Surgery Today

, Volume 49, Issue 5, pp 435–442 | Cite as

Psychological well-being and marital satisfaction in response to weight loss after bariatric surgery

  • Onur Olgaç KaragülleEmail author
  • Erkan Yavuz
  • Osman Bilgin Gülçiçek
  • Ali Solmaz
  • Selcen Şentürk
  • Ayten Erdoğan
  • Atilla Çelik
  • Fatih Çelebi
Original Article



To compare the marital satisfaction (MS) and psychological well-being (PWB) of men and women before and after bariatric surgery for obesity.


The subjects of this prospective observational study were obese patients who underwent bariatric surgery. MS and PWB were assessed before, and 6 months after the surgery, using specific scales for MS and PWB.


The correlation matrix showed that age was not correlated with any of the scores from the PWB scales, and only with the total MS scores of men (P < 0.05). The pre-surgical BMI–post-surgical BMI (ΔBMI) was correlated negatively and significantly with the post-surgical total MS, especially for women, but it was not correlated with the sexual satisfaction of either gender. The score of positive interpersonal relationships was negatively correlated with the ΔBMI, especially for women (P < 0.05), whereas personal improvement was positively correlated for men (P < 0.05). There was also a significant correlation between ΔBMI and purpose in life for both genders. Post-surgical ΔBMIs were not associated with the other two indicators of PWB, namely, autonomy and environmental mastery for both genders.


For women, weight loss after bariatric surgery seemed to improve PWB and MS when assessed 6 months post-operatively; however, the psychiatric assessment of patients before and after the surgery is crucial.


Bariatric surgery Marital satisfaction Obesity Psychological well-being 



We thank Dr. Adil Barut for assistance in statistical analysis.

Compliance with ethical standards

Conflict of interest

We have no conflicts of interest and no financial support in relation to this study. All authors actively participated in the work and manuscript preparation, with full control of all primary data. All authors agree to allow the journal to review their data if requested.


  1. 1.
    Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents and adults, 1999–2002. JAMA. 2004;291:2847–50.CrossRefGoogle Scholar
  2. 2.
    Sturm R, Hattori A. Morbid obesity rates continue to rise rapidly in the United States. Int J Obes. 2012;37:889–91.CrossRefGoogle Scholar
  3. 3.
    Kalarchian MA, Marcus MD, Levine MD, Courcoulas AP, Pilkonis PA, Ringham RM, et al. Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status. Am J Psychiatry. 2007;164:328–34.CrossRefGoogle Scholar
  4. 4.
    Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13:639–48.CrossRefGoogle Scholar
  5. 5.
    Buchwald H. Bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. J Am Coll Surg. 2005; 200;593–604.Google Scholar
  6. 6.
    Herpertz S, Kielmann R, Wolf AM, Langkafel M, Senf W, Hebebrand J. Does obesity surgery improve psychosocial functioning? a systematic review. Int J Obes Relat Metab Disord. 2003;27:1300–14.CrossRefGoogle Scholar
  7. 7.
    Marcus MD, Kalarchian MA, Courcoulas AP. Psychiatric evaluation and follow-up of bariatric surgery patients. Am J Psychiatry. 2009;166:285–91.CrossRefGoogle Scholar
  8. 8.
    Satman I, Yilmaz T, Sengül A, Salman S, Salman F, Uygur S, et al. Population-based study of diabetes and risk characteristics in Turkey: results of the Turkish diabetes epidemiology study (TURDEP). Diabetes Care. 2002;25:1551–6.CrossRefGoogle Scholar
  9. 9.
    Perri MG, Corsica JA. Improving the maintenance of weight lost in behavioral treatment of obesity. Handbook of obesity treatment, vol 1. New York: Guilford Press; 2002. pp. 357–79.Google Scholar
  10. 10.
    Goodpaster BH, Delany JP, Otto AD, Kuller L, Vockley J, South-Paul JE, et al. Effects of diet and physical activity interventions on weight loss and cardiometabolic risk factors in severely obese adults: a randomized trial. JAMA. 2010;304(16):1795–802.CrossRefGoogle Scholar
  11. 11.
    Cigaina V. Gastric pacing as therapy for morbid obesity: preliminary results. Obes Surg. 2002;12(1):12S–6S.CrossRefGoogle Scholar
  12. 12.
    Bays HE. Current and investigational antiobesity agents and obesity therapeutic treatment targets. Obes Res. 2004;12(8):1197–211.CrossRefGoogle Scholar
  13. 13.
    de Zwaan M, Lancaster KL, Mitchell JE, Howell LM, Monson N, Roerig JL, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. 2002;12:773–80.CrossRefGoogle Scholar
  14. 14.
    Sevinçer GM, Coşkun H, Konuk N, Bozkurt S. Psychiatric and psychosocial aspects of bariatric surger. Curr Approaches Psychiatry. 2014;6(1):32–44.Google Scholar
  15. 15.
    Jolfaei AG, Lotfi T, Pazouki A, Meybod AM, Soheilipour F, Jesmi F. Comparison between marital satisfaction and self-esteem before and after bariatric surgery in patients with obesity. Iran J Psychiatry Behav Sci. 2016;10(3):e2445.Google Scholar
  16. 16.
    Aflakseir A, Nowroozi S, Mollazadeh J, Goodarzi MA. The role of psychological hardiness and marital satisfaction in predicting posttraumatic growth in a sample of women with breast cancer in isfahan. Iran J Cancer Prev. 2016;9(4):4080.CrossRefGoogle Scholar
  17. 17.
    Rand CS, Kowalske K, Kuldau JM. Characteristics of marital improvement following obesity surgery. Psychosomatics. 1984;25(3):221–3.CrossRefGoogle Scholar
  18. 18.
    Marceau P, Hould FS, Simard S, Lebel S, Bourque RA, Potvin M, Biron S. Biliopancreatic diversion with duodenal switch. World J Surg. 1998;22:947–54.CrossRefGoogle Scholar
  19. 19.
    Abbot RA, Ploubidis GB, Huppert FA, Kuh D, Wadsworth MEJ, Croudace TJ. Psychometric evaluation and predictive validity of Ryff’s psychological well-being items in a UK cohort sample of women. Health Qual Life Outcomes. 2006;4:76.CrossRefGoogle Scholar
  20. 20.
    Yazgan İnanç B, Çelik M. Ç.Ü. Evlilik doyum ölçeği: geçerlilik ve güvenirlik çalışmaları. Sosyal Bilimler Enstitüsü Dergisi. 2009;18(2):247–69.Google Scholar
  21. 21.
    Batool A. Relationship between personality and marital satisfaction. Psychology. 2008;2(2):31–6 (in Persian).Google Scholar
  22. 22.
    Magdaleno R, Chaim EA, Turato ER. Psychological recommendations in the massive weight loss for patients after bariatric surgery in public service outpatient in Southeast Brazil. Eur Psychiatry. 2011;1(26).Google Scholar
  23. 23.
    Faulconbridge L, Wadden T, Rubin R, Walkup A, Fabricatore A, Coday M, et al. One-year changes in weight and symptoms of depression in depressed vs. non-depressed individuals in the Look AHEAD study. Obesity. 2009;17(suppl 2):576.Google Scholar
  24. 24.
    Karlsson J, Sjostrom L, Sullivan M. Swedish obese subjects (SOS)—an intervention study of obesity: two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes Relat Metab Disord. 1998;22(2):113–26.CrossRefGoogle Scholar
  25. 25.
    Wycherley T, Clifton P, Noakes M, Brinkworth G. Weight loss on a structured hypocaloric diet with or without exercise improves emotional distress and quality of life in overweight and obese patients with type 2 diabetes. J Diabetes Invest. 2014;5:94–8.CrossRefGoogle Scholar
  26. 26.
    Akın A. Akılcı duygusal davranışçı terapi (SDDT) odaklı grupla psikolojik danışmanın psikolojik iyi olma ve öz-duyarlık üzerindeki etkisi. Sakarya: Doktora Tezi, Sakarya Üniversitesi Sosyal Bilimler Enstitüsü; 2009.Google Scholar
  27. 27.
    Cooper KM, Wells M. Effects of bariatric surgery on marital satisfaction. Surg Obes Relat Dis. 2006;2(3):334.CrossRefGoogle Scholar
  28. 28.
    Lau DC, Teoh H. Benefits of modest weight loss on the management of type 2 diabetes mellitus. Can J Diabetes. 2013;7:128–34.CrossRefGoogle Scholar
  29. 29.
    Grave R, Calugi S, Petroni M, Di Domizio S, Marchesini G. Weight management, psychological distress and binge eating in obesity. A reappraisal of the problem. Appetite. 2010;54:269–73.CrossRefGoogle Scholar
  30. 30.
    Imayama I, Alfano C, Kong A, Foster-Schubert K, Bain C, Xiao L, et al. Dietary weight loss and exercise interventions effects on quality of life in overweight/ obese postmenopausal women: a randomized controlled trial. Int J Behav Nutr Phys Activ. 2011;8:118–29.CrossRefGoogle Scholar
  31. 31.
    Dano P, Hahn-Pedersen J. Improvement in quality of life following jejunoileal bypass surgery for obesity. Scand J Gastroenterol. 1977;12(7):769–74.CrossRefGoogle Scholar
  32. 32.
    Bond DS, Vithiananthan S, Leahey TM, Thomas JG, Sax HC, Pohl D, et al. Prevalence and degree of sexual dysfunction in a sample of women seeking bariatric surgery. Surg Obes Relat Dis. 2009;5(6):698–704.CrossRefGoogle Scholar
  33. 33.
    Hafner RJ. Morbid obesity: effects on the marital system of weight loss after gastric restriction. Psychother Psychosom. 1991;56(3):162–6.CrossRefGoogle Scholar
  34. 34.
    Ryff C, Keyes C. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995;69:719–27.CrossRefGoogle Scholar
  35. 35.
    Crisp AH, Kalucy RS, Pilkington TR, Gazet JC. Some psychosocial consequences of ileojejunal bypass surgery. Am J Clin Nutr. 1977;30(1):109–20.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of General SurgeryErgani State HospitalErganiTurkey
  2. 2.Department of General SurgeryBağcılar Traning and Research HospitalIstanbulTurkey
  3. 3.Department of Nutrition and DieteticsBatman State HospitalBatmanTurkey
  4. 4.Department of Pediatric PsychiatryGelisim UniversityIstanbulTurkey

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