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

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Abstract

Purpose

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

Methods

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.

Results

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.

Conclusions

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.

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References

  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.

    Article  CAS  PubMed  Google Scholar 

  2. Sturm R, Hattori A. Morbid obesity rates continue to rise rapidly in the United States. Int J Obes. 2012;37:889–91.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  4. Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13:639–48.

    Article  PubMed  Google Scholar 

  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.

  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.

    Article  CAS  PubMed  Google Scholar 

  7. Marcus MD, Kalarchian MA, Courcoulas AP. Psychiatric evaluation and follow-up of bariatric surgery patients. Am J Psychiatry. 2009;166:285–91.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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. 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Cigaina V. Gastric pacing as therapy for morbid obesity: preliminary results. Obes Surg. 2002;12(1):12S–6S.

    Article  PubMed  Google Scholar 

  12. Bays HE. Current and investigational antiobesity agents and obesity therapeutic treatment targets. Obes Res. 2004;12(8):1197–211.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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. 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. 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.

    Article  Google Scholar 

  17. Rand CS, Kowalske K, Kuldau JM. Characteristics of marital improvement following obesity surgery. Psychosomatics. 1984;25(3):221–3.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  Google Scholar 

  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. Batool A. Relationship between personality and marital satisfaction. Psychology. 2008;2(2):31–6 (in Persian).

    Google Scholar 

  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).

  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. 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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

  27. Cooper KM, Wells M. Effects of bariatric surgery on marital satisfaction. Surg Obes Relat Dis. 2006;2(3):334.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Hafner RJ. Morbid obesity: effects on the marital system of weight loss after gastric restriction. Psychother Psychosom. 1991;56(3):162–6.

    Article  CAS  PubMed  Google Scholar 

  34. Ryff C, Keyes C. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995;69:719–27.

    Article  CAS  PubMed  Google Scholar 

  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.

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

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

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Authors and Affiliations

  1. Department of General Surgery, Ergani State Hospital, Ergani, Diyarbakır, Turkey

    Onur Olgaç Karagülle

  2. Department of General Surgery, Bağcılar Traning and Research Hospital, Istanbul, Turkey

    Erkan Yavuz, Osman Bilgin Gülçiçek, Ali Solmaz, Atilla Çelik & Fatih Çelebi

  3. Department of Nutrition and Dietetics, Batman State Hospital, Batman, Turkey

    Selcen Şentürk

  4. Department of Pediatric Psychiatry, Gelisim University, Istanbul, Turkey

    Ayten Erdoğan

Authors
  1. Onur Olgaç Karagülle
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Correspondence to Onur Olgaç Karagülle.

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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.

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Karagülle, O.O., Yavuz, E., Gülçiçek, O.B. et al. Psychological well-being and marital satisfaction in response to weight loss after bariatric surgery. Surg Today 49, 435–442 (2019). https://doi.org/10.1007/s00595-018-1750-8

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  • DOI: https://doi.org/10.1007/s00595-018-1750-8

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