Nickel, C. and Widermann, C. and Harmsen, D. and Leiberich, P. L. and Tritt, K. and Kettler, C. and Lahmann, C. and Rother, W. K. and Loew, T. H. and Nickel, Marius K. (2005) Patients with extreme obesity: Change in mental symptoms three years after gastric banding. INTERNATIONAL JOURNAL OF PSYCHIATRY IN MEDICINE, 35 (2). pp. 109-122. ISSN 0091-2174,
Full text not available from this repository. (Request a copy)Abstract
Objective: Extreme obesity causes grave psychosocial and psychopathological problems in addition to somatic morbidity. One possible treatment is gastric banding, a surgical reduction of stomach volume. The aim of this study was to investigate whether gastric banding leads to lasting change in: 1) the Body Mass Index (BMI); 2) social factors such as work and partnerships, eating behavior, anxiety and depression symptoms; and 3) health related quality of life. Method We surveyed a sample of 50 adipose women (BMI > 40 kg/m(2)). Primary outcome measures were self-reported changes on the scales of the Three-Factor Eating Questionnaire (TFEQ), the Hospital Anxiety and Depression Scale (HADS-D), and the Health Survey (SF-36). Results: In comparison with the control group, we observed significant changes in BMI (p < 0.01) and the existence of a partnership (p < 0.01), on all three scales of the TFEQ (p < 0.01), on both scales of the HADS-D (anxiety: p < 0.05; depression: p < 0.01), and on all scales of the SF-36 Health Survey (p between < 0.05 and < 0.01 in every case). The most marked changes in all the qualities investigated occurred within the first 12 months of surgery. Conclusions: Three years after gastric banding, positive changes in BMI reduction, partnership, eating behavior, anxiety, depressive symptornatology, and health related quality of life could be observed. There was also a significant correlation between BMI reduction and reduction firstly on the depression scale (HADS-D) and secondly on the SF-36 scales for physical functioning (PHFU), role physical (ROPH), mental health (PSYC), and vitality (VITA).
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | QUALITY-OF-LIFE; BODY-FAT DISTRIBUTION; BARIATRIC SURGERY; PSYCHIATRIC-DISORDERS; MORBID-OBESITY; DEPRESSION; HEALTH; COMORBIDITY; POPULATION; MANAGEMENT; extreme obesity; gastric banding; eating behavior; depression; anxiety; health related quality of life |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Abteilung für Psychosomatische Medizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 02 Jun 2021 13:42 |
| Last Modified: | 02 Jun 2021 13:42 |
| URI: | https://pred.uni-regensburg.de/id/eprint/36716 |
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