Beyond Bariátrica: Literature Review on the Possible Psychic Consequences of Surgery

Authors

DOI:

https://doi.org/10.20435/pssa.v13i4.1328

Keywords:

bariatric, Psychology, post-bariatric complications, psychological aspects

Abstract

Bariatric surgery is the main treatment for obesity, require major changes in routine and impact the mental health of the subjects submitted. This review aims to investigate the main psychic  consequences from bariatric. Through the survey of scientific articles in the PsyInfo, SciELO and PubMed databases and the analysis of the studies, it was possible to discuss the psychic effects and the main strategies used by professionals in this area. In all, 44 articles were analyzed. The main psychological traits found were depression, quality of life, anxiety, self-image, eating disorders and social life. As for the strategies used by the professionals, the main was awareness, through psychoeducational activities and therapeutic groups. Therefore, psychological impacts of bariatric surgery are perceived, both in enhancement the quality of life and social life, and in the appearance of depressive and anxious conditions, and awareness of the whole process and complexity of bariatric as a main facilitator in coping these aspects.

Author Biographies

Isabela Medeiros de Almeida, Universidade Federal do Espírito Santo (UFES)

Doutoranda em Processos Psicossociais e Saúde pela Universidade Federal do Espírito Santo (UFES).

Natália Salviato Nespoli, Instituto Pedagógico de Vitória (IPV)

Mestre em Psicanálise, Saúde e Sociedade pela Universidade Veiga de Almeida (UVA). Professora e coordenadora do curso de Pós-Graduação em Psicologia Hospitalar e da Saúde.

References

Ahmed, H. O. (2017). Pattern of changes in quality of life of obese patients after sleeve gastrectomy in Sulaimani provence – Kurdistan-Iraq, based on 4 years experience in two bariatric centers. Annal of Medicine Surgery, 26, 91-14. doi:http://dx.doi.org/10.1016/j.amsu.2017.12.008

Beaulac, J., & Sandre, D. (2015). Impact of a CBT psychotherapy group on post-operative bariatric patients. Springerplus, 4(764), 1-5. doi:http://dx.doi.org/10.1186/s40064-015-1558-6

Brandão, I., Ramalho, S., Bastos, A. P., Arrojado, F., Faria, G., Calhau, C. & Coelho R. (2015). Metabolic profile and psychological variables after bariatric surgery: association with weight outcomes. Eating and Weight Disorders, 20(4), 513-518, doi: http://dx.doi.org/10.1007/s40519-015-0199-7

Brasil. (2005). Conselho Federal de Medicina. Resolução CFM n. 1.699/2005. Brasília, DF: CFM. Recuperado de http://www.portalmedico.org.br/resolucoes/cfm/2010/1942_2010.htm

Brasil. (2010). Conselho Federal de Medicina. Resolução CFM n. 1.942/2010. Brasília, DF: CFM. Recuperado de: http://arquivos.cremesc.org.br/publicacao/Revista%20112%202010/Revista_112_2010/files/assets/downloads/page0015.pdf

Braun, A. C., Vierheller, B., & Oliveira, M. Z. (2016). Conflito trabalho-família em executivos: Uma revisão sistemática de 2009 a 2014. Revista Brasileira de Orientação Profissional, 17(1), 19-30. Recuperado de http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1679-33902016000100004&lng=pt&nrm=iso&tlng=pt

Braun, V., & Clarke, V. (2012). Thematic Analysis. In Cooper, H. (Ed.), APA Handbook of Research Methods in Psychology. Washington: APA.

Bressan, J. A., & Schuelter-Trevisol, F. (2019). Avaliação da Autoestima e Depressão após Cirurgia Bariátrica. Revista Brasileira de Obesidade, Nutrição e Emagrecimento, 13(79), 446-456. Recuperado de https://dialnet.unirioja.es/servlet/articulo?codigo=7067578

Brito, N. B., Magalhães, A. J. L., Santos, D. R., Oliveira Filho, A. S., Costa, A. C. C., & Brito, M. V. H. (2020). Quality of life of patients undergoing bariatric surgery by laparoscopic technique sleeve gastrectomy. Pará Research Medical Journal, 4 (35), on-line. doi:http://dx.doi.org/10.4322/prmj.2019.035

Bužgová, R., Buzga, M., Holeczy, P., & Zonca, P. (2016). Evaluation of Quality of Life, Clinical Parameters, and Psychological Distress after Bariatric Surgery: Comparison of the Laparoscopic Sleeve Gastrectomy and Laparoscopic Greater Curvature Plication. Bariatric Surgical Practice and Patient Care, 11 (4), 169-176. doi:http://dx.doi.org/10.1089/bari.2016.0022

Caltabiano, M. L. (2020). Translational aspects of body image research for obesity-related quality of life and weight loss maintenance post-bariatric surgery. Annals of Translational Medicine, 8(Suppl 1). doi:http://dx.doi.org/10.21037/atm.2019.09.63

Carvalho Jr, A., Turato, E. R., Chaim, E. A., & Magdaleno Jr, R. (2014). Weight regain among women after metabolic and bariatric surgery: A qualitative study in Brazil. Trends in Psychiatry and Psychotherapy, 36(3), 140-146. doi:http://dx.doi.org/10.1590/2237-6089-2013-0041

Castilho, R. A. T. (2019). SAT-115 Body Image Dissatisfaction and Distortion in Bariatric Patients. Journal of Endocrine Society, 5(3), on-line. doi:http://dx.doi.org/10.1210/js.2019-SAT-115

Coulman, K. D., MacKichan, F., Blazeby, J. M., Donovan, J. L., & Owen-Smith, A. (2020). Patients’ experiences of life after bariatric surgery and follow-up care: A qualitative study. BMJ Open, 10(2), on-line.. doi: http://dx.doi.org/dx.doi.org/10.1136/bmjopen-2019-035013

Cruzat-Mandich, C., Díaz-Castrillón, F., Troncoso, A. G., & Paredes, P. D. (2019). Imagen corporal antes y después de cirugía bariátrica: Percepciones de mujeres jóvenes-adultas. Revista Mexicana de Trastornos Alimentarios, 10(1), 95-108. doi: http://dx.doi.org/10.22201/fesi.20071523e.2019.1.496

Danilla, S. E., Cuevas, P. T., Domíngues, C. C., Jara, R. C., Ríos, M. V., Caderón, M. G. & Chávez, O. M. (2015). Development and testing of an instrument to assess body shape related quality of life. Revista de cirurgia chilena, 67(5), 493-505. doi: http://dx.doi.org/10.4067/S0718-40262015000500006

Faccio, E., Nardin, A., & Cipolletta, S. (2016). Becoming ex-obese: Narrations about identity changes before and after the experience of the bariatric surgery. Journal of Clinical Nursing, 25, (11/12), 1713-1720. doi:http://dx.doi.org/10.1111/jocn.13222

Garcia, A. M. A., Marquez, M. F., & Stop, T. C. (2015). Qualidade de vida em obesos e suas alterações após cirurgia bariátrica a médio e longo prazo. Nutrición. Hospitalaria, 31(5), 2033-2046. doi:http://dx.doi.org/10.3305/nh.2015.31.5.8792

Gatica-Saavedra, M., Nazar, G., & Bustos, C. (2020). Variables psicológicas y su relación con la evolución del índice de masa corporal en personas sometidas a cirugía bariátrica. Revista de cirugía, 72(2), 130-136. doi:http://dx.doi.org/10.35687/s2452-45492020002450

Gómez-Alva, A., Fernández-Murillo, M., Velázquez-Fernández, D., Flores-Morales, J., León, P., Mercado-Celis, G. E., & Betancourt-Ocampo, D. (2017). Binge eating disorder, depression, anxiety and Agouti gen related neuropeptide in patients with bariatric surgery. Revista Mexicana de Trastornos Alimentarios, 8, 161-170. doi:http://dx.doi.org/10.1016/j.rmta.2017.04.004

Hjelmesæth, J., Rosenvinge, J. H., Gade, H., & Friborg, O. (2019). Effects of Cognitive Behavioral Therapy on Eating Behaviors, Affective Symptoms, and Weight Loss After Bariatric Surgery: A Randomized Clinical Trial. Obesity Surgery, 29(1), 61-69. doi:http://dx.doi.org/10.1007/s11695-018-3471-x

Johnson, L. P., Asigbee, F. M., Crowell, R., & Negrini, A. (2018). Pre-surgical, surgical and post-surgical experiences of weight loss surgery patients: A closer look at social determinants of health. Clinical Obesity, 8(4), 265-274. doi:http://dx.doi.org/10.1111/cob.12251

Jolfaei, A. G., Lotfi, T., Pazouki, A., Meybod, A. M., Soheilirpour, F., & Jesmi, F. (2016). Comparison Between Marital Satisfaction and Self-Esteem Before and After Bariatric Surgery in Patients With Obesity. Iranian Journaul of Psychiatry Behavioral Science, 10(3). doi:http://dx.doi.org/10.17795/ijpbs-2445

Kissler, H. J., & Settmacher, U. (2013). Bariatric surgery to treat obesity. Seminars in Nephrology, 33(1), on-line. doi:http://dx.doi.org/10.1016/j.semnephrol.2012.12.004

Leiva, M. J., Cruz, M., Díaz, P., Barros, C., Assadi, V., Cortés, S., . . . Fuchs, K. (2020). Manejo psicológico del paciente sometido a cirugía bariátrica. Consenso Núcleo de Psicólogos de Cirugía de la Obesidad de Chile. Revista médica de Chile, 148(4), 518-527. doi:http://dx.doi.org/10.4067/s0034-98872020000400518

Lima, M. D. O., Silva, P. T. R., Menezes, M. C., Mendes L. L., Pessoa, M. C., ... & Matozinhos F. P (2020). Environmental and individual factors associated with quality of life of adults who underwent bariatric surgery: a cohort study. Health and Quality of Life Outcomes, 18(87), 1-12. doi:https://doi.org/10.1186/s12955-020-01331-1

Liu, R. H. & Irwin, J. D. (2017). Understanding the post-surgical bariatric experiences of patients two or more years after surgery. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 26(11), 3157-3168. doi:http://10.1007/s11136-017-1652-z

Magdaleno Jr, R., Chaim, E. A., Turato, E. R. (2009). Características psicológicas de pacientes submetidos a cirurgia bariátrica. Revista de Psiquiatria do Rio Grande do Sul, 31(1), 73-78. Recuperado de http://www.scielo.br/pdf/rprs/v31n1/v31n1a13.pdf

Magdaleno, Jr, R. (2011). Pós-operatório da cirurgia bariátrica: Repercussões emocionais. In Franques, A. R. M., Orenales-Loli, M. S. (Eds.), Novos corpos, novas realidades: Reflexões sobre o pós-operatório da cirurgia da obesidade. São Paulo: Vetor.

Martinez-Motta, P., Campa, A., George, V., & Castellanos, A. (2020). Protocol for Research on a Model Focused on Mindfulness Training to Support Weight Management after Bariatric Surgery. Current Developments in Nutrition, 4(Supplement_2), 1739-1739. doi:https://doi.org/10.1093/cdn/nzaa065_004

Mendes, N., Novaes, J. & Vilhena, J. (2018). A Experiência de Intervenção Grupal Como Ambiente Facilitador em um Ambulatório de Cirurgia Bariátrica. Polêmica, 18(3), 107-128. doi:http://10.12957/polemica.2018.39429

Mirijello, A., D'angelo, C., Iaconelli, A., Capristo, E., Ferrulli, A., Leccesi, L., & Cossari, A, . . . (2015). Social phobia and quality of life in morbidly obese patients before and after bariatric surgery. Journal of Affective Disorders, 179, 95-100. doi:http://10.1016/j.jad.2015.03.030

Nepal, H., Bhattarai, M., & Agust, E. T. (2015) New-Onset Mania Following Bariatric Surgery. Psychiatry Investigation, 12(1), 152-154. doi:http://10.4306/pi.2015.12.1.152

Nicolau, J., Ayla, L., Francés, C., Sanchís, P., Zubillaga, I., Pascual, S., & Fortuny, R. (2014). Are subjects with criteria for adult attention-deficit/ hyperactivity disorder doing worse after bariatric surgery? A case-control study. Nutrición Hospitalaria, 31(2), 1052-1058. doi:http://10.3305/nh.2015.31.3.8089

Ogden, J., Hollywood, A., & Pring, C. (2015). The Impact of Psychological Support on Weight Loss Post Weight Loss Surgery: A Randomised Control Trial. Obesity Surgery, 25(3), 500-505. doi:http://10.1007/s11695-014-1428-2

Oltmanns, J. R., Rivera, J., Cole, J., Merchant, A., & Steiner, J. P. (2020). Personality psychopathology: Longitudinal prediction of change in body mass index and weight post-bariatric surgery. Health Psychology, 39(3), 245. doi:http://10.1037/hea0000842

Organização Mundial da Saúde. (2018). Obesity and overweight fact sheet. Recuperado de http://www.who.int/mediacentre/factsheets/fs311/en/

Paul, M. A., Opyrchał, J., Knakiewicz, M., Jaremków, P., Duda-Barcik, Ł., Ibrahim, A. M., & Lin, S. J. (2020). The long-term effect of body contouring procedures on the quality of life in morbidly obese patients after bariatric surgery. Plos one, 15(2), e0229138. doi:https://doi.org/10.1371/journal.pone.0229138

Perdue, T. O., Schreier, A., Swanson, M., Neil, J., & Carels, R. (2018a). Evolving self view and body image concerns in female postoperative bariatric surgery patients. Journal of Clinical Nursing, 27 (21/22), 4018-4027. doi:http://10.1111/jocn.14527

Perdue, T. O., Schreier, A., Swanson, M., Neil, J., & Carels, R. (2018b). Majority of female bariatric patients retain an obese identity 18-30 months after surgery. Eating And Weight Disorders – Studies on Anorexia, Bulimia and Obesity, 23(5), 357-364. doi:http://10.1007/s40519-018-0601-3

Pucci, A., Cheung, W. H., Jones, J., Manning, S., Kingett, H., Adamo, M., & Elkalaawy, M. (2015). A case of severe anorexia, excessive weight loss and high peptide YY levels after sleeve gastrectomy. Endocrinology, Diabetes & Metabolism Case Reports. doi:http://10.1530/EDM-15-0020

Reppeto, G. & Rizzolli, J. (2006). Cirurgia bariátrica: acompanhamento clínico. In: Nunes, M. A., Appolinário, J. C., Galvão, A. L., & Coutinho, W. (Orgs.), Transtornos Alimentares e Obesidade (pp. 343-352). Porto Alegre: Artmed.

Ribeiro, G. A. N. A., Giapietro, H. B., Belarmino, L. B. & Salgado Jr, W. (2018). Depression, Anxiety, and Binge Eating Before and After Bariatric Surgery: Problems That Remain, Arquivos Brasileiros de Cirurgia Digestiva, 31(1), 1-4. doi:http://10.1590/0102-672020180001e1356

Sanchez-Piedrahita, L. M., Castaneda-Aviles, E. A., & Nunez-Gomez, N. A. (2018). Quality of life in patients subjected to bariatric surgery. Revista Salud Uninorte, 34(3), 625-632. Recuperado de http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-55522018000300625&lng=en&nrm=iso

Santos, R. C. (2009). Apoio psicológico para evitar recaída após cirurgia bariátrica. Jornal da Unicamp. Recuperado de: http://www.saudeemmovimento.com.br/reportagem/noticia_frame.asp?cod_noticia=3258

Schag, K., Mack, I., Giel, K. E., Ölschläger, S., Skoda, E. M., Von Feilitzsch, M., & Zipfel, S. (2016). The Impact of Impulsivity on Weight Loss Four Years after Bariatric Surgery. Nutrients, 8(11), 1-9. doi:http://10.3390/nu8110721

Sivas, F., Moran, M., Yurdakul, F., Koçak, R. U., Başkan, B., & Bodur, H. (2020). Physical activity, musculoskeletal disorders, sleep, depression, and quality of life before and after bariatric surgery. Turkish Journal of Physical Medicine and Rehabilitation, 66(3), 281. doi:http://10.5606/tftrd.2020.3694

Sisto, A., Vicinanza, F., Tuccinardi, D., Watanabe, M., Gallo, I. F., D’Alessio, R,. . . Quintiliani, L. (2020). The psychological impact of COVID-19 pandemic on patients included in a bariatric surgery program. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 1-11. doi:https://doi.org/10.1007/s40519-020-00988-3

Stapleton, P., Clark, A., Sabot, D., Carter, B., & Leech, K. (2020). Portion perfection and Emotional Freedom Techniques to assist bariatric patients post surgery: A randomised control trial. Heliyon, 6(6), e04058. doi:https://doi.org/10.1016/j.heliyon.2020.e04058

Subramaniam, K., Low, W. Y., Lau, P. C., Chin, K. F., Chinna, K., Kosai, N. R. & Taher, M. M. (2018). Eating Behaviour Predicts Weight Loss Six Months after Bariatric Surgery: A Longitudinal Study. Nutrients, 10(11), 1-13. doi:http://10.3390/nu10111616

Tavares, T. B, Nunes, S. M., & Santos, M. O. (2010). Obesidade e qualidade de vida: revisão da literatura. Revista Médica de Minas Gerais, 20(3), 359-366.

Ugarte, C., Quiñones, Á., Bustos, C., & Vicente, B. (2020). Porcentaje de peso perdido y su recuperación en pacientes bariátricos: un análisis desde la perspectiva temporal. Revista chilena de nutrición, 47(1), 41-49. doi:http://dx.doi.org/10.4067/S0717-75182020000100041

Ugarte, C., Quiñones, Á., & Vicente, B. (2019). Recuperación de peso perdido en pacientes que han tenido cirugía bariátrica: Una mirada psicológica. Revista médica de Chile, 147(11), 1390-1397. doi:http://dx.doi.org/10.4067/S0034-98872019001101390

Ünal, S., Sevinçer, G. M., & Maner, A. F. (2018). Prediction of weight regain after bariatric surgery by night eating, emotional eating, eating concerns, depression and demographic characteristics. Turkish Journal of Psychiatry, 30(1), 1-10. doi:https://doi.org/10.5080/u23174

Watson, C., Riazi, A., & Ratcliffe, D. (2020). Exploring the Experiences of Women Who Develop Restrictive Eating Behaviours After Bariatric Surgery. Obesity Surgery, 1-9. doi:https://doi.org/10.1007/s11695-020-04424-4

Wnuk, S. M., Du, C. T., Van Exan, J., Wallwork, A., Warwick, K., Tremblay, L., Kowgier, M. (2018). Mindfulness-Based Eating and Awareness Training for Post-Bariatric Surgery Patients: a Feasibility Pilot Study. Mindfulness, 9 (3), 949-960. doi: http://10.1007/s12671-017-0834-7

Ximenes, E. Cirurgia da obesidade: um enfoque psicológico. São Paulo: Livraria Santos Editora; 2009

Zwann, M., Georgiadou, E., Stroh, C. E., Teufel, M., Köhler, H., Tengler, M. & Müller, A. (2014) Body image and quality of life in patients with and without body contouring surgery following bariatric surgery: a comparison of pre- and post-surgery groups, Frontiers Psychology, 5(1310), 1-10. doi: http://10.3389/fpsyg.2014.01310/full

Published

2022-04-26

How to Cite

Almeida, I. M. de, & Nespoli, N. S. (2022). Beyond Bariátrica: Literature Review on the Possible Psychic Consequences of Surgery. Revista Psicologia E Saúde, 13(4), 139–152. https://doi.org/10.20435/pssa.v13i4.1328

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