Stephan Herpertz1, Astrid Müller2, Ramona Burgmer1, Ross D Crosby3, Martina de Zwaan4, Tanja Legenbauer5. 1. Department of Psychosomatic Medicine and Psychotherapy, LWL University Hospital of the Ruhr University Bochum, Bochum, Germany. 2. Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany. Electronic address: mueller.astrid@mh-hannover.de. 3. Neuropsychiatric Research Institute and University of North Dakota, School of Medicine and Health Sciences, Fargo, North Dakota. 4. Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Hannover, Germany. 5. Department of Child and Adolescent Psychiatry, LWL University Hospital of the Ruhr University Bochum, Hamm, Germany.
Abstract
BACKGROUND: Bariatric surgery leads to initial weight loss that is associated with improvement in mental health; however, long-term effects are uncertain. OBJECTIVE: To investigate the impact of restrictive surgical treatment for obesity on weight loss, psychological functioning, and quality of life 9 years after surgery. SETTING: University hospitals and obesity centers, Germany. METHODS: 152 patients undergoing restrictive surgical treatment (SURG), 249 individuals participating in a conventional weight loss treatment (CONV), and 128 obese control participants without weight loss treatment (OC) were studied using a prospective longitudinal cohort design. After 9 years, 55% of SURG patients, 51% of CONV patients, and 65% of OC participants were reassessed. Body mass index, anxiety, depression, self-esteem, and health-related quality of life (HRQOL) were explored. RESULTS: The SURG group had significantly greater weight loss and improvements in physical HRQOL at all postbaseline assessments. Although SURG patients experienced initial improvements in depression, anxiety, self-esteem, and mental aspects of HRQOL, these improvements deteriorated at the 9-year assessment and were comparable to or worse than presurgical levels. CONCLUSIONS: Bariatric surgery is an effective treatment for obesity and is linked to maintained improvement of physical aspects of HRQOL. Weight reduction after surgery is also associated with significant initial improvement in mental health that may erode over time. Therefore, psychosocial screening should be included at follow-ups, with referral to mental health professionals as appropriate.
BACKGROUND: Bariatric surgery leads to initial weight loss that is associated with improvement in mental health; however, long-term effects are uncertain. OBJECTIVE: To investigate the impact of restrictive surgical treatment for obesity on weight loss, psychological functioning, and quality of life 9 years after surgery. SETTING: University hospitals and obesity centers, Germany. METHODS: 152 patients undergoing restrictive surgical treatment (SURG), 249 individuals participating in a conventional weight loss treatment (CONV), and 128 obese control participants without weight loss treatment (OC) were studied using a prospective longitudinal cohort design. After 9 years, 55% of SURG patients, 51% of CONV patients, and 65% of OC participants were reassessed. Body mass index, anxiety, depression, self-esteem, and health-related quality of life (HRQOL) were explored. RESULTS: The SURG group had significantly greater weight loss and improvements in physical HRQOL at all postbaseline assessments. Although SURG patients experienced initial improvements in depression, anxiety, self-esteem, and mental aspects of HRQOL, these improvements deteriorated at the 9-year assessment and were comparable to or worse than presurgical levels. CONCLUSIONS: Bariatric surgery is an effective treatment for obesity and is linked to maintained improvement of physical aspects of HRQOL. Weight reduction after surgery is also associated with significant initial improvement in mental health that may erode over time. Therefore, psychosocial screening should be included at follow-ups, with referral to mental health professionals as appropriate.
Authors: Astrid Müller; Ross D Crosby; Janine Selle; Alexandra Osterhus; Hinrich Köhler; Julian W Mall; Thorsten Meyer; Martina de Zwaan Journal: Obes Surg Date: 2018-02 Impact factor: 4.129
Authors: Alexandra Osterhues; Thomas von Lengerke; Julian W Mall; Martina de Zwaan; Astrid Müller Journal: Obes Surg Date: 2017-09 Impact factor: 4.129
Authors: Isabelle Mack; Sabrina Ölschläger; Helene Sauer; Maximilian von Feilitzsch; Katja Weimer; Florian Junne; Riyad Peeraully; Paul Enck; Stephan Zipfel; Martin Teufel Journal: Obes Surg Date: 2016-12 Impact factor: 4.129