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Psychosocial Functionality and Predictors in Bariatric Surgery Candidates.

Rahime Gök1,2, Ezgi Şişman1,3, Elif Tatlıdil1

  • 1Department of Psychiatry, Kocaeli University Faculty of Medicine, 41001 Kocaeli, Türkiye.

Alpha Psychiatry
|November 10, 2025
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Summary

Depressive symptoms and disordered eating significantly impact psychosocial functioning in bariatric surgery patients. Addressing these mental health factors is key to improving outcomes and reducing relapse risk after surgery.

Keywords:
bariatric surgerydepressiondepressive symptomseating disordersobesitypreoperative carepsychosocial functioning

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Area of Science:

  • Bariatric Surgery
  • Obesity Medicine
  • Psychosocial Health

Background:

  • Obesity is a growing global health concern.
  • Bariatric surgery is effective but prone to patient relapse.
  • Pre-operative psychological state influences long-term success.

Purpose of the Study:

  • To assess psychosocial functioning in patients before bariatric surgery.
  • To identify predictors of psychosocial functioning.
  • To inform interventions for better postoperative well-being.

Main Methods:

  • Cross-sectional study of 175 morbidly obese patients (94.3% BMI ≥40).
  • Assessed psychosocial functioning using the Obesity-Related Problems Scale (OP-S).
  • Evaluated depressive symptoms (BDI), self-esteem (RSES), body satisfaction (BSS), and disordered eating (EDE-Q).

Main Results:

  • Over half of participants (51.4%) reported severe psychosocial problems (OP-S ≥60).
  • Psychosocial problems significantly correlated with depressive symptoms (r=0.462), disordered eating (r=0.410), low self-esteem (r=-0.322), and poor body satisfaction (r=-0.240).
  • Depressive and disordered eating symptoms were significant predictors of psychosocial functioning.

Conclusions:

  • Depressive and disordered eating symptoms predict psychosocial functioning in bariatric candidates.
  • Targeting these psychological factors via psychiatric evaluation can improve outcomes.
  • Integrated, multidisciplinary care is crucial for sustained bariatric surgery success.