Abstract
OBJECTIVE: The objective of this study is to present a review of the psychosocial outcome of bariatric surgery with special consideration of psychiatric comorbidity, psychopathology, psychosocial functioning, econometric data, and general quality of life (QoL).
PURPOSE: A review of all (non-) controlled trials of the last two decades both with a retrospective and prospective design and a follow-up period of at least 1 y.
RESEARCH METHODS AND PROCEDURES: The relevant literature was identified by a search of computerized databases. All articles published in English and German since 1980 were reviewed. Based on the requirements of the evidenced-based guidelines of the Agency for Health Care Policy and Research and the Scottish Intercollegiate Guidelines Network, each study was rated by a level of evidence.
RESULTS: In all, 171 publications were reviewed. Using the above inclusion/exclusion criteria, 63 articles including two systematic reviews were identified. A total of 40 studies focused on psychosocial outcome after obesity surgery.
CONCLUSION: Mental health and psychosocial status including social relations and employment opportunities improve for the majority of people after bariatric surgery thus leading to an improved QoL. Psychiatric comorbidity, predominantly affective disorders, and psychopathologic symptoms decrease postsurgically. A substantial percentage of bariatric surgery patients suffer from binge eating disorder or binge eating symptoms. The effect of bariatric surgery on the outcome of binge eating symptoms largely depends on the type of operation. With the exception of patients with a severe psychiatric comorbidity, the concern that obesity surgery will reinforce psychic symptoms and lead to a reduction in the QoL seems to be unfounded.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
Similar content being viewed by others
References
Obesity epidemic puts millions at risk from related diseases. WHO: Genf; 1997.
McDowell A, Engel A, Massey JT, Maurer K . Plan and operation of the Second National Health and Nutrition Examination Survey, 1976–1980. Vital Health Stat 1 1981; Series1 : 1–144.
Hebebrand J, Remschmidt H . [Body weight under genetic control]. Med Klin 1995; 90: 403–410.
NIH conference. Gastrointestinal surgery for severe obesity. Consensus Development Conference Panel. Ann Intern Med 1991; 115: 956–961.
Sjostrom L, Larsson B, Backman L, Bengtsson C, Bouchard C, Dahlgren S, Hallgren P, Jonsson E, Karlsson J, Lapidus L, Swedish obese subjects (SOS). Recruitment for an intervention study and a selected description of the obese state. Int J Obes Relat Metab Disord 1992; 16: 465–479.
James WP . What are the health risks? The medical consequences of obesity and its health risks. Exp Clin Endocrinol Diabetes 1998; 106(Suppl 2): 1–6.
Assmann G, Schulte H, Cullen P . New and classical risk factors—the Munster heart study (PROCAM). Eur J Med Res 1997; 2: 237–242.
Benotti PN, Bistrain B, Benotti JR, Blackburn G, Forse RA . Heart disease and hypertension in severe obesity: the benefits of weight reduction. Am J Clin Nutr 1992; 55: 586S–590S.
Chow WH, Blot WJ, Vaughan TL, Risch HA, Gammon MD, Stanford JL, Dubrow R, Schoenberg JB, Mayne ST, Farrow DC, Ahsan H, West AB, Rotterdam H, Niwa S, Fraumeni Jr JF . Body mass index and risk of adenocarcinomas of the esophagus and gastric cardia. J Natl Cancer Inst 1998; 90: 150–155.
Chu SY, Lee NC, Wingo PA, Senie RT, Greenberg RS, Peterson HB . The relationship between body mass and breast cancer among women enrolled in the Cancer and Steroid Hormone Study. J Clin Epidemiol 1991; 44: 1197–1206.
Sonne-Holm S, Sorensen TI . Prospective study of attainment of social class of severely obese subjects in relation to parental social class, intelligence, and education. BMJ (Clin Res Ed) 1986; 292: 586–589.
Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH . Social and economic consequences of overweight in adolescence and young adulthood. N Engl J Med 1993; 329: 1008–1012.
Maddox GL, Back KW, Liederman WR . Overweight as social deviance and disability. J Health Soc Behav 1968; 9: 287–298.
Stunkard AJ, Stinnett JL, Smoller JW . Psychological and social aspects of the surgical treatment of obesity. Am J Psychiatry 1986; 143: 417–429.
Wadden TA . The treatment of obesity—an overview. In: Stunkard AJ, Wadden TA (eds). Obesity: theory and therapy, 2nd edn. Raven Press: New York; 1993. pp 197–217.
Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Development Conference Statement. Am J Clin Nutr 1992; 55: 615S–619S.
German Society for Obesity Research: (Guidelines for treatment of obesity). Adipositas 1995; 5: 6–10.
Mason EE, Tang S, Renquist KE, Barnes DT, Cullen JJ, Doherty C, Maher JW . A decade of change in obesity surgery. National Bariatric Surgery Registry (NBSR) Contributors. Obes Surg 1997; 7: 189–197.
Hell E . (Historical Development of surgery for morbid obesity). Acta Chir Austriaca 1998; 30: 131–132.
Bray GA, Benfield JR . Intestinal bypass for obesity: a summary and perspective. Am J Clin Nutr 1977; 30: 121–127.
Halverson JD, Scheff RJ, Gentry K, Alpers DH . Long-term follow-up of jejunoileal bypass patients. Am J Clin Nutr 1980; 33: 472–475.
Brolin RE . Gastrointestinal surgery for obesity. Semin Gastrointest Dis 1998; 9: 163–175.
Monteforte MJ, Turkelson CM . Bariatric surgery for morbid obesity. Obes Surg 2000; 10: 391–401.
Brolin RE, Robertson LB, Kenler HA . Weight loss and dietary intake after vertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg 1994; 161: 782–790.
Hall JC, Watts JM, O'Brien PE, Dunstan RE, Walsh JF, Slavotinek AH, Elmslie RG . Gastric surgery for morbid obesity. The Adelaide Study. Ann Surg 1990; 211: 419–427.
MacLean LD, Rhode BM, Sampalis J, Forse RA . Results of the surgical treatment of obesity. Am J Surg 1993; 165: 155–160.
Sugerman HJ, Kellum JM, Engle KM, Wolfe L, Starkey JV, Birkenhauer R, Fletcher P, Sawyer MJ . Gastric bypass for treating severe obesity. Am J Clin Nutr 1992; 55: 560S–566S.
Sugerman HJ, Londrey GL, Kellum JM, Wolf L, Liszka T, Engle KM, Birkenhauer R, Starkey JV . Weight loss with vertical banded gastroplasty and Roux-Y gastric bypass for morbid obesity with selective versus random assignment. Am J Surg 1989; 157: 93–102.
Brolin RE, Clemow LP, Kasnetz KA, Fynan TM, Silva EM, Greenfield DP . Outcome predictors after gastroplasty for morbid obesity. Nutr Int 1986; 2: 322–326.
Kral JG . Surgical treatment of obesity. Med Clin N Am 1998; 73: 251–264.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th edition, DSM-IV, 4th edn. American Psychiatric Association: Washington, Weinheim, Basel; 1994.
Black DW, Yates WR, Reich RH, Bell S, Goldstein RBME . DSM-III personality disorder in bariatric clinic patients. Ann Clin Psychiatry 1989; 1: 33–37.
Black DW, Goldstein RB, Mason EE . Prevalence of mental disorder in 88 morbidly obese bariatric clinic patients. Am J Psychiatry 1992; 149: 227–234.
de Zwaan M, Nutzinger DO, Schoenbeck G . Binge eating in overweight women. Compr Psychiatry 1992; 33: 256–261.
Pekkarinen T, Koskela K, Huikuri K, Mustajoki P . Long-term results of gastroplasty for morbid obesity: binge-eating as a predictor of poor outcome. Obes Surg 1994; 4: 248–255.
Herpertz S, Saller B . [Psychosomatic aspects of obesity]. Psychother Psychosom Med Psychol 2001; 51: 336–349.
Kral JG, Sjostrom LV, Sullivan MB . Assessment of quality of life before and after surgery for severe obesity. Am J Clin Nutr 1992; 55: 611S–614S.
Sarlio-Lahteenkorva S, Stunkard A, Rissanen A . Psychosocial factors and quality of life in obesity. Int J Obes Relat Metab Disord 1995; 19(Suppl 6): S1–S5.
Brolin RE . Critical analysis of results: weight loss and quality of data. Am J Clin Nutr 1992; 55: 577S–581S.
Yale CE . Reporting our results. Obes Surg 1991; 1: 241–242.
La Manna A, Ricci GB, Giorgi I, Gossemburg M, La Manna L, Catona A . Psychological effects of vertical banded gastroplasty on pathologically obese patients. Obes Surg 1992; 2: 239–243.
Bull RH, Engels WD, Engelsmann F, Bloom L . Behavioral changes following gastric surgery for morbid obesity: a prospective, controlled study. J Psychosom Res 1983; 27: 457–467.
Carr ND, Harrison RA, Tomkins A, Baughen R, Demmer S, Godfrey J, Clark CG . Vertical banded gastroplasty in the treatment of morbid obesity: results of three year follow up. Gut 1989; 30: 1048–1053.
Hsu LK, Betancourt S, Sullivan SP . Eating disturbances before and after vertical banded gastroplasty: a pilot study. Int J Eat Disord 1996; 19: 23–34.
Hsu LK, Sullivan SP, Benotti PN . Eating disturbances and outcome of gastric bypass surgery: a pilot study. Int J Eat Disord 1997; 21: 385–390.
Roschal H, Lang B, Hell E . [Effects of surgical therapy of extreme obesity on physical and psychological outcome]. Wien Klin Wochenschr 1992; 104: 467–473.
Weiner R, Datz M, Wagner D, Bockhorn H . Quality-of-life outcome after laparoscopic adjustable gastric banding for morbid obesity. Obes Surg 1999; 9: 539–545.
Ryden O, Olsson SA, Danielsson A, Nilsson-Ehle P . Weight loss after gastroplasty: psychological sequelae in relation to clinical and metabolic observations. J Am Coll Nutr 1989; 8: 15–23.
Wennberg JA . AHCPR and the strategy for health care reform. Health Affairs (Millwood) 1992; 11: 67–71.
Keaney M, Lorimer AR . Auditing the implementation of SIGN (Scottish Intercollegiate Guidelines Network) clinical guidelines. Int J Health Care Qual Assur Inc Leadership Health Serv 1999; 12: 314–317.
Adami GF, Gandolfo P, Dapueto R, Jurich D, Scopinaro N . Eating behavior following biliopancreatic diversion for obesity: study with a three-factor eating questionnaire. Int J Eat Disord 1993; 14: 81–86.
Adami GF, Gandolfo P, Campostano A, Meneghelli A, Ravera G, Scopinaro N . Body image and body weight in obese patients. Int J Eat Disord 1998; 24: 299–306.
Adami GF, Gandolfo P, Campostano A, Bauer B, Cocchi F, Scopinaro N . Eating disorder inventory in the assessment of psychosocial status in the obese patients prior to and at long-term following biliopancreatic diversion for obesity. Int J Eat Disord 1994; 15: 265–274.
Horchner R, Tuinebreijer W . Improvement of physical functioning of morbidly obese patients who have undergone a Lap-Band operation: one-year study. Obes Surg 1999; 9: 399–402.
Karlsson J, Sjostrom L, Sullivan M . Swedish obese subjects (SOS)—an intervention study of obesity. Two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes Relat Metab Disord 1998; 22: 113–126.
Adami G, Gandolfo P, Meneghelli A, Scopinaro N . Food- and weight-related attitudes in obese persons: a longitudinal study over two years following biliopancreatic diversion. J Psychosom Res 1996; 41: 31–38.
Adami GF, Bauer B, Gandolfo P, Scopinaro N . Body image in early-onset obese patients. Eat Weight Disord 1997; 41: 87–93.
Hell E, Miller KA, Moorehead MK, Norman S . Evaluation of health status and quality of life after bariatric surgery: comparison of standard Roux-en-Y gastric bypass, vertical banded gastroplasty and laparoscopic adjustable silicone gastric banding. Obes Surg 2000; 10: 214–219.
Isacsson A, Frederiksen SG, Nilsson P, Hedenbro JL . Quality of life after gastroplasty is normal: a controlled study. Eur J Surg 1997; 163: 181–186.
Gentry K, Halverson JD, Heisler S . Psychologic assessment of morbidly obese patients undergoing gastric bypass: a comparison of preoperative and postoperative adjustment. Surgery 1984; 95: 215–220.
Gertler R, Ramsey-Stewart G . Pre-operative psychiatric assessment of patients presenting for gastric bariatric surgery (surgical control of morbid obesity). Aust N Z J Surg 1986; 56: 157–161.
Kopec-Schrader EM, Gertler R, Ramsey-Stewart G, Beumont PJ . Psychosocial outcome and long-term weight loss after gastric restrictive surgery for morbid obesity. Obes Surg 1994; 4: 336–339.
Larsen F, Torgersen S . Personality changes after gastric banding surgery for morbid obesity. A prospective study. J Psychosom Res 1989; 33: 323–334.
Larsen F . Psychosocial function before and after gastric banding surgery for morbid obesity. A prospective psychiatric study. Acta Psychiatr Scand Suppl 1990; 359: 1–57.
Powers PS, Boyd F, Blair CR, Stevens B, Rosemurgy A . Psychiatric issues in bariatric surgery. Obes Surg 1992; 2: 315–325.
Powers PS, Rosemurgy A, Boyd F, Perez A . Outcome of gastric restriction procedures: weight, psychiatric diagnoses, and satisfaction. Obes Surg 1997; 7: 471–477.
Chandarana PC, Conlon P, Holliday RL, Deslippe T, Field VA . A prospective study of psychosocial aspects of gastric stapling surgery. Psychiatr J Univ Ott 1990; 15: 32–35.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd edition, DSM-III, 3rd edn. American Psychiatric Association: Washington, Weinheim, Basel; 1980.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 3rd edition, Revision, DSM-III-R, 3rd Revision edn. American Psychiatric Association: Washington, Weinheim, Basel; 1987.
Hafner RJ, Rogers J . Husbands' adjustment to wives' weight loss after gastric restriction for morbid obesity. Int J Obes Relat Metab Disord 1990; 14: 1069–1078.
Rowston W, McCluskey S, Gazet JC, Lacey JH, Franks G, Lynch D . Eating behavior, physical symptoms and psychological factors associated with weight reduction following the Scopinaro operation as modified by Gazet. Obes Surg 1992; 2: 355–360.
Sjöström L . Surgical intervention as a strategy for treatment of obesity. Endocrine 2000;13:213–230.
Sullivan M, Karlsson J, Sjostrom L, Backman L, Bengtsson C, Bouchard C, Dahlgren S, Jonsson E, Larsson B, Lindstedt S . Swedish obese subjects (SOS)—an intervention study of obesity. Baseline evaluation of health and psychosocial functioning in the first 1743 subjects examined. Int J Obes Relat Metab Disord 1993; 17: 503–512.
Sullivan M, Karlsson J, Sjöström L, Taft C . Why quality of life measures should be used in the treatment of patients with obesity. In: Björntrop P (ed). International textbook of obesity. John Wiley and Sons: London; 2001.
Mitchell JE, Lancaster KL, Burgard MA, Howell LM, Krahn DD, Crosby RD, Wonderlich SA, Gosnell BA . Long-term follow-up of patients' status after gastric bypass. Obes Surg 2001; 11: 464–468.
Kalarchian MA, Wilson GT, Brolin RE, Bradley L . Binge eating in bariatric surgery patients. Int J Eat Disord 1998; 23: 89–92.
Adami GF, Gandolfo P, Bauer B, Scopinaro N . Binge eating in massively obese patients undergoing bariatric surgery. Int J Eat Disord 1995; 17: 45–50.
Balsiger BM, Poggio JL, Mai J, Kelly KA, Sarr MG . Ten and more years after vertical banded gastroplasty as primary operation for morbid obesity. J Gastrointest Surg 2000; 4: 598–605.
Baltasar A, Bou R, Arlandis F, Martinez R, Serra C, Bengochea M, Miro J . Vertical banded gastroplasty at more than 5 years. Obes Surg 1998; 8: 29–34.
Powers PS, Perez A, Boyd F, Rosemurgy A . Eating pathology before and after bariatric surgery: a prospective study. Int J Eat Disord 1999; 25: 293–300.
Peace K, Dyne J, Russell G, Stewart R . Psychobiological effects of gastric restriction surgery for morbid obesity. N Z Med J 1989; 102: 76–78.
Rabner JG, Greenstein RJ . Obesity surgery: expectation and reality. Int J Obes Relat Metab Disord 1991; 15: 841–845.
Crampton NA, Izvornikov V, Stubbs RS . Silastic ring gastric bypass: results in 64 patients. Obes Surg 1997; 7: 489–494.
Halmi KA, Mason E, Falk JR, Stunkard A . Appetitive behavior after gastric bypass for obesity. Int J Obes Relat Metab Disord 1981; 5: 457–464.
Rand CS, Macgregor A, Hankins G . Gastric bypass surgery for obesity: weight loss, psychosocial outcome, and morbidity one and three years later. South Med J 1986; 79: 1511–1514.
Adami GF, Gandolfo P, Meneghelli A, Scopinaro N . Binge eating in obesity: a longitudinal study following biliopancreatic diversion. Int J Eat Disord 1996; 20: 405–413.
Adami GF, Meneghelli A, Bressani A, Scopinaro N . Body image in obese patients before and after stable weight reduction following bariatric surgery. J Psychosom Res 1999; 46: 275–281.
Hawke A, O'Brien P, Watts JM, Hall J, Dunstan RE, Walsh JF, Slavotinek AH, Elmslie RG . Psychosocial and physical activity changes after gastric restrictive procedures for morbid obesity. Aust N Z J Surg 1990; 60: 755–758.
Rand CS, Macgregor AM . Adolescents having obesity surgery: a 6-year follow-up. South Med J 1994; 87: 1208–1213.
Stunkard AJ, Messick S . The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 1985; 29: 71–83.
Garner DM, Olmsted MP, Polivy J . Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia nervosa. Int J Eat Disord 1983; 2: 15–34.
Hafner RJ, Watts JM, Rogers J . Quality of life after gastric bypass for morbid obesity. Int J Obes Relat Metab Disord 1991; 15: 555–560.
Kinzl JF, Trefalt E, Fiala M, Hotter A, Biebl W, Aigner F . Partnership, sexuality, and sexual disorders in morbidly obese women: consequences of weight loss after gastric banding. Obes Surg 2001; 11: 455–458.
van Gemert WG, Severeijns RM, Greve JW, Groenman N, Soeters PB . Psychological functioning of morbidly obese patients after surgical treatment. Int J Obes Relat Metab Disord 1998; 22: 393–398.
Hall JC, Horne K, O'Brien PE, Watts JM . Patient well-being after gastric bypass surgery for morbid obesity. Aust N Z J Surg 1983; 53: 321–324.
Rand CS, Macgregor AM . Morbidly obese patients' perceptions of social discrimination before and after surgery for obesity. South Med J 1990; 83: 1390–1395.
Valley V, Grace DM . Psychosocial risk factors in gastric surgery for obesity: identifying guidelines for screening. Int J Obes Relat Metab Disord 1987; 11: 105–113.
Narbro K, Jonsson E, Larsson B, Waaler H, Wedel H, Sjostrom L . Economic consequences of sick-leave and early retirement in obese Swedish women. Int J Obes Relat Metab Disord 1996; 20: 895–903.
Narbro K, Agren G, Jonsson E, Larsson B, Naslund I, Wedel H, Sjostrom L . Sick leave and disability pension before and after treatment for obesity: a report from the Swedish Obese Subjects (SOS) study. Int J Obes Relat Metab Disord 1999; 23: 619–624.
Sjöström CD, Peltonen M, Sjöström L . Blood pressure and pulse pressure during long-term weight loss in the obese: the Swedish Obese Subjects (SOS) Intervention Study. Obes Res 2001; 9: 188–195.
Choban PS, Onyejekwe J, Burge JC, Flancbaum L . A health status assessment of the impact of weight loss following Roux-en-Y gastric bypass for clinically severe obesity. J Am Coll Surg 1999; 188: 491–497.
Schok M, Geenen R, van Antwerpen T, de Wit P, Brand N, van Ramshorst B . Quality of life after laparoscopic adjustable gastric banding for severe obesity: postoperative and retrospective preoperative evaluations. Obes Surg 2000; 10: 502–508.
Tenth revision of the international classification of diseases, chapter V, Mental and behavioral disorders. Clinical descriptions and diagnostic guidelines. World Health Organization: Geneva; 1991.
Capella JF, Capella RF . The weight reduction operation of choice: vertical banded gastroplasty or gastric bypass? Am J Surg 1996; 171: 74–79.
Macgregor AM, Rand CS . Gastric surgery in morbid obesity. Outcome in patients aged 55 years and older. Arch Surg 1993; 128: 1153–1157.
MacLean LD, Rhode BM, Forse RA . Late results of vertical banded gastroplasty for morbid and super obesity. Surgery 1990; 107: 20–27.
Pories WJ, Swanson MS, MacDonald KG, Long SB, Morris PG, Brown BM, Barakat HA, deRamon RA, Israel G, Dolezal JM . Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg 1995; 222: 339–350.
Hsu LK, Benotti PN, Dwyer J, Roberts SB, Saltzman E, Shikora S, Rolls BJ, Rand W . Nonsurgical factors that influence the outcome of bariatric surgery: a review. Psychosom Med 1998; 60: 338–346.
Kellum JM, Kuemmerle JF, O'Dorisio TM, Rayford P, Martin D, Engle K, Wolf L, Sugerman HJ . Gastrointestinal hormone responses to meals before and after gastric bypass and vertical banded gastroplasty. Ann Surg 1990; 211: 763–770.
Kojima M, Hosoda H, Date Y, Nakazato M, Matsuo H, Kangawa K . Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature 1999; 402: 656–660.
Cummings DE, Weigle DS, Frayo RS, Breen PA, Ma MK, Dellinger EP, Purnell JQ . Plasma ghrelin levels after diet-induced weight loss or gastric bypass surgery. N Engl J Med 2002; 346: 1623–1630.
Marcus MD, Wing RR . Binge eating among the obese. Ann Behav Med 1987; 9: 23–27.
Marcus MD, Wing RR, Ewing L, Kern E, Gooding W, McDermont M . Psychiatric disorders among obese binge eaters. Int J Eat Disord 1990; 9: 69–77.
Herbst CA, Hughes TA, Gwynne JT, Buckwalter JA . Gastric bariatric operation in insulin-treated adults. Surgery 1984; 95: 209–214.
Charuzi I, Lavie P, Peiser J, Peled R . Bariatric surgery in morbidly obese sleep-apnea patients. Am J Clin Nutr 1992; 55: 594S–596S.
Kral JG . Selection of patients for anti-obesity surgery. Int J Obes Relat Metab Disord 2001; 25(Suppl 1): S107–S112.
Naslund I, Wickbom G, Christoffersson E, Agren G . A prospective randomized comparison of gastric bypass and gastroplasty. Complications and early results. Acta Chir Scand 1986; 152: 681–689.
Cook CM, Edwards C . Success habits of long-term gastric bypass patients. Obes Surg 1999; 9: 80–82.
Acknowledgements
This work was supported by the German Research Foundation Grants: HE 26652-1, HE 26652-2.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Herpertz, S., Kielmann, R., Wolf, A. et al. Does obesity surgery improve psychosocial functioning? A systematic review. Int J Obes 27, 1300–1314 (2003). https://doi.org/10.1038/sj.ijo.0802410
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1038/sj.ijo.0802410
Keywords
This article is cited by
-
Gut-brain mechanisms underlying changes in disordered eating behaviour after bariatric surgery: a review
Reviews in Endocrine and Metabolic Disorders (2022)
-
Course of depressive symptomatology and its association with serum uric acid in one-anastomosis gastric bypass patients
Scientific Reports (2020)
-
Psychological well-being and marital satisfaction in response to weight loss after bariatric surgery
Surgery Today (2019)
-
The Interaction Between Mindfulness, Emotion Regulation, and Social Anxiety and Its Association with Emotional Eating in Bariatric Surgery Candidates
Mindfulness (2018)
-
Association Between the Publication of Clinical Evidence and the Use of Bariatric Surgery
Obesity Surgery (2018)