Observational studyObesity surgery2023
Impact of Preoperative Psychiatric Profile in Bariatric Surgery on Long-term Weight Outcome.
Observational study in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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The trial behind it
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Who cites it
15 citing papers in PubMed, 18 citations in OpenAlex.
- 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
- Participants' experiences with the hybrid digital psychotherapy intervention-DIGIT for obesity and distress: A qualitative interview study.Internet interventions · 2026Article
- Frequency and Association between Adverse Childhood Experiences and Psychiatric Outcomes Among Treatment-seeking Patients with Severe Obesity: a Retrospective Observational Study.Obesity surgery · 2026Article
- Comparative Analysis of Patient Characteristics and Bariatric Surgery Outcomes in DoD and VA Populations.Obesity surgery · 2026Article
- What Really Matters in Weight Loss after Bariatric Surgery - 10 Years Follow-Up (BARI-10 -POL Study).Obesity surgery · 2026Article
- Managing metabolic syndrome in bipolar disorder: multidisciplinary monitoring and treatment strategies.Frontiers in psychiatry · 2026Review
- Clinical trial design, biomarkers and end points in metabolic and alcohol-related liver disease.Nature reviews. Gastroenterology & hepatology · 2025Review
- Mental health outcomes in bariatric surgery patients in Saudi Arabia: A scoping review.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025Article
- The Association Between Childhood Trauma, Emotional Dysregulation, and Depressive Symptoms' Severity in Patients with Obesity Seeking Bariatric Surgery.Journal of personalized medicine · 2025Article
- Statistical and Machine Learning Modeling of Psychological, Sociodemographic, and Physical Activity Factors Associated with Weight Regain After Bariatric Surgery.International journal of environmental research and public health · 2025Article
- Clustering of intuitive eating and psychological health identifies subgroups associated with weight loss following semaglutide.Obesity (Silver Spring, Md.) · 2025Article
- MetALD: New Perspectives on an Old Overlooked Disease.Liver international : official journal of the International Association for the Study of the Liver · 2025Review
- The Impact of Preoperative Eating Habits on Weight Loss After Metabolic Bariatric Surgery.Obesity surgery · 2025Article
- Preoperative Body Composition Analysis as a Predictor of Weight Loss Outcomes Following Bariatric Surgery: A Bioelectrical Impedance Study.Obesity surgery · 2025Article
- Does Patient's Metabolic and Bariatric Surgery Knowledge Predict Optimal Clinical Outcomes?Obesity surgery · 2024Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConflicting results have been reported regarding the predictive value of preoperative psychological assessment and weight outcome after bariatric surgery. This might be attributed to different factors affecting early weight loss and long-term weight loss. Herein, we investigated whether preoperative psychiatric profile was associated with preoperative BMI and with both early (1 year) and long-term (5 years) weight loss after Roux-en-Y gastric bypass (RYGB).
methodsProspective observational cohort study of patients undergoing RYGB between 2013 and 2019. Symptoms related to anxiety, depression, eating disorder, and alcohol use disorders were assessed by employing validated, specific psychometric tests (STAI-S/T, BDI-II, BITE, AUDIT-C) prior to surgery. Pre-operative BMI, early weight loss (1 year), and long-term weight evolution (up to 5 years) were registered.
resultsTwo hundred thirty six patients (81% women) were included in the present study. Linear longitudinal mixed model showed a significant effect of preoperative high anxiety (STAI-S) on long-term weight outcome, after controlling for gender, age and type 2 diabetes. Patient with high preoperative anxiety score regained weight faster than those experiencing low anxiety (each year percent excess BMI loss (%EBMIL) - 4.02%, ± 1.72, p = 0.021). No other pre-operative psychiatric symptoms have been shown to have an impact on long-term weight loss. In addition, no significant association was found between any of the pre-operative psychiatric variables and pre-operative BMI, or early weight loss (%EBMIL) at 1-year post-RYGB.
conclusionHerein we identified high anxiety score (STAI-S) as a predictor for long-term weight regain. Thus, long-term psychiatric surveillance of these patients and the development of tailored management tools could serve as a means to prevent weight regain.
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