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Obesity Surgery
Published in: Obesity Surgery 3/2008

01-03-2008 | Research Article

Changes in Depression Following Gastric Banding: A 5- to 7-year Prospective Study

Authors: Marion Schowalter, Andrea Benecke, Caroline Lager, Johannes Heimbucher, Marco Bueter, Andreas Thalheimer, Martin Fein, Matthias Richard, Hermann Faller

Published in: Obesity Surgery | Issue 3/2008

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Abstract

Background

Long-term outcomes of gastric banding regarding depression and predictors of change in depression are still unclear. This prospective, controlled study investigated depression and self-acceptance in morbidly obese patients before and after gastric banding.

Methods

A total of 248 morbidly obese patients (mean body mass index [BMI] = 46.4, SD = 6.9) seeking gastric banding completed questionnaires for symptoms of depression (Beck Depression Inventory) and self-acceptance. One hundred twenty-eight patients were treated with gastric banding and 120 patients were not. After 5 to 7 years, patients who either had (n = 40) or had not (n = 42) received gastric banding were reassessed.

Results

In the preoperative assessment, 35% of all obese patients suffered from clinically relevant depressive symptoms (BDI score ≥18). The mean depression score was higher and the mean self-acceptance score was lower than those of the normal population. Higher preoperative depression scores were observed among patients living alone and who had obtained low levels of education. After 5 to 7 years, patients with gastric banding had lost significantly more weight than patients without gastric banding (mean BMI loss 10.0 vs. 3.3). Gastric banding patients improved significantly in depression and self-acceptance, whereas no change was found in patients without gastric banding. Symptoms of depression were more reduced in patients who lost more weight, lived together with a partner, and had a high preoperative depression score.

Conclusion

Morbid obesity is associated with depressive symptoms and low self-acceptance. Gastric banding results in both long-term weight loss and improvement in depression and self-acceptance.
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Metadata
Title
Changes in Depression Following Gastric Banding: A 5- to 7-year Prospective Study
Authors
Marion Schowalter
Andrea Benecke
Caroline Lager
Johannes Heimbucher
Marco Bueter
Andreas Thalheimer
Martin Fein
Matthias Richard
Hermann Faller
Publication date
01-03-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 3/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-007-9316-7

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