Psychological well-being and relationship changes in women after obesity surgery

The present study explored changes in patients\u27 psychological well-being and relationship adjustment at three- and six-months after either Lap-Band or Gastric Bypass Surgery. Sixty-eight women completed the battery, which consisted of standardized questionnaires of self-esteem, body-image, psychological symptomatology, and assertiveness, as well as marital and sexual functioning, prior to surgery and then at the two follow-ups. Also included was the assessment of patient expectations of relationship change and the pilot Weight-Related Relationship Adjustment Questionnaires (WRRAQ\u27s). Pilot WRRAQ\u27s were designed for the purpose of the study, based on retrospective patient narratives, and assessed parenting, work, family, and friend relationship domains. Psychometric properties of the WRRAQ\u27s were examined and determined to be acceptable to good. Results indicate that obesity surgery had a positive effect on all aspects of psychological well-being, and on a number of relationships, with the exception of marital and sexual functioning. Patients\u27 expectations of relationship improvement were positively correlated with friendship improvement, but negatively related to changes in marital adjustment. In summary, the findings of this study support a systems perspective of morbid obesity and highlight the importance of understanding patient expectations and utilizing disease-specific measures to assess patient progress and design interventions to facilitate positive outcome

Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery

Although there are several recent reviews of the pre-operative factors that influence treatment outcome for bariatric surgery, commensurate efforts to identify and review the predictive validity of post-operative variables are lacking. This review describes the post-operative psychosocial predictors of weight loss in bariatric surgery. Results suggest empirical support for post-operative binge eating, uncontrolled eating/grazing, and presence of a depressive disorder as negative predictors of weight loss outcomes; whereas, adherence to dietary and physical activity guidelines emerged as positive predictors of weight loss. With the exception of depression, psychological comorbidities were not consistently associated with weight loss outcomes. Results highlight the need for post-operative assessment of disordered eating and depressive disorder, further research on the predictive value of post-operative psychosocial factors, and development of targeted interventions

Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery

Although there are several recent reviews of the pre-operative factors that influence treatment outcome for bariatric surgery, commensurate efforts to identify and review the predictive validity of post-operative variables are lacking. This review describes the post-operative psychosocial predictors of weight loss in bariatric surgery. Results suggest empirical support for post-operative binge eating, uncontrolled eating/grazing, and presence of a depressive disorder as negative predictors of weight loss outcomes; whereas, adherence to dietary and physical activity guidelines emerged as positive predictors of weight loss. With the exception of depression, psychological comorbidities were not consistently associated with weight loss outcomes. Results highlight the need for post-operative assessment of disordered eating and depressive disorder, further research on the predictive value of post-operative psychosocial factors, and development of targeted interventions