Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery

Carrie S. Sheets, Christine M. Peat, Kelly C. Berg, Emily K. White, Lindsey Bocchieri-Ricciardi, Eunice Y. Chen, James E. Mitchell

Research output: Contribution to journalReview articlepeer-review

95 Scopus citations

Abstract

Although there are several recent reviews of the pre-operative factors that influence treatment outcome for bariatric surgery, commensurate efforts to identify and review the predictive validity of post-operative variables are lacking. This review describes the post-operative psychosocial predictors of weight loss in bariatric surgery. Results suggest empirical support for post-operative binge eating, uncontrolled eating/grazing, and presence of a depressive disorder as negative predictors of weight loss outcomes; whereas, adherence to dietary and physical activity guidelines emerged as positive predictors of weight loss. With the exception of depression, psychological comorbidities were not consistently associated with weight loss outcomes. Results highlight the need for post-operative assessment of disordered eating and depressive disorder, further research on the predictive value of post-operative psychosocial factors, and development of targeted interventions.

Original languageEnglish (US)
Pages (from-to)330-345
Number of pages16
JournalObesity Surgery
Volume25
Issue number2
DOIs
StatePublished - Feb 2015

Keywords

  • Bariatric surgery
  • Post-operative
  • Psychopathology
  • Psychosocial
  • Weight loss

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