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[Psychological factors related to gastric banding. Results of a follow-up study]
A F Bölter1, A Rosenthal, S Wolff
1Klinik für Psychosomatische Medizin, Universitätsklinikum Magdeburg A.ö.R., Leipziger Strasse 44, 39120, Magdeburg, Deutschland. annette.boelter@med.ovgu.de
Background:
Obesity is a widespread illness in Western industrialized countries, causing a high financial burden for the health systems. Several studies could demonstrate the positive effects of bariatric surgery on psychological and psychosocial parameters.
Patients And Methods:
Twenty patients with morbid obesity (BMI > or =40 kg/m(2)) answered two questionnaires, the SCL-90-R, assessing psychological distress, and the IIP-D, measuring interpersonal problems, before and 6 months after gastric banding. Six months after surgery an additional questionnaire measuring subjective feelings was administered, too.
Results:
Seventy-five percent of the patients were dissatisfied with therapy and outcome. They reported a lack of psychological support as well as new surgery-related physical and psychological symptoms.
Conclusion:
This study pointed out the necessity for psychotherapeutic help after surgery to manage already existing or new psychological needs due to gastric banding.
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