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Mental Health in Bariatric Surgery: Selection, Access, and Outcomes
Michael D Morledge1, Walter J Pories2
1Department of Psychiatry and Behavioral Medicine, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Obesity (Silver Spring, Md.)
|March 24, 2020
Summary
Bariatric surgery can impact psychiatric issues in severe obesity. This review covers patient mental health, surgical evaluations, and post-operative effects, offering management recommendations.
Area of Science:
- Psychiatry
- Bariatric Surgery
- Obesity Medicine
Background:
- Severe obesity is linked to significant psychiatric challenges.
- These mental health issues can affect surgical outcomes.
- Preoperative psychosocial evaluations are crucial but often insufficient.
Purpose of the Study:
- To review psychiatric consequences of severe obesity.
- To examine the impact of bariatric surgery on mental health.
- To provide recommendations for managing these challenges.
Main Methods:
- Literature review of psychiatric aspects in bariatric surgery.
- Analysis of pre- and post-operative mental health status.
- Discussion of evaluation protocols and their limitations.
Main Results:
- Bariatric surgery can influence various psychiatric conditions.
- Early and late post-operative periods present distinct mental health challenges.
- Current psychosocial evaluations may not adequately predict or manage outcomes.
Conclusions:
- Comprehensive psychiatric assessment and management are vital for bariatric surgery candidates.
- Addressing mental health pre- and post-surgery can improve patient outcomes.
- Improved evaluation strategies are needed to optimize care for severely obese patients undergoing surgery.
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