Psychosocial Concerns Following Bariatric Surgery: Current Status
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Purpose of Review
The purpose of this paper is to review the current status of research on psychosocial concerns following bariatric surgery.
Bariatric surgery has a positive overall impact on weight and obesity-related comorbidities, as well as a positive short-term impact on mental health and psychosocial functioning. Nonetheless, research has documented a number of different psychosocial concerns that may emerge following surgery including maladaptive eating, substance use disorders, suicide, lack of social support, and excess skin. Moreover, special populations of patients may have distinctive psychosocial concerns based on sociodemographic factors such as age or severity of obesity. Available studies suggest that psychosocial interventions have a positive impact on post-surgery outcomes, particularly maladaptive eating. However, research is limited, and long-term data are lacking.
Monitoring patients after bariatric surgery for negative psychosocial outcomes is warranted. Research is needed to develop and evaluate personalized approaches to optimize long-term weight loss and psychosocial adjustment.
KeywordsBariatric surgery Psychosocial factors Maladaptive eating Substance use Suicide Social support
Compliance with Ethics Guidelines
Conflict of Interest
Melissa A. Kalarchian declares that she has no conflict of interest.
Marsha D. Marcus has received compensation from Weight Watchers International, Inc., for serving on Scientific Advisory Boards.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance
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