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[Reciprocal interactions between bariatric surgery and psychopathology]
Revue Medicale Suisse
|October 18, 2014
Summary
Bariatric surgery may temporarily improve pre-existing psychopathologies but increases risks of substance abuse and suicide post-operation. Careful patient selection and monitoring are crucial for managing psychological health.
Area of Science:
- Psychiatry
- Bariatric Surgery
- Psychology
Context:
- Bariatric surgery is a significant intervention for obesity.
- Psychiatric conditions and substance abuse are prevalent in patients seeking bariatric surgery.
- The interplay between bariatric surgery and psychological health requires thorough investigation.
Purpose:
- To present a bibliographic review on the interactions between bariatric surgery and psychopathologies.
- To analyze the influence of psychological factors on surgical outcomes.
- To examine the changes in psychiatric conditions and substance abuse before and after bariatric procedures.
Summary:
- Preoperatively, uncontrolled psychopathologies and substance abuse are often exclusion criteria, though not scientifically proven.
- No definitive "typical" patient profile or predictive psychological factors have been established.
- Postoperatively, pre-existing psychopathologies show transient improvement, while alcohol/illicit substance abuse and suicide rates increase.
Impact:
- Highlights the need for comprehensive preoperative psychological screening and support.
- Underscores the importance of long-term postoperative monitoring for mental health and substance abuse.
- Informs clinical practice regarding the psychological management of bariatric surgery patients.
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