A F Bölter1, A Rosenthal, S Wolff, G H Franke, J Frommer. 1. Klinik für Psychosomatische Medizin, Universitätsklinikum Magdeburg A.ö.R., Leipziger Strasse 44, 39120, Magdeburg, Deutschland. annette.boelter@med.ovgu.de
Abstract
BACKGROUND: Obesity is a widespread illness in Western industrialized countries, causing a high financial burden for the health systems. Several studies could demonstrate the positive effects of bariatric surgery on psychological and psychosocial parameters. PATIENTS AND METHODS: Twenty patients with morbid obesity (BMI > or =40 kg/m(2)) answered two questionnaires, the SCL-90-R, assessing psychological distress, and the IIP-D, measuring interpersonal problems, before and 6 months after gastric banding. Six months after surgery an additional questionnaire measuring subjective feelings was administered, too. RESULTS: Seventy-five percent of the patients were dissatisfied with therapy and outcome. They reported a lack of psychological support as well as new surgery-related physical and psychological symptoms. CONCLUSION: This study pointed out the necessity for psychotherapeutic help after surgery to manage already existing or new psychological needs due to gastric banding.
BACKGROUND:Obesity is a widespread illness in Western industrialized countries, causing a high financial burden for the health systems. Several studies could demonstrate the positive effects of bariatric surgery on psychological and psychosocial parameters. PATIENTS AND METHODS: Twenty patients with morbid obesity (BMI > or =40 kg/m(2)) answered two questionnaires, the SCL-90-R, assessing psychological distress, and the IIP-D, measuring interpersonal problems, before and 6 months after gastric banding. Six months after surgery an additional questionnaire measuring subjective feelings was administered, too. RESULTS: Seventy-five percent of the patients were dissatisfied with therapy and outcome. They reported a lack of psychological support as well as new surgery-related physical and psychological symptoms. CONCLUSION: This study pointed out the necessity for psychotherapeutic help after surgery to manage already existing or new psychological needs due to gastric banding.
Authors: Junilla K Larsen; Rinie Geenen; Bert van Ramshorst; Nico Brand; Pieter de Wit; Wolfgang Stroebe; Lorenz J P van Doornen Journal: Obes Surg Date: 2003-08 Impact factor: 4.129