Más Allá de Bariátrica: Revisión de la Literatura sobre las Posibles Consecuencias Psíquicas de la Cirugía
DOI:
https://doi.org/10.20435/pssa.v13i4.1328Palabras clave:
bariátrica, Psicología, complicaciones posbariátricas, aspectos psicológicosResumen
La cirugía bariátrica es actualmente el tratamiento principal para la obesidad, requiere cambios importantes en la rutina e impacta la salud mental de los sujetos presentados. Esta revisión tiene como objetivo investigar las principales consecuencias psicológicas de la bariátrica. Mediante de la encuesta de artículos científicos en las bases de datos PsyInfo, SciELO y PubMed y el análisis de los estudios, fue posible discutir los efectos psíquicos y las principales estrategias utilizadas por los profesionales en este campo. En total, se analizaron 44 obras. Los principales rasgos psicológicos encontrados fueron depresión, calidad de vida, ansiedad, auto imagen, trastornos alimentarios y vida social. En cuanto a las estrategias utilizadas por los profesionales, el principal fue la sensibilización, a través de actividades psicoeducativas y grupos terapéuticos. Por tanto, se perciben los impactos psiquiátricos de la cirugía bariátrica, tanto en la mejora de la calidad de vida y la vida social, como en la aparición de estados depresivos y ansiosos, y en la conciencia de todo el proceso y la complejidad de la bariátrica como facilitadora para afrontar estos aspectos.
Citas
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
Publicado
Cómo citar
Número
Sección
Licencia
Os artigos publicados na Revista Psicologia e Saúde têm acesso aberto (Open Access) sob a licença Creative Commons Attribution, que permite uso, distribuição e reprodução em qualquer meio, sem restrições, desde que o trabalho original seja corretamente citado.