Mental health outcomes in revisional versus primary bariatric surgery patients: A matched case control study

Samantha E Leung; Venus Daliri; Stephanie E Cassin; Raed Hawa; Sanjeev Sockalingam

doi:10.1016/j.jpsychores.2023.111335

Mental health outcomes in revisional versus primary bariatric surgery patients: A matched case control study

J Psychosom Res. 2023 Jul:170:111335. doi: 10.1016/j.jpsychores.2023.111335. Epub 2023 Apr 11.

Authors

Samantha E Leung¹, Venus Daliri², Stephanie E Cassin³, Raed Hawa⁴, Sanjeev Sockalingam⁵

Affiliations

¹ Bariatric Surgery Program, University Health Network, Toronto, ON M5T 2S8, Canada.
² St. George's University School of Medicine, Great River, NY 11739, USA.
³ Department of Psychology, Toronto Metropolitan University, Toronto, ON M5B 2K3, Canada; Department of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada; Centre for Mental Health, University Health Network, Toronto, ON M5G 2C4, Canada.
⁴ Bariatric Surgery Program, University Health Network, Toronto, ON M5T 2S8, Canada; Department of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada; Centre for Mental Health, University Health Network, Toronto, ON M5G 2C4, Canada.
⁵ Bariatric Surgery Program, University Health Network, Toronto, ON M5T 2S8, Canada; Department of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada; Centre for Mental Health, University Health Network, Toronto, ON M5G 2C4, Canada; Centre for Addiction and Mental Health, Toronto, ON M6J 1H4, Canada. Electronic address: sanjeev.sockalingam@camh.ca.

PMID: 37075516
DOI: 10.1016/j.jpsychores.2023.111335

Abstract

Objective: To determine whether depression and anxiety symptoms differ between revisional bariatric surgery patients and primary bariatric surgery patients, as such mental health outcomes can have long-lasting impacts on weight loss and the overall success of bariatric surgery.

Methods: An exploratory matched case control study was performed with a total of 50 patients - 25 patients who had received revisional surgery and 25 who had received primary bariatric surgery. Revisional patients were matched with primary patients on sex, age (±7 years), pre-operative BMI (±8.0) and time since surgery. Mental health outcomes of depressive and anxiety symptoms, as measured by the Patient Health Questionnaire 9-Item scale (PHQ-9) and Generalized Anxiety Disorder 7-Item scale (GAD-7) respectively, were compared between groups.

Results: No significant differences were found between the revisional and primary bariatric surgery groups across time (pre-surgery, 1-year post-surgery, 2-year post-surgery and 3-years post-surgery) for GAD-7 (f = 0.045, p = 0.987) and PHQ-9 (f = 0.277, p = 0.842) scores.

Conclusion: Primary and revisional bariatric surgery patients do not have significant differences in depressive and anxiety scores. Revisional bariatric surgery can thus be effective in the remission of comorbid mental health conditions as trajectories remain comparable up to 3-years following surgery.

Keywords: Anxiety; Depression; Mental health; Revisional bariatric surgery.

MeSH terms

Bariatric Surgery*
Case-Control Studies
Gastric Bypass* / adverse effects
Humans
Obesity, Morbid* / etiology
Obesity, Morbid* / surgery
Outcome Assessment, Health Care
Postoperative Complications / etiology
Reoperation
Retrospective Studies
Treatment Outcome