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Preoperative psychological characteristics affecting mid-term outcome after bariatric surgery: a follow-up study.
Lai, Carlo; Aceto, Paola; Santucci, Francesca Romana; Pierro, Laura; Petrucci, Ilaria; Cacioppo, Marco; Castelnuovo, Gianluca; Sollazzi, Liliana; Bellantone, Rocco; Raffaelli, Marco.
Afiliación
  • Lai C; Dynamic and Clinical Psychology Department, Sapienza University of Rome, Via degli Apuli 1, 00185, Rome, Italy. carlo.lai@uniroma1.it.
  • Aceto P; Department of Anaesthesiology and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
  • Santucci FR; Catholic University of Sacred Heart, Largo Francesco Vito 1, 00168, Rome, Italy.
  • Pierro L; Dynamic and Clinical Psychology Department, Sapienza University of Rome, Via degli Apuli 1, 00185, Rome, Italy.
  • Petrucci I; Dynamic and Clinical Psychology Department, Sapienza University of Rome, Via degli Apuli 1, 00185, Rome, Italy.
  • Cacioppo M; Dynamic and Clinical Psychology Department, Sapienza University of Rome, Via degli Apuli 1, 00185, Rome, Italy.
  • Castelnuovo G; Department of Human Sciences LUMSA Maria SS, Assunta University of Rome, Piazza delle Vaschette 101, 00193, Rome, Italy.
  • Sollazzi L; Department of Psychology, Catholic University of Sacred Heart, Largo A. Gemelli 1, 20123, Milan, Italy.
  • Bellantone R; Department of Anaesthesiology and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo Agostino Gemelli 8, 00168, Rome, Italy.
  • Raffaelli M; Catholic University of Sacred Heart, Largo Francesco Vito 1, 00168, Rome, Italy.
Eat Weight Disord ; 26(2): 585-590, 2021 Mar.
Article en En | MEDLINE | ID: mdl-32207099
BACKGROUND: The purpose of this study was to investigate the relationship between preoperative psychological factors and percentage of total weight loss (%TWL) after laparoscopic Roux-en-Y gastric bypass (LRYGB) to identify possible psychological therapy targets to improve the outcome of bariatric surgery. METHODS: Seventy-six patients completed the Hamilton's Anxiety and Depression Scales (HAM-A, HAM-D) and Toronto Alexithymia Scale (TAS-20) the day before surgery (T0). The pre-operative body weight and the %TWL at 3 (T1), 6 (T2), and 24-30 (T3) months were collected. RESULTS: At T3, depressed and alexithymic patients showed a lower %TWL compared to non-depressed patients (p = 0.03) and to non-alexithymic patients (p = 0.02), respectively. Finally, patients who had at least one of the three analyzed psychological factors showed less weight loss, at T2 (p = 0.02) and T3 (p = 0.0004). CONCLUSIONS: Psychological factors may also affect long-term outcome of bariatric surgery. This study shows an association between alexithymia/depression pre-operative levels and the weight loss at 30 months'follow-up after bariatric surgery. LEVEL OF EVIDENCE: Level III, longitudinal cohort study.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Derivación Gástrica / Laparoscopía / Cirugía Bariátrica Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Eat Weight Disord Asunto de la revista: GASTROENTEROLOGIA / METABOLISMO Año: 2021 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Obesidad Mórbida / Derivación Gástrica / Laparoscopía / Cirugía Bariátrica Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Eat Weight Disord Asunto de la revista: GASTROENTEROLOGIA / METABOLISMO Año: 2021 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Alemania