Relationship between depressive symptoms and bariatric surgery: a systematic review
Keywords:
Emotionality, Bariatric surgery, DepressionAbstract
Obesity has become a public health epidemic accompanied by well-established medical complexities, but the impacts on emotionality associate obesity with anxiety, depression and low self-esteem, allowing obese people to experience insecurity, sadness, fear of isolation and rejection. In addition to conventional treatments, bariatric surgery has been highlighted as a procedure that causes sustained weight loss, but the effects on emotionality are still uncertain. Thus, the objective of this systematic literature review was to evaluate the role of surgery in post-surgical depression, in order to verify whether there is an increase in depressive levels after the procedure is carried out or whether these impact on future weight regain. Active searches were performed in the PubMed database using specific keywords published in the last year. Of the 64 articles found, only 9 were related to the theme and the results point to an inconsistency in the presence of post-surgical depression, revealing the need for standardized guidelines in the follow-up and impact of the results after bariatric surgery.
References
ALYAHYA, R.A, ALNUJAIDI, M.A. Prevalence and outcomes of depression after bariatric surgery: a systematic review and meta-analysis. Cureus, v.14, n.6, p.e25651, 2022.
ALSHAMMARI, S.A. et al. The prevalence of depression and anxiety in post-bariatric surgery patients at King Khalid University Hospital, Riyadh. Cureus, v.14, n.12, p.e32500, 2022.
AYLWARD, L. et al. How soon do depression and anxiety symptoms improve after bariatric surgery? Healthcare, v.11, n.6, p.862, 2023.
COUGHLIN, J.W. et al. Preoperative depression status and 5 year metabolic and bariatric surgery outcomes in the PCORnet bariatric study cohort. Annals of Surgery, v. 277, n. 4, p. 637-646, 2023.
FU, Y. et al. Assessment of dietary, depression and metabolic indicators following bariatric surgery: A cross-sectional study with mediation analysis. Asian Journal of Surgery, v. 46, n.5, p.2245-2246, 2022.
FURTADO, T.A. et al. Depressive and eating disorders in patients post-bariatric surgery with weight regain: a descriptive observational study. Arquivos Brasileiros de Cirurgia Digestiva, v. 36, p. e1725, 2023.
HACHULA, M. et al. The impact of various methods of obesity treatment on the quality of life and mental health-a narrative review. International Journal of Environmental Research and Public Health, v.20, n.3, p.2122, 2023.
KOMORNIAK, N. et al. Association between fecal microbiota, SCFA, gut integrity markers and depressive symptoms in patients treated in the past with bariatric surgery-the cross-sectional study. Nutrients, v.14, n.24, p.5372, 2022.
MONTELEONE, A.M. et al. Psychopathology predicts mental but not physical bariatric surgery outcome at 3-year follow-up: a network analysis study. Eat Weight Disord, v.27, n.8, p.3331-3340, 2022.