Mental Health of Patients Seeking Obesity Surgical Treatment: A Longitudinal Study

• Main Authors: Hung-Yen Lin, 林宏彥
• Other Authors: Cheng-Sheng Chen
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/28083863730070159664

碩士 === 高雄醫學大學 === 醫學系神經學科碩士班 === 102 === Background: Obesity is a integrating central issue of human health, because obesity is proportional to risk-increase of chronic physical disease, and disability and death. In addition to physical stress, obesity is also associated with mental health. The bariatric surgery approach has demonstrated to be effective in treating morbid obesity. However, psychiatric problem associated with patients who take this approach also needs to be considered. Indeed, the need of psychological evaluation before bariatric surgery is strongly suggested. In past studies, the effect of psychological factor to the surgical results remains to be established. However, there were only a few mental health studies of patient received bariatric surgery in Asia. Here in, we aim to (i) Evaluate the changes of physical and psychiatric health prior and subsequent to surgery, (ii) Look into the possibility whether the psychiatric health can predict the bariatric surgery results. Methods: First, we enrolled the patients who had received bariatric surgery at least for one year. Second, we collected and compared: (i) the physical condition and psychiatric health condition (Chinese Health Questionnaire, CHQ; Taiwanese Depressive Questionnaire, TDQ) changes before and after surgery, and (ii) the psychiatric diagnosis before surgery, to evaluate and establish their relationships. Results and Conclusions: Totally 147 cases were recruited. It is clear that the physical condition and psychiatric health were improved after surgery and parameter as illustrated as followed: after surgery, (i) average BMI decreases by 13.46 (SD 8.28), (ii) CHQ decreases by 1.52 (SD 2.80), (iii) TDQ decreases by 5.08 (SD 8.58). The life-time prevalence of any psychiatric disorder in these patients was higher than 40%. There was no difference of excess weight loss (ESWL%) between the people with and without psychiatric disorder. But the patients with psychiatric disorder still hold higher CHQ and TDQ scores after surgery. Pre-operation CHQ scores could predict the ESWL%, and the ESWL% was also related to CHQ changes after surgery. The post-operation BMI were negative association with TDQ changes. In summary, the patients received bariatric surgery had high psychiatric disorder prevalence, and even the improvements after surgery were not total recovered. We still need to pay attention to the further study as well as treatment plan of psychiatric health in bariatric patients in the future.