Journal
CURRENT PSYCHIATRY REPORTS
Volume 15, Issue 10, Pages -Publisher
SPRINGER
DOI: 10.1007/s11920-013-0397-9
Keywords
Morbid obesity; Bariatric surgery; Weight loss; Psychiatric comorbidity; Eating disorders; Substance use; Anxiety; Depression; Suicide; Impulse control disorders; Prebariatric psychiatric assessment; Postsurgery body contouring; Psychiatry
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While most conventional treatments for individuals with severe obesity have a modest and short lived impact bariatric surgery has been consistently shown to result in long-term marked weight loss and significant improvement in medical comorbidities. Empirical data suggest a high prevalence of mental disorders among bariatric surgery candidates. This article reviews specific areas of psychopathology, problems in using psychopharmacological medications post-surgery, body contouring, and recommendations for pre and post-surgery care. Available research indicates a decrease in psychiatric symptoms post-surgery. However, in some patients the improvement appears to erode over time. Therefore, bariatric surgery patients should be monitored not only before surgery but also following surgery and referred for mental health treatment if problems develop.
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