Skip to main content
SpringerLink
Log in

Psychosocial Issues After Bariatric Surgery

  • Chapter
  • First Online:
The ASMBS Textbook of Bariatric Surgery

Abstract

This chapter reviews the literature on psychosocial issues after bariatric surgery. This chapter discusses the research in several specific areas, including depression, suicide, eating pathology, and alcohol abuse. In addition, studies examining quality of life and body image following weight loss surgery are reviewed. Behavioral and social factors potentially influencing outcomes (adherence and social support) are also summarized. Overall, this literature underscores the complex relationship between surgical and psychosocial outcomes. Further, this research highlights the value of addressing psychosocial factors before and after surgery in an attempt to enhance outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kinzl JF, Schrattenecker M, Traweger C, Mattesich M, Fiala M, Biebl W. Psychosocial predictors of weight loss after bariatric surgery. Obes Surg. 2006;16:1609–14.

    Article  PubMed  Google Scholar 

  2. Semanscin-Doerr D, Windover A, Ashton K, Heinberg LJ. Mood disorders in laparoscopic sleeve gastrectomy patients: does it affect early weight loss? Surg Obes Relat Dis. 2010;6:191–206.

    Article  PubMed  Google Scholar 

  3. Kalarchian MA, Marcus MD, Levine MD, Soulakova JN, Courcoulas AP, Wisinski MSC. Relationship of psychiatric disorders to 6-month outcomes after gastric bypass. Surg Obes Relat Dis. 2008;4:544–9.

    Article  PubMed  PubMed Central  Google Scholar 

  4. de Zwaan M, Enderle J, Wagner S, Mühlhans B, Ditzen B, Gefeller O, et al. Anxiety and depression in bariatric surgery patients: a prospective, follow-up study using structured clinical interviews. J Affect Disord. 2011;133:61–8.

    Article  PubMed  Google Scholar 

  5. Sarwer DB, Faulconbridge LF, Steffen KJ, Roerig JL, Mitchell JE. Managing patients after surgery: changes in drug prescription, body weight can affect psychotropic prescribing. Curr Psychiatry. 2011;10:3–9.

    Google Scholar 

  6. Roerig JL, Steffen K, Zimmerman C, Mitchell JE, Crosby RD, Cao L. Preliminary comparison of sertraline levels in postbariatric surgery patients versus matched nonsurgical cohort. Surg Obes Relat Dis. 2012;8:62–6.

    Article  PubMed  Google Scholar 

  7. Tindle HA, Omalu B, Courcoulas A, Marcus M, Hammers J, Kuller LH. Risk of suicide after long-term follow-up from bariatric surgery. Am J Med. 2010;123:1036–42.

    Article  PubMed  Google Scholar 

  8. Adams TD, Gress RE, Smith SC, Halverson RC, Simper SC, Rosamond WD, et al. Long-term mortality after gastric bypass surgery. N Engl J Med. 2007;357(8):753–61.

    Article  PubMed  CAS  Google Scholar 

  9. Heneghan H, Heinberg LJ, Windover A, Rogula T, Schauer PR. Weighing the evidence for an association between obesity and suicide risk. Surg Obes Relat Dis. 2012;8:98–107.

    Article  PubMed  Google Scholar 

  10. Mitchell JE, Crosby R, deZwaan M, Engel S, Roerig J, Steffen K et al. Possible risk factors for increased suicide following bariatric surgery. Obesity. 2013;21(4):665–72.

    Google Scholar 

  11. Sarwer DB, Wadden TA, Moore RH, Baker AW, Gibbons LM, Raper SE, et al. Preoperative eating behavior, postoperative dietary adherence and weight loss following gastric bypass surgery. Surg Obes Relat Dis. 2008;4(5):640–6.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Mitchell JE, Selzer F, Kalarchian MA, Devlin MJ, Strain G, Elder KA et al. Psychopathology before surgery in the Longitudinal Assessment of Bariatric Surgery-3 (LABS-3) psychosocial study. Surg Obes Relat Dis. 2012;8(5):533–41.

    Google Scholar 

  13. Kofman MD, Lent MR, Swencionis C. Maladaptive eating patterns, quality of life, and weight outcomes following gastric bypass: results of an internet survey. Obesity. 2010;18:1938–43.

    Article  PubMed  Google Scholar 

  14. White MA, Kalarchian MA, Masheb RM, Marcus MD, Grilo CM. Loss of control over eating predicts outcomes in bariatric surgery: a prospective 24-month follow-up study. J Clin Psychiatry. 2010;71(2):174–84.

    Article  Google Scholar 

  15. Saunders R. “Grazing”: a high-risk behavior. Obes Surg. 2004;14: 98–102.

    Article  PubMed  Google Scholar 

  16. Morrow J, Gluck M, Lorence M, Flancbaum L, Geliebter A. Night eating status and influence on body weight, body image, hunger, and cortisol pre- and post- Roux-en-Y Gastric Bypass surgery. Eat Weight Disord. 2008;13(4):e96–9.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  17. Mitchell JE. Bulimia with self-induced vomiting after gastric stapling. Am J Psychiatry. 1985;142:656.

    PubMed  CAS  Google Scholar 

  18. Sogg S. Alcohol misuse after bariatric surgery: epiphenomenon or “Oprah” phenomenon? Surg Obes Rel Dis. 2006;3:366.

    Article  Google Scholar 

  19. King WC, Chen J, Mitchell JE, Kalarchian MA, Steffen KJ, Engel SG, et al. Prevalence of alcohol use disorders before and after bariatric surgery. JAMA. 2012;307(23):1–10.

    Article  Google Scholar 

  20. Mitchell JE, Lancaster KL, Burgard MA, Howell LM, Krahn DD, Crosby RD, et al. Long-term follow-up of patients’ status after gastric bypass. Obes Surg. 2001;11:464–8.

    Article  PubMed  CAS  Google Scholar 

  21. Ertelt TW, Mitchell JE, Lancaster K, et al. Alcohol abuse and dependence before and after bariatric surgery: a review of the literature and report of a new data set. Surg Obes Rel Dis. 2008;4:647–50.

    Article  Google Scholar 

  22. Saules KK, Wiedemann A, Ivezaj V, Hopper JA, Foster-Hartsfield J, Schwarz D. Bariatric surgery history among substance abuse treatment patients: prevalence and associated features. Surg Obes Relat Dis. 2010;6:615–21.

    Article  PubMed  Google Scholar 

  23. Clark MM, Balsiger BM, Sletten CD, Dahlman KL, Ames G, Williams DE, Abu-Lebdeh HS, Sarr MG. Psychosocial factors and 2-Year outcome following bariatric surgery for weight loss. Obes Surg. 2003;13:739–45.

    Article  PubMed  Google Scholar 

  24. Heinberg LJ, Ashton K. History of substance abuse relates to improved postbariatric body mass index outcomes. Surg Obes Relat Dis. 2010;6:417–21.

    Article  PubMed  Google Scholar 

  25. Hagedorn JC, Encarnacion B, Brat GA, Morton JM. Does gastric bypass alter alcohol metabolism? Surg Obes Rel Dis. 2007;3:543–8.

    Article  Google Scholar 

  26. Woodard GA, Downey J, Hernandez-Boussard T, Morton JM. Impaired alcohol metabolism after gastric bypass surgery: a case-crossover trial. J Am Coll Surg. 2011;212:209–14.

    Article  PubMed  Google Scholar 

  27. Heinberg LJ, Ashton K, Coughlin JW. Alcohol and bariatric surgery: a review and suggested recommendations for assessment and management. Surg Obes Relat Dis. 2012;8(3):357–63.

    Article  PubMed  Google Scholar 

  28. Pilone V, Mozzi E, Schettino AM, Furbetta F, Di Maro A, Giardiello C, et al. Improvement in health-related quality of life in first year after laparoscopic adjustable gastric banding. Surg Obes Relat Dis. 2012;8(3):260–8.

    Article  PubMed  Google Scholar 

  29. Dixon JB, Dixon ME, O’Brien PE. Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res. 2001;9(11):713–21.

    Article  PubMed  CAS  Google Scholar 

  30. Vincent HK, Ben-David K, Conrad BP, Lamb KM, Seay AN, Vincent KR. Rapid changes in gait, musculoskeletal pain, and quality of life after bariatric surgery. Surg Obes Relat Dis. 2012;8(3):346–54.

    Article  PubMed  Google Scholar 

  31. Sarwer DB, Wadden TA, Moore RH, Eisenberg MH, Raper SE, Williams NN. Changes in quality of life and body image after gastric bypass surgery. Surg Obes Relat Dis. 2010;6:608–14.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Karlsson J, Sjöström 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  PubMed  CAS  Google Scholar 

  33. Ortega J, Fernandez-Canet R, Àlvarez-Valdeita S, Cassinello N, Buguena-Puigcerver MJ. Predictors of psychological symptoms in morbidly obese patients after gastic bypass surgery. Surg Obes Relat Dis. 2012;8(6):770–6.

    Google Scholar 

  34. Toussi R, Fujioka K, Coleman KJ. Pre- and postsurgery behavioral compliance, patient health, and postbariatric surgical weight loss. Obesity. 2009;17:996–1002.

    Article  PubMed  Google Scholar 

  35. Wheeler E, Prettyman A, Lenhard MJ, Tran K. Adherence to outpatient program postoperative appointments after bariatric surgery. Surg Obes Relat Dis. 2008;4:515–20.

    Article  PubMed  Google Scholar 

  36. Spitznagel MB, Garcia, S, Miller, LA, Strain G, Devlin, M, Wing R, et al. Cognitive function predicts weight loss after bariatric surgery. Surg Obes Relat Dis. 2013;9(3):453–9.

    Google Scholar 

  37. Livhits M, Mercado C, Yermilov I, Parikh JA, Dutson E, Mehran A, Ko CY, et al. Is social support associated with greater weight loss after bariatric surgery? A systematic review. Obes Rev. 2011;12:142–8.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Behavioral Services, Bariatric and Metabolic Institute, Cleveland, OH, USA

    Leslie J. Heinberg PhD

  2. Department of Medicine, Cleveland Clinic Lerner College of Medicine, Cleveland, OH, USA

    Leslie J. Heinberg PhD

  3. Cleveland Clinic Foundation, 9500 Euclid Avenue/M61, Cleveland, OH, 44195, USA

    Megan E. Lavery PsyD

Authors
  1. Leslie J. Heinberg PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Megan E. Lavery PsyD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Leslie J. Heinberg PhD .

Editor information

Editors and Affiliations

  1. GI/Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA

    Christopher Still

  2. Department of Weight and Eating Disorders, University of Pennsylvania, Philadelphia, Pennsylvania, USA

    David B. Sarwer

  3. Policy Initiatives and Advocacy, American Dietetic Association, Falls Church, Virginia, USA

    Jeanne Blankenship

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Heinberg, L.J., Lavery, M.E. (2014). Psychosocial Issues After Bariatric Surgery. In: Still, C., Sarwer, D., Blankenship, J. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1197-4_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4939-1197-4_6

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1196-7

  • Online ISBN: 978-1-4939-1197-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation