ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2022
Anxiety predicts reduced weight loss 30 months after bariatric surgery.
Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Sleeve Gastrectomy Versus Banded Roux-en-Y Gastric Bypass for Obesity and Diabetes Mellitus: Psychology and Quality of Life Outcomes at 10 Years.Obesity surgery · 2026Trial
- Sex Differences in the Impact of Preoperative Psychological Factors on Weight Loss Following Sleeve Gastrectomy.Obesity surgery · 2026Article
- Psychological Benefits of a Preoperative Educational Bridging Program for Bariatric Surgery: Does Face-to-Face versus Videoconference-Based Delivery Make a Difference?Obesity facts · 2024Article
- Intrapersonal coping predicts greater weight loss 24 months after bariatric surgery.Obesity surgery · 2023Article
- Article
- Impact of Preoperative Psychiatric Profile in Bariatric Surgery on Long-term Weight Outcome.Obesity surgery · 2023Observational
- Sex dimorphism in the effect and predictors of weight loss after sleeve gastrectomy.Frontiers in endocrinology · 2023Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundThough psychosocial factors are routinely examined in presurgical psychological evaluations, the predictive value of some psychosocial factors on postsurgical weight loss is still relatively unknown. Additional research examining the predictive value of psychological constructs preoperatively and long-term weight outcomes is needed to enhance the clinical utility of the presurgical psychological evaluations.
objectiveThis study aimed to examine psychosocial factors as predictors of weight outcomes 30 months after bariatric surgery.
settingUniversity hospital in the Appalachian region of United States.
methodsParticipants included 196 adults who underwent bariatric surgery. Psychosocial data were collected as part of a routine psychological evaluation prior to bariatric surgery. Objective weight was obtained through patients' medical records at 12, 24, and 30 months after surgery.
resultsLinear mixed models was used to examine presurgical psychosocial factors predicting postsurgical weight loss (n at 12 months = 153, n at 24 months = 130, n at 30 months = 92). Anxiety had a significant interaction effect with time (estimate = -.01, P = .013), indicating that higher anxiety was associated with less weight loss over time. Those with severe anxiety before surgery lost the most weight 12 months after surgery but also regained the most weight 30 months after surgery. Other predictors were not statistically significant.
conclusionAnxiety assessed prior to surgery predicted reduced weight loss 30 months after bariatric surgery, after controlling for surgery type, baseline weight, sex, and age. Results highlight the importance of evaluation and treatment of anxiety in presurgical bariatric candidates.
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