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Obesity Surgery

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Open Access 01-01-2008 | Research Article

Psychosocial Functioning, Personality, and Body Image Following Vertical Banded Gastroplasty

Authors: Gerbrand C. M. van Hout, Frederiek A. M. Fortuin, Aline J. M. Pelle, Guus L. van Heck

Published in: Obesity Surgery | Issue 1/2008

Abstract

Background

In addition to increased risks of morbidity and mortality, extreme obesity is substantially associated with psychosocial problems. Therefore, the ultimate goal of bariatric surgery should not only be reducing weight and counteracting comorbid conditions but also improving psychosocial functioning. In addition to being an important goal of bariatric surgery, enhanced psychosocial functioning may motivate patients to adhere to adequate health behavior to maintain the surgically established weight loss.

Methods

We evaluated early postoperative psychosocial functioning in several domains over time. Preoperatively as well as 6, 12, and 24 months after vertical banded gastroplasty, 104 patients were psychologically assessed using a semi-structured interview and psychological questionnaires focusing on psychosocial functioning, personality, and body image.

Results

Over time, we found significant changes in weight: 2 years excess weight loss was 58.6%. In addition, most aspects of psychosocial functioning showed significant improvements over time. However, initial improvements in depressive symptoms, sleeping problems, and neuroticism did not last. With respect to personality features, only short-term changes in self-esteem were found. The most robust improvements were seen in the case of body image. Finally, within the patient group, there was a wide variability in changes.

Conclusion

Vertical banded gastroplasty not only leads to considerable weight loss but also to significant improvements in psychosocial functioning. However, some improvements waned over time, and successful postoperative functioning did not apply to all patients.

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Title: Psychosocial Functioning, Personality, and Body Image Following Vertical Banded Gastroplasty
Authors: Gerbrand C. M. van Hout
Frederiek A. M. Fortuin
Aline J. M. Pelle
Guus L. van Heck
Publication date: 01-01-2008
Publisher: Springer-Verlag
Published in: Obesity Surgery / Issue 1/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-007-9309-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Psychosocial Functioning, Personality, and Body Image Following Vertical Banded Gastroplasty

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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