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Psychologic assessment in patients undergoing bariatric surgery
Neal Ferrin1, Alain Elian2,3, Kayla Flewelling1
1Department of Surgery, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI, USA.
Surgical Endoscopy
|February 8, 2024
Summary
Psychological Clearance level (PCL) does not significantly impact weight loss after bariatric surgery. However, PCL is linked to fewer medical comorbidities and psychiatric diagnoses, influencing readiness for metabolic and bariatric surgery.
Area of Science:
- Bariatric Surgery Outcomes
- Psychological Assessment in Medicine
Background:
- Psychological Clearance level (PCL) is crucial for successful metabolic and bariatric surgery (MBS).
- Assessing the link between psychological fitness and postoperative results in MBS patients is vital.
Purpose of the Study:
- To evaluate the relationship between psychological fitness levels and postoperative outcomes in patients undergoing MBS.
- To determine if PCL influences total body weight loss (%TWL) and BMI changes post-MBS.
Main Methods:
- Retrospective analysis of 1411 patients undergoing MBS (LSG and LRYGB) with 2-year follow-up.
- Patients categorized into four groups (PCL-0 to PCL-3) based on psychological readiness.
- Primary outcomes: %TWL and absolute BMI change; Secondary outcomes: missed visits and compliance.
Main Results:
- No significant difference in %TWL across PCL groups (p=0.118).
- A minor difference in BMI change observed between PCL-1 and PCL-3 groups.
- PCL inversely correlated with psychiatric diagnoses (r=-0.41) and medical comorbidities (r=-0.20).
Conclusions:
- PCL does not affect %TWL at two years post-MBS.
- Medical comorbidities and psychiatric diagnoses significantly impact a patient's PCL.
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