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Obesity Surgery
Published in: Obesity Surgery 5/2013

01-05-2013 | Original Contributions

The Impact of Weight Loss on Depression Status in Obese Individuals Subjected to Intragastric Balloon Treatment

Authors: Kyriaki Deliopoulou, Anastasia Konsta, Sophia Penna, Pyrros Papakostas, Katerina Kotzampassi

Published in: Obesity Surgery | Issue 5/2013

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Abstract

Background

Although depression is considered to be significantly related to morbid obesity disorder, no information exists on the evolution of depression status after weight loss, in particular when an intragastric balloon is used. This prospective 6-month study examines both the effect on depression status and the relation of weight loss to depression in morbidly obese patients treated by intragastric balloon.

Methods

One hundred consecutive females fulfilling criteria for balloon treatment were assessed for depression and divided into two groups (65 depressed, 35 non-depressed). Obesity-related parameters were comparable.

Results

During the treatment period, the depression status of the mildly, moderately, and severely depressed patients improved from 40, 32.3, and 27.7 % to 20, 7.7, and 1.5 %, respectively, with 70.8 % finally exhibiting no depression at all. During the same period, body weight, BMI, body fat, and excess weight loss (EWL) were comparable between all groups, the range of BMI affecting neither the depression score nor the reduction of obesity parameters. However, there was a significant [percentage of EWL >30] weight loss difference in favor of those who were less severely depressed initially.

Conclusion

The degree of weight loss observed in obese depressed females—being comparable to that achieved by non-depressed females—after intragastric balloon insertion was found to positively affect their depression status.
Literature
1.
van Hout GC, van Oudheusden I, van Heck GL. Psychological profile of the morbidly obese. Obes Surg. 2004;14:579–88.PubMedCrossRef
2.
Kalarchian MA, Marcus MD, Levine MD, et al. Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status. Am J Psychiatry. 2007;164:328–34.PubMedCrossRef
3.
Semanscin-Doerr DA, Windover A, Ashton K, et al. Mood disorders in laparoscopic sleeve gastrectomy patients: does it affect early weight loss? Surg Obes Relat Dis. 2010;6:191–6.PubMedCrossRef
4.
Clark MM, Balsiger BM, Sletten CD, et al. Psychosocial factors and 2-year outcome following bariatric surgery for weight loss. Obes Surg. 2003;13:739–45.PubMedCrossRef
5.
Averbukh Y, Heshka S, El-Shoreya H, et al. Depression score predicts weight loss following Roux-en-Y gastric bypass. Obes Surg. 2003;13:833–6.PubMedCrossRef
6.
de Zwaan M, Enderle J, Wagner S, et al. Anxiety and depression in bariatric surgery patients: a prospective, follow-up study using structured clinical interviews. J Affect Disord. 2011;133:61–8.PubMedCrossRef
7.
Legenbauer T, De Zwaan M, Benecke A, et al. Depression and anxiety: their predictive function for weight loss in obese individuals. Obes Facts. 2009;2:227–34.PubMedCrossRef
8.
9.
Dixon JB, Dixon ME, O’Brien PE. Depression in association with severe obesity: changes with weight loss. Arch Intern Med. 2003;163:2058–65.PubMedCrossRef
10.
Dubovsky SL, Haddenhorst A, Murphy J, et al. A preliminary study of the relationship between preoperative depression and weight loss following surgery for morbid obesity. Int J Psych Med. 1985;15:185–96.CrossRef
11.
Kalarchian MA, Marcus MD, Levine MD, et al. Relationship of psychiatric disorders to 6-month outcomes after gastric bypass. Surg Obes Relat Dis. 2008;4:544–9.PubMedCrossRef
12.
Legenbauer T, Petrak F, de Zwaan M, et al. Influence of depressive and eating disorders on short- and long-term course of weight after surgical and nonsurgical weight loss treatment. Compr Psychiatr. 2011;52:301–11.CrossRef
13.
Fried M, Hainer V, Basdevant A, et al. Interdisciplinary European guidelines on surgery of severe obesity. Obes Facts. 2008;1:52–9.PubMedCrossRef
14.
Kotzampassi K, Grosomanidis V, Papakostas P, et al. 500 intragastric balloons: what happens 5 years thereafter? Obes Surg. 2012;22:896–903.PubMedCrossRef
15.
Papavramidis TS, Grosomanidis V, Papakostas P, et al. Intragastric balloon fundal or antral position affects weight loss and tolerability. Obes Surg. 2012;22:904–9.PubMedCrossRef
16.
Beck AT, Ward CH, Mendelson M, et al. An inventory for measuring depression. Arch Gen Psych. 1961;4:561–71.CrossRef
17.
Beck AT, Steer RA, Garbin MG. Psychopathology properties of the Beck Depression Inventory: twenty five years of evaluation. Clin Psych Rev. 1988;8:77–100.CrossRef
18.
Carter C, Dacey C. Validity of the Beck Depression Inventory, MMPI, and Rorschach in assessing adolescent depression. J Adolesc. 1996;19:223–31.PubMedCrossRef
19.
Wadden TA, Phelan S. Assessment of quality of life in obese individuals. Obes Res. 2002;10 Suppl 1:50S–7S.PubMedCrossRef
20.
Ropka ME, Ropka ME. Symptom status and functional status outcomes: humanistic outcomes in obesity disease management. Obes Res. 2002;10 Suppl 1:42S–9S.PubMedCrossRef
21.
Krukowski RA, Friedman KE, Applegate KL. The utility of the Beck Depression Inventory in a bariatric surgery population. Obes Surg. 2010;20:426–31.PubMedCrossRef
22.
NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med. 1991;115:956–61.
23.
Bauchowitz AU, Gonder-Frederick LA, Olbrisch ME, et al. Psychosocial evaluation of bariatric surgery candidates: a survey of present practices. Psychosom Med. 2005;67:825–32.PubMedCrossRef
24.
Mechanick JI, Kushner RF, Sugerman HJ, et al. American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic and Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient. Surg Obes Relat Dis. 2008;4:S109–84.PubMedCrossRef
25.
Mechanick JI, Kushner RF, Sugerman HJ, et al. American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic and Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic and nonsurgical support of the bariatric surgery patient. Obesity. 2009;17:S1–S70.PubMedCrossRef
26.
Shikora SA, Kruger Jr RS, Blackburn GL, et al. Best practices in policy and access [coding and reimbursement] for weight loss surgery. Obesity. 2009;17:918–23.PubMedCrossRef
27.
Walfish S, Vance D, Fabricatore AN. Psychological evaluation of bariatric surgery applicants: procedures and reasons for delay or denial of surgery. Obes Surg. 2007;17:1578–83.PubMedCrossRef
28.
Devlin MJ, Goldfein JA, Flancbaum L, et al. Surgical management of obese patients with eating disorders: a survey of current practice. Obes Surg. 2004;14:252–7.CrossRef
29.
Wadden TA, Sarwer DB. Behavioral assessment of candidates for bariatric surgery: a patient-oriented approach. Surg Obes Relat Dis. 2006;2:171–9.PubMedCrossRef
30.
Sogg S, Mori DL. Psychosocial evaluation for bariatric surgery: the Boston interview and opportunities for intervention. Obes Surg. 2009;19:369–77.PubMedCrossRef
31.
Grothe KB, Dubbert PM, O’Jile JR. Psychological assessment and management of the weight loss surgery patient. Am J Med Sci. 2006;331:201–6.PubMedCrossRef
32.
Pawlow LA, O’Neil PM, White MA, et al. Findings and outcomes of psychological evaluations of gastric bypass applicants. Surg Obes Relat Dis. 2005;1:523–7.PubMedCrossRef
33.
Wadden TA, Sarwer DB, Womble LG, et al. Psychosocial aspects of obesity and obesity surgery. Surg Clin North Am. 2001;81:1001–24.PubMedCrossRef
34.
Kalarchian MA, Wilson GT, Brolin RE, et al. Binge eating in bariatric surgery patients. Int J Eat Disord. 1998;23:89–92.PubMedCrossRef
35.
Wadden TA, Butryn ML, Sarwer DB, et al. Comparison of psychosocial status in treatment-seeking women with class III vs. class I–II obesity. Obesity (Silver Spring). 2006;14([Suppl 2]):90S–8S.CrossRef
36.
Ratcliff MB, Reiter-Purtill J, Inge TH, et al. Changes in depressive symptoms among adolescent bariatric candidates from preoperative psychological evaluation to immediately before surgery. Surg Obes Relat Dis. 2011;7:50–4.PubMedCrossRef
37.
Luppino FS, de Wit LM, Bouvy PF, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Arch Gen Psychiatry. 2010;67:220–9.PubMedCrossRef
38.
Kotzampassi K, Eleftheriadis E. Intragastric balloon as an alterantive procedure for morbid obesity. Ann Gastroenterol. 2006;19:285–8.
39.
Doldi SB, Micheletto G, Di Prisco F, et al. Intragastric balloon in obese patients. Obes Surg. 2000;10:578–81.PubMedCrossRef
40.
Kotzampassi K, Shrewsbury AD. Intragastric balloon: ethics, medical need and cosmetics. Dig Dis. 2008;26:45–8.PubMedCrossRef
41.
Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA. 1999;282:1737–44.PubMedCrossRef
42.
Zhao G, Ford ES, Dhingra S, et al. Depression and anxiety among US adults: associations with body mass index. Int J Obes (Lond). 2009;33:257–66.CrossRef
43.
Friedman MA, Brownell KD. Psychological correlates of obesity: moving to the next research generation. Psychol Bull. 1995;117:3–20.PubMedCrossRef
44.
Carpenter KM, Hasin DS, Allison DB, et al. Relationships between obesity and DSM-IV major depressive disorder, suicidal ideation, and suicide attempts: results from a general population survey. Am J Public Health. 2000;90:251–7.PubMedCrossRef
45.
Simon GE, Von Korff M, Saunders K, et al. Association between obesity and psychiatric disorders in the US adult population. Arch Gen Psychiat. 2006;63:824–30.PubMedCrossRef
46.
Ma J, Xiao L. Obesity and depression in US women: results from the 2005–2006 national health and nutritional examination survey. Obesity (Silver Spring). 2010;18:347–53.CrossRef
47.
Thande NK, Hurstak EE, Sciacca RE, et al. Management of obesity: a challenge for medical training and practice. Obes. 2008;17:107–13.
48.
Homan K. Athletic-ideal and thin-ideal internalization as prospective predictors of body dissatisfaction, dieting, and compulsive exercise. Body Image. 2010;7:240–5.PubMedCrossRef
49.
Dixon JB, Dixon ME, O’Brien PE. Body image: appearance orientation and evaluation in the severely obese. Changes with weight loss. Obes Surg. 2002;12:65–71.PubMedCrossRef
50.
Bully P, Elosua P. Changes in body dissatisfaction relative to gender and age: the modulating character of BMI. Span J Psychol. 2011;14:313–22.PubMedCrossRef
51.
Nouri M, Hill LG, Orrell-Valente JK. Media exposure, internalization of the thin ideal, and body dissatisfaction: comparing Asian American and European American college females. Body Image. 2011;8:366–72.PubMedCrossRef
52.
Atlantis E, Ball K. Association between weight perception and psychological distress. Int J Obes (Lond). 2008;32:715–21.CrossRef
53.
Grilo CM, Wilfley DE, Brownell KD, et al. Teasing, body image, and self-esteem in a clinical sample of obese women. Addict Behav. 1994;19:443–50.PubMedCrossRef
54.
Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Rev. 2005;13:639–48.CrossRef
55.
Allison DB, Newcomer JW, Dunn AL, et al. Obesity among those with mental disorders: a National Institute of Mental Health meeting report. Am J Prev Med. 2009;36:341–50.PubMedCrossRef
56.
Guisado JA, Vaz FJ, López-Ibor Jr JJ, et al. Eating behavior in morbidly obese patients undergoing gastric surgery: differences between obese people with and without psychiatric disorders. Obes Surg. 2001;11:576–80.PubMedCrossRef
57.
Powers PS, Rosemurgy A, Boyd F, et al. Outcome of gastric restriction procedures: weight, psychiatric diagnoses, and satisfaction. Obes Surg. 1997;7:471–7.PubMedCrossRef
58.
Karlsson J, Taft C, Rydén A, et al. Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes. 2007;31:1248–61.CrossRef
59.
Abilés V, Rodríguez-Ruiz S, Abilés J, et al. Psychological characteristics of morbidly obese candidates for bariatric surgery. Obes Surg. 2010;20:161–7.PubMedCrossRef
60.
Fabricatore AN, Wadden TA, Sarwer DB, et al. Health-related quality of life and symptoms of depression in extremely obese persons seeking bariatric surgery. Obes Surg. 2005;15:304–9.PubMedCrossRef
61.
Marcellini F, Giuli C, Papa R, et al. BMI, life-style and psychological conditions in a sample of elderly Italian men and women. J Nutr Health Aging. 2010;14:515–22.PubMedCrossRef
Metadata
Title
The Impact of Weight Loss on Depression Status in Obese Individuals Subjected to Intragastric Balloon Treatment
Authors
Kyriaki Deliopoulou
Anastasia Konsta
Sophia Penna
Pyrros Papakostas
Katerina Kotzampassi
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 5/2013
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-012-0855-1

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