-54
references: 23363498
references: Med Clin North Am. 2000 Mar;84(2):477-89
references: 10793653
references: Obes Surg. 2012 Jan;22(1):8-12
references: 21643778
references: Obesity (Silver Spring). 2013 Apr;21(4):665-72
references: 23404774
references: Obes Surg. 2008 Mar;18(3):321-5
references: 18202896
references: Gen Hosp Psychiatry. 2009 Sep-Oct;31(5):414-21
references: 19703634
references: J Clin Psychiatry. 2007 Oct;68(10):1557-62
references: 17960972
references: Obes Rev. 2013 Jun;14(6):477-95
references: 23331770
references: Surg Obes Relat Dis. 2008 Sep-Oct;4(5):647-50
references: 18420465
references: N Am J Med Sci. 2012 Feb;4(2):94-8
references: 22408756
references: Obesity (Silver Spring). 2008 Nov;16(11):2535-40
references: 18719662
references: Patient Educ Couns. 2010 Jun;79(3):372-7
references: 20399590
references: Surg Obes Relat Dis. 2012 Jan-Feb;8(1):62-6
references: 21256091
references: JAMA. 2006 Apr 5;295(13):1549-55
references: 16595758
references: N Engl J Med. 2007 Aug 23;357(8):753-61
references: 17715409
references: Eur Eat Disord Rev. 2012 Jan;20(1):e91-5
references: 21796735
references: Obes Surg. 2010 Jun;20(6):744-8
references: 20358306
references: Am J Med. 2008 Oct;121(10):885-93
references: 18823860
references: Br J Clin Pharmacol. 2002 Dec;54(6):587-91
references: 12492605
references: Adv Surg. 2012;46:255-68
references: 22873044
references: Int J Eat Disord. 2013 Apr;46(3):274-9
references: 23192683
references: Obes Rev. 2011 Feb;12(2):142-8
references: 20158617
references: Am J Psychiatry. 2012 Mar;169(3):256-63
references: 22407114
references: J Intern Med. 2013 Mar;273(3):219-34
references: 23163728
references: Plast Reconstr Surg. 2008 Jun;121(6):2120-2126
references: 18520904
references: Surg Obes Relat Dis. 2013 Mar-Apr;9(2):159-91
references: 23537696
references: Compr Psychiatry. 2011 May-Jun;52(3):301-11
references: 21497225
references: Obes Surg. 2012 Apr;22(4):544-8
references: 22101887
references: Obes Rev. 2013 Apr;14(4):292-302
references: 23294936
references: Obes Res. 2005 Apr;13(4):639-48
references: 15897471
references: Int J Colorectal Dis. 2011 Apr;26(4):397-404
references: 21318299
references: J Clin Psychopharmacol. 2013 Aug;33(4):479-84
references: 23771193
references: Obes Rev. 2010 Jan;11(1):41-50
references: 19493300
references: Psychiatry Res. 2011 Aug 15;188(3):434-8
references: 21546096
references: JAMA. 2012 Jun 20;307(23):2516-25
references: 22710289
references: Am J Med. 2010 Nov;123(11):1036-42
references: 20843498
references: Plast Reconstr Surg. 2012 Nov;130(5):1133-1139
references: 22777040
references: Obes Surg. 1991 Dec;1(4):403-408
references: 10775942
references: Ann Surg. 2013 May;257(5):791-7
references: 23470577
references: J Plast Reconstr Aesthet Surg. 2013 Jan;66(1):87-94
references: 23068714
references: Obesity (Silver Spring). 2006 Mar;14 Suppl 2:53S-62S
references: 16648595
references: Obes Surg. 2012 Apr;22(4):530-5
references: 21901283
references: Can J Surg. 2010 Apr;53(2):126-32
references: 20334745
references: Obes Surg. 2008 Mar;18(3):314-20
references: 18214630
references: Eplasty. 2012;12:e47
references: 22993645
references: Obes Surg. 2006 May;16(5):567-73
references: 16687023
references: J Obes. 2013;2013:837989
references: 23606952
references: J Affect Disord. 2011 Sep;133(1-2):61-8
references: 21501874
references: Obes Surg. 2007 Dec;17(12):1578-83
references: 18000719
references: Surg Obes Relat Dis. 2007 Sep-Oct;3(5):543-8; discussion 548
references: 17903777
references: Surg Obes Relat Dis. 2006 Sep-Oct;2(5):549-60
references: 17015211
references: Surg Obes Relat Dis. 2012 Jan-Feb;8(1):92-7
references: 21978749
references: Int J Eat Disord. 2006 Jul;39(5):369-75
references: 16528729
references: Surg Obes Relat Dis. 2010 Jan-Feb;6(1):79-85
references: 19837012
references: Int J Eat Disord. 2007 Dec;40(8):727-32
references: 17683093
references: Int J Eat Disord. 2012 Mar;45(2):179-84
references: 21495051
references: Dig Dis. 2012;30(2):143-7
references: 22722428
references: Curr Opin Psychiatry. 2010 Jan;23(1):30-6
references: 19926994
references: Ann Surg. 1969 Sep;170(3):329-39
references: 5804373