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Axis I disorders in adjustable gastric band patients: the relationship between psychopathology and weight loss

journal contribution
posted on 2014-09-01, 00:00 authored by Melissa HaydenMelissa Hayden, K Murphy, W Brown, P O'Brien
Background
Bariatric surgery candidates have higher rates of co-morbid psychological illnesses than those in the general population. The effect of weight loss on these illnesses is unclear.

Methods
This prospective observational study explored psychiatric co-morbidities and weight loss outcomes in 204 gastric banding surgery candidates. Psychiatric co-morbidities were assessed prior to surgery and 2 years post-surgery. One hundred and fifty patients (74 %) completed assessments at both time points.

Results
At baseline, 39.7 % of the patients met the criteria for a current axis I disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV). Mood disorders were the most frequent (26.5 %), followed by anxiety disorders (15.2 %) and binge eating disorder (13.2 %). Preoperative psychopathology predicted clinical psychopathology at 2 years. No preoperative or post-operative axis I disorder was significantly related to weight loss at 2 years. The frequency of current axis I disorders decreased significantly from 39.7 % preoperatively to 20 % 2 years post-surgery.

Conclusions
The point prevalence of psychopathology in this sample of Australian bariatric candidates is high. Psychopathology, preoperatively and at 2 years of follow-up, was not associated with weight loss at 2 years.

History

Journal

Obesity surgery

Volume

24

Issue

9

Pagination

1469 - 1475

Publisher

Springer

Location

Dordrecth, The Netherlands

ISSN

1708-0428

Language

eng

Publication classification

C1 Refereed article in a scholarly journal

Copyright notice

2014, Springer