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01-11-2014 | Original Contributions

Bipolar Disorder Symptoms in Patients Seeking Bariatric Surgery

Authors: Karen B. Grothe, Manpreet S. Mundi, Susan M. Himes, Michael G. Sarr, Matthew M. Clark, Jennifer R. Geske, Sarah A. Kalsy, Mark A. Frye

Published in: Obesity Surgery | Issue 11/2014

Abstract

Background

Mood disorders are common among patients seeking bariatric surgery although little data exist regarding the prevalence of bipolar symptoms in this population and how they influence surgical outcomes. Our aim was to describe baseline rates of bipolar symptoms and their relationship to psychological factors and completing surgery in a sample of adults seeking bariatric surgery at an academic medical center.

Methods

We retrospectively reviewed the relationship of bipolar symptoms to demographic characteristics, baseline weight, psychological factors, and bariatric surgery completion.

Results

Nine hundred thirty-five patients completed the preoperative psychological evaluation. Six percent of the preoperative sample screened positive for symptoms of bipolar disorder. Patients with bipolar symptoms endorsed more robust psychopathology, trauma history, and problematic eating behaviors than patients without bipolar symptoms. Twenty-two percent of the patients with bipolar symptoms underwent bariatric surgery (n = 12), yet only 13 % were denied bariatric surgery for psychiatric reasons, suggesting that other variables may influence the completion of bariatric surgery for these patients.

Conclusion

Prevalence rates of bipolar symptoms may be greater in patients seeking bariatric surgery compared with the general population, and few patients with bipolar symptoms actually undergo bariatric surgery. Psychological factors differentiate patients with bipolar symptoms who undergo bariatric surgery vs those who do not.

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Title: Bipolar Disorder Symptoms in Patients Seeking Bariatric Surgery
Authors: Karen B. Grothe
Manpreet S. Mundi
Susan M. Himes
Michael G. Sarr
Matthew M. Clark
Jennifer R. Geske
Sarah A. Kalsy
Mark A. Frye
Publication date: 01-11-2014
Publisher: Springer US
Published in: Obesity Surgery / Issue 11/2014
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-014-1262-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Bipolar Disorder Symptoms in Patients Seeking Bariatric Surgery

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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