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[Psychiatric disorders and bariatric surgery].

Sylvain Iceta1, Emmanuel Disse2, Maud Robert2

  • 1Département de psychiatrie et de neurosciences, faculté de médecine, université Laval, QC G1V 0A6, Québec, Canada. Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, université Laval, QC G1V 4G5, Québec, Canada. Centre intégré de l'obésité Rhône-Alpes, Fédération hospitalo-universitaire DO-iT, CHU de Lyon, Pierre-Bénite, France.

La Revue Du Praticien
|March 15, 2022
PubMed
Summary

Psychiatric disorders are common in obesity but often improve after bariatric surgery. Careful pre- and post-operative psychiatric evaluation is crucial due to potential risks like substance abuse and suicide.

Keywords:
Bariatric SurgeryMental DisordersObesity

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Area of Science:

  • Integrative medicine
  • Psychiatry
  • Bariatric surgery

Background:

  • High prevalence of psychiatric disorders in individuals with obesity (30-70% lifetime).
  • Commonly reported conditions include mood, anxiety, attention deficit, and binge eating disorders.

Purpose of the Study:

  • To investigate the impact of bariatric surgery on psychiatric disorders.
  • To highlight the necessity of pre- and post-operative psychiatric care.

Main Methods:

  • Review of existing literature on psychiatric disorders and bariatric surgery outcomes.
  • Analysis of the relationship between psychiatric conditions and surgical weight loss.
  • Identification of potential psychiatric risks associated with bariatric procedures.

Main Results:

  • Bariatric surgery generally leads to improvement in most psychiatric disorders.
  • These disorders typically do not negatively affect weight loss outcomes.
  • Increased attention is required for emotional dysregulation, impulsivity, and risks of substance abuse and suicide post-surgery.

Conclusions:

  • Bariatric surgery can positively impact psychiatric disorders in obese patients.
  • Comprehensive pre-operative assessment and post-operative follow-up are essential.
  • Monitoring for specific risks like substance abuse and suicide is critical for patient safety.