Alexithymia and weight loss in obese patients underwent laparoscopic sleeve gastrectomy
- 187 Downloads
Obesity is a multifactorial disease characterized by genetic, social, cultural and psychological factors. Currently, bariatric surgery represents the gold-standard intervention to treat morbid obesity in order to counteract associated disabling comorbidities. Several studies showed correlation between post-surgery weight loss and psychological factors. Also, the alexithymia may have a role in affecting post-surgery outcomes in bariatric patients, even if there are no studies investigating its role at 12-month follow-up. The purpose of the present study was to investigate the association between alexithymia and the postoperative weight loss 12 months after laparoscopic sleeve gastrectomy.
Seventy-five patients undergoing laparoscopic sleeve gastrectomy were enrolled. The Toronto Alexithymia Scale (TAS-20) was administered to patients. A postoperative weight loss check was performed at 3 and then 12 months after surgery.
The TAS-20 total score was negatively correlated with the percent of excess weight loss (%EWL) at the 12-month follow-up (r = −0.24; p = 0.040). The analysis showed that non-alexithymic patients had a greater weight loss at 12 months after surgery compared to both probably alexithymics (71.88 ± 18.21 vs. 60.7 ± 12.5; p = 0.047) and probably alexithymic patients (71.88 ± 18.21 vs. 56 ± 22.8; p = 0.007). The preoperative BMI was a significant covariate [F(1,70) = 6.13 (p = 0.016)].
In the present study, the patients with higher preoperative BMI and identified as alexithymic showed lower %EWL at 12 months after laparoscopic sleeve gastrectomy. Findings point out the importance to take into consideration possible psychological treatments focused on improving emotional regulations of patients who are seeking bariatric surgery.
KeywordsObesity Bariatric surgery Alexithymia Post-surgery outcomes
Compliance with ethical standards
Emanuela Paone, Laura Pierro, Angela Damico, Paola Aceto, Fabio Cesare Campanile, Gianfranco Silecchia, Carlo Lai declare that no funding source is involved in this study.
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual patients included in the study.
- 15.Lai C, Aceto P, Petrucci I, Castelnuovo G, Callari C, Giustacchini P, Sollazzi L, Mingrone G, Bellantone R, Raffaelli M (2016) The influence of preoperative psychological factors on weight loss after bariatric surgery: a preliminary report. J Health Psychol. doi: 10.1177/135910531677750 CrossRefPubMedGoogle Scholar
- 29.American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn, Text Revised (DSM-IV-TR). American Psychiatric Association, Washington, DCGoogle Scholar
- 30.First MB, Gibbon M, Spitzer RL, Williams JBW, Benjamin LS (1997) User’s guide for structured clinical interview for DSM-IV axis II personality disorders (SCID-II). American Psychiatric Association, Washington, DCGoogle Scholar
- 31.First MB, Spitzer RL, Gibbon M, Williams JB (1995) Structured clinical interview for DSM-IV axis I disorders. New York State Psychiatric Institute, New YorkGoogle Scholar
- 34.Derogatis LR, Unger R (2010) Symptom checklist-90-revised. In: Corsini encyclopedia of psychology, vol 1–2. Wiley, Hoboken. doi: 10.1002/9780470479216.corpsy0970
- 35.Scinta W (2012) Measuring success: a comparison of weight loss calculations. BT 9(7):18–20. doi: 10.1016/0022-3999(94)90005-1
- 36.Figura A, Ahnis A, Stengel A, Hofmann T, Elbelt U, Ordemann J, Rose M (2015) Determinants of weight loss following laparoscopic sleeve gastrectomy: the role of psychological burden, coping style, and motivation to undergo surgery. J Obes. doi: 10.1155/2015/626010 CrossRefPubMedPubMedCentralGoogle Scholar
- 37.De Zwaan M, Bach M, Mitchell JE, Ackard D, Specker SM, Pyle RL, Pakesh G (1995) Alexithymia, obesity, and binge eating disorder. Int J Eat Disord 17(2):135–140. doi: 10.1002/1098-108X(199503)17:2<135::AID-EAT2260170205>3.0.CO;2-7 CrossRefPubMedGoogle Scholar
- 41.Calia R, Lai C, Aceto P, Luciani M, Camardese G, Lai S, Fantozzi C, Pietroni V, Salerno MP, Spagnoletti G, Pedroso JA, Romagnoli J, Citterio F (2015) Emotional self-efficacy and alexithymia may affect compliance, renal function and quality of life in kidney transplant recipients: results from a preliminary cross-sectional study. Physiol Behav 142:152–154. doi: 10.1016/j.physbeh.2015.02.018 CrossRefPubMedGoogle Scholar