Psychological factors in reducing excess body weight after bariatric surgery

Aleksandr E. Neimark; Shushanna A. Eganian; Maxim I. Galchenko

doi:10.14341/omet10043

Psychological factors in reducing excess body weight after bariatric surgery

Aleksandr E. Neimark, Shushanna A. Eganian, Maxim I. Galchenko

https://doi.org/10.14341/omet10043

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Abstract

BACKGROUND: The relevance of the problem of obesity today is not in doubt. One of the most effective treatments today is bariatric surgery. At the same time, the effectiveness of the surgical method is not always predictable, as it is influenced by various factors, including the psychological state of the patient.

AIM: To study the psychological characteristics of patients with obesity before and after surgical (bariatric) treatment and to establish the relationship with weight loss.

MATERIALS AND METHOD: The study involved 32 patients with morbid obesity before and a year after laparoscopic longitudinal resection of the stomach with an initial body mass index of 45.36 (+54.90; -33.00). Questionnaire used: Symptom Check List-90-R (L.R. Derogatis). Statistical data processing was carried out using the statistical programming language R.

RESULTS: The presence or increase in the level of phobic anxiety (a persistent reaction of fear to certain people, situations and places) and psychotism (isolation, interpersonal isolation, avoidance) in a patient can have a negative impact on the success of weight loss in the postoperative period.

CONCLUSIONS. The psychological factors affecting the prognosis of weight loss after bariatric surgery have been identified. Psychological testing and determining the patient’s psychotype can be predictive in improving the outcome of surgical treatment of obesity.

Keywords

morbid obesity, bariatric surgery, psychological factors, bariatric efficacy, multidisciplinary approach

About the Authors

Aleksandr E. Neimark

«Almazov National Medical Research Centre» of the Ministry of Health of the Russian Federation
Russian Federation

MD, PHD

Shushanna A. Eganian

«Almazov National Medical Research Centre» of the Ministry of Health of the Russian Federation
Russian Federation

PhD in psychology

Maxim I. Galchenko

Saint-Petersburg State Agrarian University
Russian Federation

senior lecturer

References

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Supplementary files

	1. Figure 1. Cluster silhouettes structure
	Subject
	Type	Other
	View (259KB)	Indexing metadata ▾

	2. Figure 2. Differences in indicators depending on the group (PST values are scaled by dividing by 30, PSDY values are scaled by multiplying by 30).
	Subject
	Type	Other
	View (246KB)	Indexing metadata ▾

	3. Figure 3. The structure of the relationship of values on the scale of "psychotism" and weight loss.
	Subject
	Type	Other
	View (125KB)	Indexing metadata ▾

	4. Figure 4. Weight loss depending on the value on the scale of "psychotism".
	Subject
	Type	Other
	View (112KB)	Indexing metadata ▾

Review

For citations:

Neimark A.E., Eganian Sh.A., Galchenko M.I. Psychological factors in reducing excess body weight after bariatric surgery. Obesity and metabolism. 2019;16(3):62-68. (In Russ.) https://doi.org/10.14341/omet10043

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0).

ISSN 2071-8713 (Print)
ISSN 2306-5524 (Online)

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	Title	Figure 1. Cluster silhouettes structure
	Date	2019-12-20
Digital Object Identifier	https://doi.org/10.14341/omet10043-4798

	Title	Figure 2. Differences in indicators depending on the group (PST values are scaled by dividing by 30, PSDY values are scaled by multiplying by 30).
	Date	2019-12-20
Digital Object Identifier	https://doi.org/10.14341/omet10043-4799

	Title	Figure 3. The structure of the relationship of values on the scale of "psychotism" and weight loss.
	Date	2019-12-20
Digital Object Identifier	https://doi.org/10.14341/omet10043-4800

	Title	Figure 4. Weight loss depending on the value on the scale of "psychotism".
	Date	2019-12-20
Digital Object Identifier	https://doi.org/10.14341/omet10043-4801

User

Obesity and metabolism

Psychological factors in reducing excess body weight after bariatric surgery

Full Text:

Abstract

Keywords

About the Authors

References

Supplementary files

Review

For citations:

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