Bariatric surgery and depression
DOI:
https://doi.org/10.33448/rsd-v10i13.21573Keywords:
Bariatric surgery; Depression; Obesity.Abstract
Introduction: Obesity and depression are clinical entities whose etiology is a combination of genetic, biological, environmental and psychological factors capable of compromising quality of life. Objective: To evaluate the prevalence of depression before and after bariatric surgery and identify the sociodemographic and clinical characteristics. Methodology: cross-sectional, retrospective, survey-type study conducted in the period 2020-2021. The sample was composed of 5,160 individuals from various regions of Brazil who had undergone bariatric surgery. An online Google Forms questionnaire was used. Results: Of the 5,160 participants, 3199 (62%) did not have and did not develop depression after surgery; 305 (5.9%) had depression and remained after the intervention; 1192 (23.1%) had depression and improved post-surgery and 464 (9%) had no depression developed after surgery. The average age was 37-38 years. It was predominant: female gender, white skin color, complete high school and married individuals. The southeastern region was the most prevalent (p<0.001), as was alcoholism before and after surgery. Physical activity reduced the number of cases of depression after the procedure. Psychological follow-up was performed in 60% of the sample before surgery. The realization time of bariatric surgery was 18-60 months, and the gastric bypass technique was most prevalent. The prevalence of other psychiatric disorders was common among those with a history of depression. Conclusion: Depression was prevalent before and after the surgical intervention, however, bariatric surgery allowed the improvement of depressive disorder among those who already presented the pathology before the procedure.
References
Arhi, C. S., Dudley, R., Moussa, O., Ardissino, M., Scholtz, S., & Purkayastha, S. (2021). The Complex Association Between Bariatric Surgery and Depression: A National Nested-Control Study. Obesity Surgery, 31(5), 1994–2001. https://doi.org/10.1007/s11695-020-05201-z
Bressan, J. de A., & Trevisol, F. S. (2019). Avaliação da autoestima e depressão após cirurgia bariátrica. RBONE - Revista Brasileira de Obesidade, Nutrição e Emagrecimento, 13(79), 446–456.
Cheroutre, C., Guerrien, A., & Rousseau, A. (2020). Contributing of Cognitive-Behavioral Therapy in the Context of Bariatric Surgery: A Review of the Literature. Obesity Surgery, 30(8), 3154–3166. https://doi.org/10.1007/s11695-020-04627-9
Dawes, A. J., Maggard-Gibbons, M., Maher, A. R., Booth, M. J., Miake-Lye, I., Beroes, J. M., & Shekelle, P. G. (2016). Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery: A Meta-analysis. JAMA, 315(2), 150. https://doi.org/10.1001/jama.2015.18118
Diretrizes Brasileiras de Obesidade 2016. ([s.d.]). Recuperado 28 de setembro de 2021, de https://abeso.org.br/wp-content/uploads/2019/12/Diretrizes-Download-Diretrizes-Brasileiras-de-Obesidade-2016.pdf
Fandiño, J., Benchimol, A. K., Coutinho, W. F., & Appolinário, J. C. (2004). Cirurgia bariátrica: Aspectos clínico-cirúrgicos e psiquiátricos. Revista de Psiquiatria do Rio Grande do Sul, 26(1), 47–51. https://doi.org/10.1590/S0101-81082004000100007
Gill, H., Kang, S., Lee, Y., Rosenblat, J. D., Brietzke, E., Zuckerman, H., & McIntyre, R. S. (2019). The long-term effect of bariatric surgery on depression and anxiety. Journal of Affective Disorders, 246, 886–894. https://doi.org/10.1016/j.jad.2018.12.113
Guerra, M. E., Jean, R. A., Chiu, A. S., & Johnson, D. C. (2020). The effect of sociodemographic factors on outcomes and time to discharge after bariatric operations. The American Journal of Surgery, 219(4), 571–577. https://doi.org/10.1016/j.amjsurg.2020.02.046
Kubik, J. F., Gill, R. S., Laffin, M., & Karmali, S. (2013). The Impact of Bariatric Surgery on Psychological Health. Journal of Obesity, 2013, 837989. https://doi.org/10.1155/2013/837989
Machado, C. E., Zilberstein, B., Cecconello, I., & Monteiro, M. (2008). Compulsão alimentar antes e após a cirurgia bariátrica. ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 21(4), 185–191. https://doi.org/10.1590/S0102-67202008000400007
Mendes, J. M. S., Neto, F. L., Queiroga, M. C., Lima, A. B. A. C. de, Abrantes, M. S. de A. P., & Fonseca, E. N. R. da. (2021). Perfil psicopatológico dos indivíduos bariátricos tardio e sua associação com o reganho de peso. Research, Society and Development, 10(11), e521101119872–e521101119872. https://doi.org/10.33448/rsd-v10i11.19872
Mitchell, J. E., King, W. C., Chen, J.-Y., Devlin, M. J., Flum, D., Garcia, L., Pender, J. R., Kalarchian, M. A., Khandelwal, S., Marcus, M. D., Schrope, B., Strain, G., Wolfe, B., & Yanovski, S. (2014). Course of Depressive Symptoms and Treatment in the Longitudinal Assessment of Bariatric Surgery (LABS-2) Study. Obesity (Silver Spring, Md.), 22(8), 1799–1806. https://doi.org/10.1002/oby.20738
Morgan, D. J. R., & Ho, K. M. (2017). Incidence and Risk Factors for Deliberate Self-harm, Mental Illness, and Suicide Following Bariatric Surgery: A State-wide Population-based Linked-data Cohort Study. Annals of Surgery, 265(2), 244–252. https://doi.org/10.1097/SLA.0000000000001891
Morgan, D. J. R., Ho, K. M., & Platell, C. (2020). Incidence and Determinants of Mental Health Service Use After Bariatric Surgery. JAMA Psychiatry, 77(1), 60–67. https://doi.org/10.1001/jamapsychiatry.2019.2741
Müller, A., Hase, C., Pommnitz, M., & de Zwaan, M. (2019). Depression and Suicide After Bariatric Surgery. Current Psychiatry Reports, 21(9), 84. https://doi.org/10.1007/s11920-019-1069-1
Müller, A., Mitchell, J. E., Sondag, C., & de Zwaan, M. (2013). Psychiatric Aspects of Bariatric Surgery. Current Psychiatry Reports, 15(10), 397. https://doi.org/10.1007/s11920-013-0397-9
Nacional, I. ([s.d.]). RESOLUÇÃO No 2.131, DE 12 DE NOVEMBRO DE 2015—Imprensa Nacional. Recuperado 30 de setembro de 2021, de https://www.in.gov.br/materia
Número de cirurgias bariátricas no Brasil aumenta 46,7%. (2018, julho 11). SBCBM. https://www.sbcbm.org.br/numero-de-cirurgias-bariatricas-no-brasil-aumenta-467/
Oliveira, A. M. de, Costa, S. de S., Costa, I. S., & Júnior, N. de J. P. B. (2021). Cirurgias bariátricas realizadas no Sistema Único de Saúde brasileiro entre 2010 e 2019. Research, Society and Development, 10(1), e47510111985–e47510111985. https://doi.org/10.33448/rsd-v10i1.11982
Organização Mundial da Saúde – OMS (2020). Obesity and overweight. http://www.who.int
Organização Mundial da Saúde – OMS (2021). Depression. https://www.who.int/health-topics/depression
PNAD Contínua 2016: 51% da população com 25 anos ou mais do Brasil possuíam no máximo o ensino fundamental completo | Agência de Notícias | IBGE. ([s.d.]). Recuperado 28 de setembro de 2021, de https://agenciadenoticias.ibge.gov.br/agencia-sala-de-imprensa/2013-agencia-de-noticias/releases/18992-pnad-continua-2016-51-da-populacao-com-25-anos-ou-mais-do-brasil-possuiam-no-maximo-o-ensino-fundamental-completo
População brasileira é formada basicamente de brancos e pardos, diz IBGE. (2015, novembro 13). Agência Brasil. https://agenciabrasil.ebc.com.br/economia/noticia/2015-11/populacao-brasileira-e-formada-basicamente-de-brancos-e-pardos-diz-ibge
Rosik, C. H. (2005). Psychiatric symptoms among prospective bariatric surgery patients: Rates of prevalence and their relation to social desirability, pursuit of surgery, and follow-up attendance. Obesity Surgery, 15(5), 677–683. https://doi.org/10.1381/0960892053923815
Segal, A., & Fandiño, J. (2002). Indicações e contra-indicações para realização das operações bariátricas. Brazilian Journal of Psychiatry, 24, 68–72. https://doi.org/10.1590/S1516-44462002000700015
Strawbridge, R., Arnone, D., Danese, A., Papadopoulos, A., Herane Vives, A., & Cleare, A. J. (2015). Inflammation and clinical response to treatment in depression: A meta-analysis. European Neuropsychopharmacology, 25(10), 1532–1543. https://doi.org/10.1016/j.euroneuro.2015.06.007
Tonatto-Filho, A. J., Gallotti, F. M., Chedid, M. F., Grezzana-Filho, T. de J. M., & Garcia, A. M. S. V. (2019). Bariatric Surgery In Brazilian Public Health System: The Good, The Bad And The Ugly, Or A Long Way To Go. Yellow Sign! ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo), 32(4), e1470. https://doi.org/10.1590/0102-672020190001e1470
Vigitel_brasil_2019_vigilancia_fatores_risco. https://bvsms.saude.gov.br/bvs/publicacoes/vigitel_b rasil_2019_ vigilancia_fatores_risco
White, M. A., Kalarchian, M. A., Levine, M. D., Masheb, R. M., Marcus, M. D., & Grilo, C. M. (2015). Prognostic Significance of Depressive Symptoms on Weight Loss and Psychosocial Outcomes Following Gastric Bypass Surgery: A Prospective 24-Month Follow-Up Study. Obesity Surgery, 25(10), 1909–1916. https://doi.org/10.1007/s11695-015-1631-9
Zwaan, M., Enderle, J., Wagner, S., Mühlhans, B., Ditzen, B., Gefeller, O., Mitchell, J. E., & Müller, A. (2011). Anxiety and depression in bariatric surgery patients: A prospective, follow-up study using structured clinical interviews. Journal of Affective Disorders, 133(1–2), 61–68. https://doi.org/10.1016/j.jad.2011.03.025
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Gabrielle Souza Silveira Teles; Leda Maria Delmondes Freitas Trindade; Renata Queiroz Corrêa ; Ana Clara Passos Melo; Carolina Pinheiro Machado Teles; Lucas Figueredo Moura
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
