Citation

Brandão I, Fernandes AL, Osório E, Calhau MC, Coelho R. Arch. Clin. Psychiatry (São Paulo) 2015; 42(5): 122-128.

Copyright

(Copyright © 2015, Instituto de Psiquiatria, Hospital das Clínicas da Faculdade de Medicina da USP)

DOI

10.1590/0101-60830000000062

PMID

unavailable

Abstract

BACKGROUND: Bariatric surgery is the only procedure that has significant results in weight loss and improvements in medical comorbidities in morbid obese patients. Severely obese patients are also associated with a higher prevalence of psychiatric disorders and poor quality of life.

OBJECTIVE: To evaluate specific areas of psychopathology in individuals undergoing bariatric surgery.

METHODS: A review of the literature was conducted from January 2002 to March 2014 by researching PubMed database using the following query: "morbid AND obesity AND bariatric AND surgery AND (psychiatry OR psychology)".

RESULTS: Overall improvements in eating behaviors, mood disorders and body image are reported after bariatric surgery, and the mechanism is not enlightened. Risk of suicide and consumption of substances of abuse, especially alcohol, after gastric bypass surgery are problems that clinicians must be aware.

DISCUSSION: Bariatric patients should be monitored after surgery to identify who did not show the expected benefits ostoperatively and the ones who develop psychiatric symptoms after an initial positive response. © 2015, Lemos Editorial e Graficos Ltda. All rights reserved.

Language: en

Keywords

Psychology; human; suicide; Review; Psychiatry; quality of life; bipolar disorder; depression; binge eating disorder; body image; Bariatric surgery; mood disorder; substance abuse; alcohol consumption; mental disease; antidepressant agent; weight reduction; anxiety disorder; postoperative period; feeding behavior; psychological well being; bariatric surgery; Morbid obesity; morbid obesity; bibliographic database