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[Mental health after bariatric surgery].
Emma Veillon1,2, Johanna Frantz1
1Service de psychiatrie de liaison, Département de psychiatrie, Centre hospitalier universitaire vaudois, 1011 Lausanne.
Revue Medicale Suisse
|March 20, 2025
Summary
Bariatric surgery improves mental health for many, reducing anxiety and binge eating. However, it may increase risks for substance use and self-harm, necessitating personalized care.
Area of Science:
- Metabolic and Bariatric Surgery
- Psychiatry
- Obesity Medicine
Context:
- Severe obesity (BMI ≥ 30 kg/m²) and complicated obesity often require interventions like bariatric surgery.
- Bariatric surgery is the most effective treatment for severe and complicated obesity.
- Mental health comorbidities are common in patients with severe obesity.
Purpose:
- To examine the evolution of mental health after bariatric surgery.
- To identify changes in anxiety-depressive disorders, binge eating, and substance use disorders post-surgery.
- To assess the long-term psychological impact of bariatric procedures.
Summary:
- Anxiety-depressive disorders and binge eating typically decrease within two years following bariatric surgery.
- Studies indicate an elevated risk of developing alcohol or substance use disorders after bariatric procedures.
- An increase in self-harming and suicidal behaviors has been observed post-surgery.
Impact:
- Bariatric surgery outcomes are influenced by pre-existing and post-operative mental health status.
- A personalized, multidisciplinary approach is crucial for optimizing bariatric surgery's benefit-risk ratio.
- Understanding mental health trajectory is vital for comprehensive patient care and improved surgical outcomes.
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