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Obesity Surgery

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01-09-2014 | Original Contributions

Axis I Disorders in Adjustable Gastric Band Patients: the Relationship Between Psychopathology and Weight Loss

Authors: M. J. Hayden, K. D. Murphy, W. A. Brown, P. E. O’Brien

Published in: Obesity Surgery | Issue 9/2014

Abstract

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.

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Title: Axis I Disorders in Adjustable Gastric Band Patients: the Relationship Between Psychopathology and Weight Loss
Authors: M. J. Hayden
K. D. Murphy
W. A. Brown
P. E. O’Brien
Publication date: 01-09-2014
Publisher: Springer US
Published in: Obesity Surgery / Issue 9/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-014-1207-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Axis I Disorders in Adjustable Gastric Band Patients: the Relationship Between Psychopathology and Weight Loss

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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