A review of the psychosocial aspects of clinically severe obesity and bariatric surgery.
Open accessAbstract
For the past 2 decades, clinically severe obesity (operationalized as a body mass index ≥40 kg/m2) has increased at a more pronounced rate that less severe obesity. As a result, the surgical treatment of obesity (bariatric surgery) has become a more widely accepted, yet still underutilized, treatment for persons with severe obesity and significant weight-related health problems. Psychologists play a central role on the multidisciplinary team involved in the preoperative assessment and postoperative management of patients. They also have played a central role in clinical research which has enhanced understanding of the psychosocial and behavioral factors that contribute to the development of severe obesity as well as how those factors and others contribute to postoperative outcomes. This article, written specifically for psychologists and other mental health professionals who currently work with these patients or are considering the opportunity to do so in the future, reviews these contributions over the past 20 years. The article highlights how this work has become a fundamental part of international clinical care guidelines, which primarily focus on preoperative psychosocial screening. The article also outlines avenues for future research in the field, with a specific focus on the need for additional behavioral and psychosocial interventions to promote lifelong success after bariatric surgery. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
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Women's appraisal of their body image and quality of life are negatively impacted by obesity.
“Women's appraisal of their body image and quality of life are also negatively impacted by obesity. 11 , 22 , 23”
From Positive psychological well-being in women with obesity: A scoping review of qualitative and quantitative primary research (2022) · cites this paper as [22]
When individuals' weight loss expectation from semaglutide 2.4 mg did not match actual weight loss, users reported feelings of frustration and disappointment.
“It was also observed that when individuals' weight loss expectation from semaglutide 2.4 mg did not match the actual weight loss, users reported feelings of frustration and disappointment [29].”
From A Qualitative Analysis of Patient Experiences Using Semaglutide 2.4 mg for Weight Loss (2025) · cites this paper as [29]
The Suboptimal Weight Loss section (page unavailable) discusses bariatric surgery patients who do not lose the expected amount of weight, but does not report frustration or disappointment from that mismatch. Searches for semaglutide 2.4 mg and for weight-loss expectations with those feelings found no passage addressing the claim about semaglutide users. (LLM, conf=0.76)
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“Keywords obesity; bariatric surgery; psychopathology; quality of life Prevalence and Significance of Clinically Severe Obesity Presently, almost 40% of American adults have the disease of obesity, defined by a body mass index (BMI) ≥ 30 kg/m2 (Hales et al., 2018).”
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“Subsequent national practice guidelines originally published in 2008, and updated in 2013, recommended the use of a formal psychosocial evaluation of patients who presented with symptoms of psychopathology (Mechanick et al., 2008; 2013).”
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“At approximately 6 years postoperatively, 32% of patients who underwent bariatric surgical procedure, as compared to 12% treated medically, experienced remission of hypertension (Jakobsen et al., 2018).”
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“In contrast, there exists a growing body of evidence suggesting that postoperative LOC eating may adversely affect weight outcomes, as defined by sub-optimal weight loss or weight regain (Meany et al., 2014).”
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BackgroundLoss of Control Over Eating Predicts Outcomes in Bariatric Surgery Patients
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“In several, BED diagnosed prior to surgery has been associated with suboptimal weight losses in the first few postoperative years (Chao et al., 2016; Kalarchian et al., 2002; Mitchell et al., 2001).”
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“While patients are informed of these limitations prior to surgery, many struggle with compliance to the postoperative dietary recommendations (Sarwer et al., 2008).”
BackgroundSelf-citationLong-term Follow-up of Patients' Status after Gastric Bypass
Mitchell, J. E., Lancaster, K., Burgard, M. A., Howell, L. M., Krahn, D. D., Crosby, R. D., Wonderlich, S. A., & Gosnell, B. A. (2001) · Obesity Surgery · doi:10.1381/096089201321209341 · Cited by 275 · cited 2× · see citing works
“In several, BED diagnosed prior to surgery has been associated with suboptimal weight losses in the first few postoperative years (Chao et al., 2016; Kalarchian et al., 2002; Mitchell et al., 2001).”
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“Binge eating disorder (BED) is the most common eating disorder diagnosis, seen in 5 to 15% of patients (Mitchell et al., 2012).”
BackgroundInfluentialPsychiatric Diagnoses and Psychiatric Treatment Among Bariatric Surgery Candidates
Sarwer, D. B., Cohn, N., Gibbons, L. M., Magee, L., Crerand, C. E., Raper, S. E., Rosato, E. F., Williams, N. N., & Wadden, T. A. (2004) · Obesity Surgery · doi:10.1381/0960892042386922 · Cited by 266 · cited 1× · see citing works
“Approximately 40% of candidates for bariatric surgery rep`ort current, and up to 50% a history of mental health treatment (Friedman et al., 2007; Sarwer et al., 2004), percentages higher than typically seen in the general population.”
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Childhood sexual abuse and obesity
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“The experience of sexual abuse, as well as the experience of physical abuse and neglect, is another important issue pre- and postoperatively (Gustafson & Sarwer, 2004).”
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“Other studies also have found increases in alcohol as well as nicotine, opioids, and other substances in the first two postoperative years (Conason et al., 2013; Ivezaj, Saules, & Schuh, 2014; Lent et al., 2013; Reslan, Saules, Greenwald, & Schuh, 2014).”
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“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript SG (Salminen et al., 2018; Shoar & Saber, 2017).”
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Determinants of diabetes remission and glycemic control after bariatric surgery
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“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript raises concerns about the need for adjunctive treatment (Panunzi et al., 2016; Sjöholm et al., 2015).”
BackgroundPsychopathology, disordered eating, and impulsivity as predictors of outcomes of bariatric surgery
Sarwer, D. B., Allison, K. C., Wadden, T. A., Ashare, R. L., Spitzer, J. C., McCuen‐Wurst, C., Lagrotte, C. A., Williams, N. N., Edwards, M. A., Tewksbury, C. M., et al. (2019) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2019.01.029 · Cited by 197 · cited 1× · see citing works
“One may be emotional dysregulation, where individuals who struggled with emotional regulation and eating behavior prior to surgery continue to struggle with these issues postoperatively (Sarwer et al., 2019).”
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“Failure to increase physical activity after surgery also has been associated with postoperative weight gain (Bond et al., 2009).”
BackgroundCastaneda, D., Popov, V. B., Wander, P., & Thompson, C. C. (2019) · Obesity Surgery · doi:10.1007/s11695-018-3493-4 · Cited by 186 · cited 1× · see citing works
“Two reviews have postulated a number of psychiatric, medical, psychosocial and physiologic factors that may place patients at greater risk (Castaneda et al., 2019; Mitchell et al., 2013).”
BackgroundImproved memory function 12 weeks after bariatric surgery
Gunstad, J., Strain, G., Devlin, M. J., Wing, R., Cohen, R. A., Paul, R. H., Crosby, R. D., & Mitchell, J. E. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2010.09.015 · Cited by 185 · cited 1× · see citing works
“Encouragingly, several studies have found improvements in cognitive functioning with the substantial weight loss seen with bariatric surgery (Alosco et al., 2014, Gunstad et al., 2011).”
BackgroundPost-Operative Psychosocial Predictors of Outcome in Bariatric Surgery
Sheets, C., Peat, C. M., Berg, K. C., White, E., Bocchieri-Ricciardi, L. E., Chen, E. Y., & Mitchell, J. (2015) · Obesity Surgery · doi:10.1007/s11695-014-1490-9 · Cited by 185 · cited 1× · see citing works
“A review of this literature found that of the 13 studies that reported on the association between LOC eating and weight outcomes, 11 indicated that postoperative LOC eating was associated with poorer weight loss and/or weight regain (Sheets et al., 2015).”
BackgroundReasons for underutilization of bariatric surgery: The role of insurance benefit design
Gasoyan, H., Tajeu, G. S., Halpern, M. T., & Sarwer, D. B. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.10.005 · Cited by 172 · see citing works
Self-citationFood Addiction and Bariatric Surgery: A Systematic Review of the Literature
Ivezaj, V., Wiedemann, A. A., & Grilo, C. M. (2017) · Obesity Reviews · doi:10.1111/obr.12600 · Cited by 169 · see citing works
Psychiatric Disorder Comorbidity and Association With Eating Disorders in Bariatric Surgery Patients
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Possible risk factors for increased suicide following bariatric surgery
Mitchell, J. E., Crosby, R. D., de Zwaan, M., Engel, S. G., Roerig, J. L., Steffen, K. J., Gordon, K. H., Karr, T. M., Lavender, J. M., & Wonderlich, S. A. (2013) · Obesity · doi:10.1002/oby.20066 · Cited by 165 · cited 1× · see citing works
“Two reviews have postulated a number of psychiatric, medical, psychosocial and physiologic factors that may place patients at greater risk (Castaneda et al., 2019; Mitchell et al., 2013).”
BackgroundErtelt, T. W., Mitchell, J. E., Lancaster, K., Crosby, R. D., Steffen, K. J., & Marino, J. M. (2008) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2008.01.004 · Cited by 165 · cited 1× · see citing works
“Much of this work has focused on the misuse of alcohol (Ertelt et al., 2008; Suzuki, Haimovici & Chang, 2012).”
BackgroundAxis I and II Disorders and Quality of Life in Bariatric Surgery Candidates
Mauri, M., Rucci, P., Calderone, A., Santini, F., Oppo, A., Romano, A., Rinaldi, S., Armani, A., Polini, M., Pinchera, A., et al. (2008) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v69n0216 · Cited by 162 · cited 2× · see citing works
“…six studies have investigated rates of psychopathology in candidates for surgery using structured diagnostic interviews (Jones-Corneille et al., 2010; Kalarchian et al., 2007; Mauri et al., 2008; Mitchell et al., 2012; Mühlhans, Horback, & de Zwaan, 2009; Rosenberger, Henderson, & Grilo, 2006).”
BackgroundMood Disorders and Obesity: Understanding Inflammation as a Pathophysiological Nexus
Soczynska, J. K., Kennedy, S. H., Woldeyohannes, H. O., Liauw, S. S. L., Alsuwaidan, M. T., Yim, C. Y., & McIntyre, R. S. (2010) · NeuroMolecular Medicine · doi:10.1007/s12017-010-8140-8 · Cited by 162 · cited 1× · see citing works
“Additionally, depression and obesity may have shared neural pathways (Soczynska et al., 2011).”
BackgroundAllison, K. C., Wadden, T. A., Sarwer, D. B., Fabricatore, A. N., Crerand, C. E., Gibbons, L. M., Stack, R. M., Stunkard, A. J., & Williams, N. N. (2006) · Obesity · doi:10.1038/oby.2006.286 · Cited by 160 · cited 1× · see citing works
“As detailed above, binge eating, as well as night eating, are relatively common among bariatric surgery patients (Allison et al., 2006; Kalarchian, Wilson, Brolin, & Bradley, 1998; Mitchell et al., 2015; White et al., 2006).”
BackgroundSelf-citationPostoperative Behavioral Variables and Weight Change 3 Years After Bariatric Surgery
Mitchell, J. E., Christian, N. J., Flum, D. R., Pomp, A., Pories, W. J., Wolfe, B. M., Courcoulas, A. P., & Belle, S. H. (2016) · JAMA Surgery · doi:10.1001/jamasurg.2016.0395 · Cited by 156 · cited 1× · see citing works
“For example, Mitchell and colleagues assessed 25 postoperative behaviors related to eating behavior, eating problems, and weight control practices (Mitchell et al., 2016).”
BackgroundChildhood Maltreatment in Extremely Obese Male and Female Bariatric Surgery Candidates<sup>**</sup>
Grilo, C. M., Masheb, R. M., Brody, M., Toth, C., Burke‐Martindale, C. H., & Rothschild, B. S. (2005) · Obesity Research · doi:10.1038/oby.2005.16 · Cited by 153 · cited 1× · see citing works
“Up to one third of candidates for surgery have reported a history of sexual abuse (e.g., Grilo et al., 2005; Gustafson et al., 2006).”
BackgroundBehavioral Factors Associated with Successful Weight Loss after Gastric Bypass
Livhits, M. J., Mercado, C., Yermilov, I., Parikh, J., Dutson, E., Mehran, A., Ko, C. Y., & Gibbons, M. (2010) · The American surgeon · doi:10.1177/000313481007601027 · Cited by 151 · cited 1× · see citing works
“Loss to follow up is associated with suboptimal outcomes and weight regain (Compher, Hanlon, Kang, Elkin, & Willliams, 2012; Kaiser, Franks, & Smith, 2011; Livhits et al., 2010).”
BackgroundBody image, cosmetic surgery, and minimally invasive treatments
Sarwer, D. B. (2019) · Body Image · doi:10.1016/j.bodyim.2019.01.009 · Cited by 146 · cited 2× · see citing works
“This profound health disparities issue is likely the result of a number of factors, including insurance coverage, access to quality medical care, as well as patient-provider communication issues (Gasoyan, Tajeu, Halpern, & Sarwer, 2019).”
BackgroundSelf-citationA Review of the Relationships Between Extreme Obesity, Quality of Life, and Sexual Function
Sarwer, D. B., Lavery, M. E., & Spitzer, J. C. (2012) · Obesity Surgery · doi:10.1007/s11695-012-0588-1 · Cited by 144 · cited 2× · see citing works
“Persons with obesity, and severe obesity in particular, often report increased dissatisfaction with their physical appearance (Sarwer et al., 2012).”
BackgroundSelf-citationMalik, S., Mitchell, J. E., Engel, S. G., Crosby, R. D., & Wonderlich, S. A. (2013) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2013.08.021 · Cited by 143 · see citing works
Manning, S., Pucci, A. B. F., Carter, N. C., Elkalaawy, M., Querci, G., Magno, S., Tamberi, A., Finer, N., Fiennes, A., Hashemi, M., et al. (2014) · Surgical Endoscopy · doi:10.1007/s00464-014-3829-7 · Cited by 143 · cited 1× · see citing works
“While the reasons for this are not well understood, greater early preoperative weight loss, within the first 6 months, predicts larger weight loss for both GB and SG patients at the end of the second postoperative year (Manning et al., 2015).”
BackgroundJones‐Corneille, L. R., Wadden, T. A., Sarwer, D. B., Faulconbridge, L. F., Fabricatore, A. N., Stack, R. M., Cottrell, F., Pulcini, M. E., Webb, V. L., & Williams, N. N. (2010) · Obesity Surgery · doi:10.1007/s11695-010-0322-9 · Cited by 138 · cited 2× · see citing works
“At least six studies have investigated rates of psychopathology in candidates for surgery using structured diagnostic interviews (Jones-Corneille et al., 2010; Kalarchian et al., 2007; Mauri et al., 2008; Mitchell et al., 2012; Mühlhans, Horback, & de Zwaan, 2009; Rosenberger, Henderson, & Grilo, 2006).”
BackgroundSelf-citationKalarchian, M. A. (2007) · American Journal of Psychiatry · doi:10.1176/appi.ajp.164.2.328 · Cited by 137 · see citing works
Psychosocial Factors and 2-Year Outcome Following Bariatric Surgery for Weight Loss
Clark, M. M., Balsiger, B. M., Sletten, C. D., Dahlman, K. L., Ames, G. E., Williams, D. E., Abu-Lebdeh, H. S., & Sarr, M. G. (2003) · Obesity Surgery · doi:10.1381/096089203322509318 · Cited by 133 · cited 1× · see citing works
“Somewhat surprisingly, a history of substance abuse has been associated with greater postoperative weight loss (Clark et al., 2003; Heinberg & Ashton, 2010).”
BackgroundAlcohol use disorders after bariatric surgery
Suzuki, J., Haimovici, F., & Chang, G. (2012) · Obesity Surgery · doi:10.1007/s11695-010-0346-1 · Cited by 130 · see citing works
The validity of the DSM-IV scheme for classifying bulimic eating disorders
Hay, P., & Fairburn, C. G. (1998) · International Journal of Eating Disorders · doi:10.1002/(sici)1098-108x(199801)23:1 · Cited by 125 · see citing works
Improved memory function two years after bariatric surgery
Alosco, M. L., Spitznagel, M. B., Strain, G. W., Devlin, M. J., Cohen, R. A., Paul, R. H., Crosby, R. D., Mitchell, J. E., & Gunstad, J. (2013) · Obesity · doi:10.1002/oby.20494 · Cited by 123 · cited 2× · see citing works
“Although mild cognitive impairments improve after surgery, there remains variability in postoperative cognitive functioning (Alosco et al., 2014).”
BackgroundQuality of Life, Body Image and Sexual Functioning in Bariatric Surgery Patients
Sarwer, D. B., & Steffen, K. J. (2015) · European Eating Disorders Review · doi:10.1002/erv.2412 · Cited by 120 · cited 3× · see citing works
“Most patients report significant reductions in symptoms of depression and anxiety at the end of the first postoperative year and before reaching their maximum weight loss (Sarwer et al., 2018; Sarwer & Steffen, 2015).”
BackgroundSelf-citationChanges in Sexual Functioning and Sex Hormone Levels in Women Following Bariatric Surgery
Sarwer, D. B., Spitzer, J. C., Wadden, T. A., Mitchell, J. E., Lancaster, K., Courcoulas, A. P., GOURASH, W. F., Rosen, R. C., & Christian, N. J. (2013) · JAMA Surgery · doi:10.1001/jamasurg.2013.5022 · Cited by 118 · cited 6× · see citing works
“Changes in mental health quality of life are less uniform (Szmulewicz et al., 2019) and may be more pronounced for women than men (Sarwer et al., 2013; Sarwer et al., 2014; Sarwer et al., 2018).”
BackgroundMethodInfluentialSelf-citationThe Prognostic Significance of Regular Binge Eating in Extremely Obese Gastric Bypass Patients
White, M. A., Masheb, R. M., Rothschild, B. S., Burke‐Martindale, C. H., & Grilo, C. M. (2006) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v67n1213 · Cited by 115 · cited 2× · see citing works
“As detailed above, binge eating, as well as night eating, are relatively common among bariatric surgery patients (Allison et al., 2006; Kalarchian, Wilson, Brolin, & Bradley, 1998; Mitchell et al., 2015; White et al., 2006).”
BackgroundAllison, K. C., Wadden, T. A., Sarwer, D. B., Fabricatore, A. N., Crerand, C. E., Gibbons, L. M., Stack, R. M., Stunkard, A. J., & Williams, N. N. (2006) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2006.03.014 · Cited by 113 · see citing works
Self-citationConceição, E., Mitchell, J. E., Pinto‐Bastos, A., Arrojado, F., Brandão, I., & Machado, P. P. P. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.12.006 · Cited by 107 · cited 1× · see citing works
“However, there is evidence to suggest that many problematic eating behaviors, like LOC eating, persist after surgery (Conceição et al., 2014; 2017).”
BackgroundPrompt Reduction in Use of Medications for Comorbid Conditions After Bariatric Surgery
Segal, J. B., Clark, J. M., Shore, A. D., Dominici, F., Magnuson, T. H., Richards, T. M., Weiner, J. P., Bass, E. B., Wu, A. W., & Makary, M. A. (2009) · Obesity Surgery · doi:10.1007/s11695-009-9960-1 · Cited by 103 · see citing works
Behavioral Assessment of Candidates for Bariatric Surgery: A Patient‐Oriented Approach
Wadden, T. A., & Sarwer, D. B. (2006) · Obesity · doi:10.1038/oby.2006.283 · Cited by 103 · see citing works
Self-citationDevlin, M. J., King, W. C., Kalarchian, M. A., White, G. E., Marcus, M. D., Garcia, L., Yanovski, S. Z., & Mitchell, J. E. (2016) · International Journal of Eating Disorders · doi:10.1002/eat.22578 · Cited by 101 · cited 1× · see citing works
“The presence of both behaviors, as well as an increased frequency of “grazing” or LOC eating, has been associated with weight regain (Chao et al., 2016; Devlin et al., 2016; Ivezaj, Widermann, & Grilo, 2017; Kalarchian et al., 2002; Mitchell et al., 2001; White et al., 2006).”
BackgroundPre-Surgery Binge Eating Status: Effect on Eating Behavior and Weight Outcome after Gastric Bypass
Bocchieri, L. E., Chen, E. Y., Munoz, D., Fischer, S. F., Dymek-Valentine, M., Alverdy, J., & Grange, D. L. (2006) · Obesity Surgery · doi:10.1381/096089206778392194 · Cited by 99 · cited 2× · see citing works
“The majority of studies have demonstrated a non-significant association between preoperative LOC eating and weight loss after surgery (Alger-Mayer, Rosati, Polimeni, & Malone, 2009; Bocchieri-Ricciardi et al., 2006; Colles, Dixon, & O’Brien, 2008; Meany, Conceição, & Mitchell, 2014; White, Kalarchian, Masheb, Marcus,…”
Cognitive function predicts weight loss after bariatric surgery
Spitznagel, M. B., García, S., Miller, L. A., Strain, G. W., Devlin, M. J., Wing, R. R., Cohen, R. A., Paul, R. H., Crosby, R. D., Mitchell, J. E., et al. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2011.10.008 · Cited by 95 · cited 2× · see citing works
“Evidence links cognitive ability and weight loss in the first three years after bariatric surgery (Spitznagel et al., 2013a; 2013b; 2013c; 2014).”
BackgroundPreoperative Binge Eating Status and Gastric Bypass Surgery: A Long-Term Outcome Study
Alger-Mayer, S. A., Rosati, C., Polimeni, J. M., & Malone, M. (2008) · Obesity Surgery · doi:10.1007/s11695-008-9540-9 · Cited by 94 · see citing works
Blood alcohol concentrations rise rapidly and dramatically after Roux-en-Y gastric bypass
Steffen, K. J., Engel, S. G., Pollert, G. A., Li, C., & Mitchell, J. E. (2013) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2013.02.002 · Cited by 94 · cited 1× · see citing works
“In some cases, patients in a laboratory setting are legally drunk within 5 minutes of consumption of a single serving of alcohol (Steffen et al., 2013).”
BackgroundPreoperative Medical Weight Management in Bariatric Surgery: a Review and Reconsideration
Tewksbury, C. M., Williams, N. N., Dumon, K. R., & Sarwer, D. B. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2422-7 · Cited by 93 · cited 1× · see citing works
“However, the success of bariatric surgery depends on intensive adherence to multidisciplinary treatment recommendations both before and after surgery (Tewksbury et al., 2017).”
BackgroundSelf-citationGrilo, C. M., White, M. A., Masheb, R. M., Rothschild, B., & Burke‐Martindale, C. H. (2006) · Obesity Surgery · doi:10.1381/096089206776327288 · Cited by 92 · see citing works
Chao, A. M., Wadden, T. A., Faulconbridge, L. F., Sarwer, D. B., Webb, V. L., Tronieri, J. S., Thomas, J. G., Hopkins, C. M., Bakizada, Z. M., Alamuddin, N., et al. (2016) · Obesity · doi:10.1002/oby.21648 · Cited by 89 · cited 2× · see citing works
“In several, BED diagnosed prior to surgery has been associated with suboptimal weight losses in the first few postoperative years (Chao et al., 2016; Kalarchian et al., 2002; Mitchell et al., 2001).”
BackgroundSelf-citationMarek, R. J., Ben‐Porath, Y. S., van Dulmen, M. H. M., Ashton, K. R., & Heinberg, L. J. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.11.008 · Cited by 87 · see citing works
Self-citationSjöholm, K., Pajunen, P., Jacobson, P., Karason, K., Sjöström, C. D., Torgerson, J., Carlsson, L. M. S., Sjöström, L., & Peltonen, M. (2015) · Diabetologia · doi:10.1007/s00125-015-3591-y · Cited by 86 · cited 2× · see citing works
“A uthor M anuscript A uthor M anuscript A uthor M anuscript A uthor M anuscript raises concerns about the need for adjunctive treatment (Panunzi et al., 2016; Sjöholm et al., 2015).”
BackgroundAttendance at Clinical Visits Predicts Weight Loss After Gastric Bypass Surgery
Compher, C. W., Hanlon, A. L., Kang, Y., Elkin, L., & Williams, N. N. (2011) · Obesity Surgery · doi:10.1007/s11695-011-0577-9 · Cited by 86 · see citing works
A review of psychological assessment instruments for use in bariatric surgery evaluations.
Marek, R. J., Heinberg, L. J., Lavery, M. E., Rish, J. M., & Ashton, K. R. (2016) · Psychological Assessment · doi:10.1037/pas0000286 · Cited by 85 · cited 2× · see citing works
“…clinicians to gather a large amount of information quickly, assess personality or related risk factors that have been associated with outcome, can be useful in making differential diagnoses, and help discern the extent to which patients may be under- or over-reporting symptoms (Marek et al., 2016).”
BackgroundSelf-citationBehavioral assessment of candidates for bariatric surgery: a patient-oriented approach
Wadden, T. A., & Sarwer, D. B. (2006) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2006.03.011 · Cited by 82 · cited 2× · see citing works
“Presurgical Psychological Screening Prior to Bariatric Surgery The psychological evaluation prior to bariatric surgery serves several purposes (Sarwer, Allison, Bailer, Faulconbridge, & Wadden, 2013; Sogg et al., 2016; Wadden & Sarwer, 2006).”
BackgroundSelf-citationThe ASMBS Textbook of Bariatric Surgery
Rosenthal, R. J., Ponce, J., Morton, J. M., Blackstone, R. P., & Nguyen, N. T. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1206-3 · Cited by 82 · see citing works
Substance Misuse Following Roux-en-Y Gastric Bypass Surgery
Reslan, S., Saules, K. K., Greenwald, M. K., & Schuh, L. M. (2013) · Substance Use & Misuse · doi:10.3109/10826084.2013.841249 · Cited by 79 · see citing works
Optimizing long-term weight control after bariatric surgery: a pilot study
Kalarchian, M. A., Marcus, M. D., Courcoulas, A. P., Cheng, Y., Levine, M. D., & Josbeno, D. A. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2011.04.231 · Cited by 79 · cited 1× · see citing works
“Other studies have investigated the efficacy of “rescue” interventions in patients who regained weight later in the postoperative course (Bradley et al., 2016; Kalarchian et al., 2012).”
BackgroundInvestigation of Antidepressant Medication Usage After Bariatric Surgery
Cunningham, J. L., Merrell, C. C., Sarr, M., Somers, K. J., McAlpine, D., Reese, M., Stevens, S. R., & Clark, M. M. (2012) · Obesity Surgery · doi:10.1007/s11695-011-0517-8 · Cited by 78 · cited 1× · see citing works
“However, use gradually increases over time (Cunningham et al., 2012).”
Stewart, F., & Avenell, A. (2016) · Obesity Surgery · doi:10.1007/s11695-015-1873-6 · Cited by 77 · see citing works
The Role of Cognitive Function in Postoperative Weight Loss Outcomes: 36-Month Follow-Up
Spitznagel, M. B., Alosco, M. L., Galioto, R., Strain, G. W., Devlin, M. J., Sysko, R., Crosby, R. D., Mitchell, J. E., & Gunstad, J. (2014) · Obesity Surgery · doi:10.1007/s11695-014-1205-2 · Cited by 77 · cited 1× · see citing works
“Evidence links cognitive ability and weight loss in the first three years after bariatric surgery (Spitznagel et al., 2013a; 2013b; 2013c; 2014).”
BackgroundSzmulewicz, A., Wanis, K. N., Gripper, A. B., Angriman, F., Hawel, J., Elnahas, A., Alkhamesi, N. A., & Schlachta, C. M. (2018) · Clinical Obesity · doi:10.1111/cob.12290 · Cited by 76 · cited 2× · see citing works
“Changes in mental health quality of life are less uniform (Szmulewicz et al., 2019) and may be more pronounced for women than men (Sarwer et al., 2013; Sarwer et al., 2014; Sarwer et al., 2018).”
BackgroundCognitive function predicts 24-month weight loss success after bariatric surgery
Spitznagel, M. B., Alosco, M. L., Strain, G. W., Devlin, M. J., Cohen, R. A., Paul, R. H., Crosby, R. D., Mitchell, J. E., & Gunstad, J. (2013) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2013.04.011 · Cited by 75 · cited 2× · see citing works
“Evidence links cognitive ability and weight loss in the first three years after bariatric surgery (Spitznagel et al., 2013a; 2013b; 2013c; 2014).”
BackgroundSexual functioning and sex hormones in men who underwent bariatric surgery
Sarwer, D. B., Spitzer, J. C., Wadden, T. A., Rosen, R. C., Mitchell, J. E., Lancaster, K., Courcoulas, A. P., GOURASH, W. F., & Christian, N. J. (2014) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2014.12.014 · Cited by 73 · cited 1× · see citing works
“Men also report improvements, but they do not appear to be of the same magnitude as those reported by women (Sarwer et al., 2015).”
ResultSelf-citationSarwer, D. B., Wadden, T. A., Spitzer, J. C., Mitchell, J. E., Lancaster, K., Courcoulas, A. P., GOURASH, W. F., Rosen, R. C., & Christian, N. J. (2017) · Obesity Surgery · doi:10.1007/s11695-017-3025-7 · Cited by 72 · cited 7× · see citing works
“Changes in mental health quality of life are less uniform (Szmulewicz et al., 2019) and may be more pronounced for women than men (Sarwer et al., 2013; Sarwer et al., 2014; Sarwer et al., 2018).”
BackgroundMethodInfluentialSelf-citationSarwer, D. B., Spitzer, J. C., Wadden, T. A., Rosen, R. C., Mitchell, J. E., Lancaster, K., Courcoulas, A. P., GOURASH, W. F., & Christian, N. J. (2013) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2013.07.003 · Cited by 71 · cited 3× · see citing works
“Changes in mental health quality of life are less uniform (Szmulewicz et al., 2019) and may be more pronounced for women than men (Sarwer et al., 2013; Sarwer et al., 2014; Sarwer et al., 2018).”
BackgroundSelf-citationAlcohol misuse after bariatric surgery: epiphenomenon or “Oprah” phenomenon?
Sogg, S. (2007) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2007.03.004 · Cited by 66 · see citing works
Bradley, L. E., Forman, E. M., Kerrigan, S. G., Butryn, M. L., Herbert, J. D., & Sarwer, D. B. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2125-0 · Cited by 66 · cited 3× · see citing works
“Other studies have investigated the efficacy of “rescue” interventions in patients who regained weight later in the postoperative course (Bradley et al., 2016; Kalarchian et al., 2012).”
BackgroundSelf-citationHeinberg, L. J., Ashton, K. R., & Windover, A. K. (2009) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2009.10.004 · Cited by 64 · cited 2× · see citing works
“The vast majority of patients are unconditionally recommended for surgery (Friedman, Applegate & Grant, 2007; Heinberg et al., 2010).”
BackgroundSelf-citationLong-Term Mortality After Gastric Bypass Surgery
&NA; (2008) · Survey of Anesthesiology · doi:10.1097/01.sa.0000307862.68683.00 · Cited by 63 · see citing works
Smoking and alcohol use in gastric bypass patients
Lent, M. R., Hayes, S. M., Wood, G. C., Napolitano, M. A., Argyropoulos, G. A., Gerhard, G. S., Foster, G. D., & Still, C. D. (2013) · Eating Behaviors · doi:10.1016/j.eatbeh.2013.08.008 · Cited by 61 · cited 1× · see citing works
“Other studies also have found increases in alcohol as well as nicotine, opioids, and other substances in the first two postoperative years (Conason et al., 2013; Ivezaj, Saules, & Schuh, 2014; Lent et al., 2013; Reslan, Saules, Greenwald, & Schuh, 2014).”
BackgroundKaiser, K., Franks, S., & Smith, A. B. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2010.07.013 · Cited by 60 · see citing works
Presurgical psychological screening: Understanding patients, improving outcomes.
(2012) · American Psychological Association eBooks · doi:10.1037/14035-000 · Cited by 59 · cited 6× · see citing works
“Changes in mental health quality of life are less uniform (Szmulewicz et al., 2019) and may be more pronounced for women than men (Sarwer et al., 2013; Sarwer et al., 2014; Sarwer et al., 2018).”
BackgroundMethodInfluentialChanges in Sexual Functioning in Women and Men in the 5 Years After Bariatric Surgery
Steffen, K. J., King, W. C., White, G. E., Subak, L. L., Mitchell, J. E., Courcoulas, A. P., Flum, D. R., Strain, G. W., Sarwer, D. B., Kolotkin, R. L., et al. (2019) · JAMA Surgery · doi:10.1001/jamasurg.2018.1162 · Cited by 59 · see citing works
Self-citationSexual functioning of men and women with severe obesity before bariatric surgery
Steffen, K. J., King, W. C., White, G. E., Subak, L. L., Mitchell, J. E., Courcoulas, A. P., Flum, D. R., Strain, G. W., Sarwer, D. B., Kolotkin, R. L., et al. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.09.022 · Cited by 58 · cited 3× · see citing works
“Sexual and Romantic Relationships As with changes in body image, most women report significant improvements in sexual functioning (Sarwer et al., 2013; Sarwer et al., 2014; Sarwer et al., 2018; Steffen et al., 2017; 2019).”
BackgroundMethodSelf-citationCognitive function is linked to adherence to bariatric postoperative guidelines
Spitznagel, M. B., Galioto, R., Limbach, K. E., Gunstad, J., & Heinberg, L. J. (2013) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2013.04.007 · Cited by 57 · cited 2× · see citing works
“Evidence links cognitive ability and weight loss in the first three years after bariatric surgery (Spitznagel et al., 2013a; 2013b; 2013c; 2014).”
BackgroundSelf-citationNguyen, N. T., Nguyen, B., Smith, B. R., Reavis, K. M., Elliott, C., & Hohmann, S. F. (2011) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2011.12.010 · Cited by 56 · cited 3× · see citing works
“Approximately 5-10% of patients experience significant surgical or medical complications postoperatively (Nguyen et al., 2013).”
BackgroundInfluentialBinge eating disorder and medical comorbidities in bariatric surgery candidates
Mitchell, J. E., King, W. C., Pories, W. J., Wolfe, B. M., Flum, D. R., Spaniolas, K., Bessler, M., Devlin, M. J., Marcus, M. D., Kalarchian, M. A., et al. (2015) · International Journal of Eating Disorders · doi:10.1002/eat.22389 · Cited by 51 · cited 1× · see citing works
“As detailed above, binge eating, as well as night eating, are relatively common among bariatric surgery patients (Allison et al., 2006; Kalarchian, Wilson, Brolin, & Bradley, 1998; Mitchell et al., 2015; White et al., 2006).”
BackgroundHeinberg, L. J., Pudalov, L. R., Alameddin, H., & Steffen, K. J. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.11.019 · Cited by 50 · see citing works
Self-citationHistory of substance abuse relates to improved postbariatric body mass index outcomes
Heinberg, L. J., & Ashton, K. R. (2010) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2010.04.001 · Cited by 49 · cited 1× · see citing works
“Somewhat surprisingly, a history of substance abuse has been associated with greater postoperative weight loss (Clark et al., 2003; Heinberg & Ashton, 2010).”
BackgroundSelf-citationLoss of control eating and weight outcomes after bariatric surgery: a study with a Portuguese sample
Conceição, E., Pinto‐Bastos, A., Brandão, I., Vaz, A. R., Ramalho, S. M., Arrojado, F., da Costa, J. M., & Machado, P. P. P. (2013) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-013-0069-0 · Cited by 49 · cited 1× · see citing works
“However, there is evidence to suggest that many problematic eating behaviors, like LOC eating, persist after surgery (Conceição et al., 2014; 2017).”
BackgroundFriedman, K. E., Applegate, K. L., & Grant, J. P. (2007) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2007.01.008 · Cited by 49 · cited 1× · see citing works
“Approximately 40% of candidates for bariatric surgery rep`ort current, and up to 50% a history of mental health treatment (Friedman et al., 2007; Sarwer et al., 2004), percentages higher than typically seen in the general population.”
BackgroundPersistent Opioid Use and High-Risk Prescribing in Body Contouring Patients
Bennett, K. G., Kelley, B., Vick, A. D., Lee, J. S.-J., Gunaseelan, V., Brummett, C. M., & Waljee, J. F. (2018) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000005084 · Cited by 48 · cited 1× · see citing works
“This pattern of results also was seen in bariatric patients who subsequently underwent body contouring procedures to address loose, hanging skin resulting from the massive weight loss (Bennett et al., 2019).”
BackgroundNew-Onset Substance Use Disorder After Gastric Bypass Surgery: Rates and Associated Characteristics
Ivezaj, V., Saules, K. K., & Schuh, L. M. (2014) · Obesity Surgery · doi:10.1007/s11695-014-1317-8 · Cited by 46 · see citing works
History of sexual abuse among bariatric surgery candidates
Gustafson, T. B., Gibbons, L. M., Sarwer, D. B., Crerand, C. E., Fabricatore, A. N., Wadden, T. A., Raper, S. E., & Williams, N. N. (2006) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2006.03.002 · Cited by 45 · cited 1× · see citing works
“Up to one third of candidates for surgery have reported a history of sexual abuse (e.g., Grilo et al., 2005; Gustafson et al., 2006).”
BackgroundSelf-citationMental Illness Has a Negative Impact on Weight Loss in Bariatric Patients: a 4-Year Follow-up
Müller, M., Nett, P. C., Borbély, Y., Buri, C., Stirnimann, G., Laederach, K., & Kröll, D. (2018) · Journal of Gastrointestinal Surgery · doi:10.1007/s11605-018-3903-x · Cited by 45 · see citing works
Zeller, M. H., Pendery, E. C., Reiter‐Purtill, J., Hunsaker, S. L., Jenkins, T. M., Helmrath, M. A., & Inge, T. H. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.03.008 · Cited by 42 · cited 1× · see citing works
“Some of these concerns likely fall at the intersection of bariatric surgery, psychosocial development, and an adolescents ability to engage in appropriate and sustained health maintenance behaviors as they transition to adulthood (Zeller et al., 2017).”
BackgroundAssociation of obesity with healthcare utilization and costs in a Medicare population
Suehs, B. T., Kamble, P., Huang, J., Hammer, M., Bouchard, J. R., Costantino, M. E., & Renda, A. M. (2017) · Current Medical Research and Opinion · doi:10.1080/03007995.2017.1361915 · Cited by 39 · see citing works
Speck, R. M., Bond, D. S., Sarwer, D. B., & Farrar, J. T. (2013) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2013.08.001 · Cited by 38 · see citing works
Self-citationRemote assessments and behavioral interventions in post-bariatric surgery patients
Bradley, L. E., Thomas, J. G., Hood, M. M., Corsica, J. A., Kelly, M. C., & Sarwer, D. B. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.07.011 · Cited by 32 · cited 3× · see citing works
“…M anuscript A uthor M anuscript A uthor M anuscript Postoperative Psychosocial and Behavioral Interventions to Improve Outcomes In the past decade, a number of investigators have focused their attention on interventions to promote long term success after bariatric surgery (Bradley et al., 2018).”
BackgroundInfluentialSelf-citationOrcutt, M. J., King, W. C., Kalarchian, M. A., Devlin, M. J., Marcus, M. D., Garcia, L., Steffen, K. J., & Mitchell, J. E. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.11.009 · Cited by 30 · cited 1× · see citing works
“A recent study found that two thirds of women and just less than half of the men studied reported at least 1 episode of childhood maltreatment (Orcutt et al. 2019).”
BackgroundThe ASMBS Textbook of Bariatric Surgery
Still, C. D., Blankenship, J. D., & Sarwer, D. B. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1197-4 · Cited by 25 · cited 3× · see citing works
“Weight loss is believed to induced by the restriction of total food intake, malabsorption of macronutrients, as well as through favorable changes in gut peptides and appetite hormones (Nguyen et al., 2015).”
BackgroundMethodInfluentialSelf-citationHensel, J. M., Kaplan, K. G., Anvari, M., & Taylor, V. H. (2016) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2016.03.016 · Cited by 16 · see citing works
Pearl, R. L., & Wadden, T. A. (2018) · Obesity · doi:10.1002/oby.22205 · Cited by 10 · cited 1× · see citing works
“There is evidence that stigmatizing medical experiences lead persons with obesity to avoid care and, as a result, have poorer outcomes (Phelan et al., 2015).”
BackgroundHandbook of obesity treatment, 2nd ed.
Wadden, T. A., & Bray, G. A. (2018) · Cited by 8 · see citing works
Changes in Sexual Functioning and Sex Hormone Levels in Women Following Bariatric Surgery
Sarwer, D. B., Spitzer, J. C., Wadden, T. A., Mitchell, J. E., Lancaster, K., Courcoulas, A. P., GOURASH, W. F., Rosen, R. C., & Christian, N. J. (2014) · Obstetrical & Gynecological Survey · doi:10.1097/01.ogx.0000445777.60167.b5 · Cited by 6 · see citing works
Self-citationLiver Fibrosis Predicts Cognitive Function Following Bariatric Surgery: A Preliminary Investigation
Spitznagel, M. B., Gunstad, J., Manderino, L. M., & Heinberg, L. J. (2015) · Obesity · doi:10.1002/oby.21219 · Cited by 3 · see citing works
Self-citationChanges in Sexual Functioning in Women and Men in the 5 Years After Bariatric Surgery
Steffen, K. J., King, W. C., White, G. E., Subak, L. L., Mitchell, J. E., Courcoulas, A. P., Flum, D. R., Strain, G. W., Sarwer, D. B., Kolotkin, R. L., et al. (2019) · Obstetrical & Gynecological Survey · doi:10.1097/01.ogx.0000558119.60813.03 · Cited by 2 · cited 1× · see citing works
“Sexual and Romantic Relationships As with changes in body image, most women report significant improvements in sexual functioning (Sarwer et al., 2013; Sarwer et al., 2014; Sarwer et al., 2018; Steffen et al., 2017; 2019).”
Self-citationFive-year outcomes of gastric bypass in adolescents as compared with adults
Inge, T. H., Courcoulas, A. P., Jenkins, T. M., Michalsky, M. P., Brandt, M. L., Sa, X., Dixon, J., Harmon, C. M., Chen, M., Xie, C., et al. (2019) · Yearbook of pediatric endocrinology · doi:10.1530/ey.16.11.13 · Cited by 2 · see citing works
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- Ben-Porath YS & Tellegen AM (2011). Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF): Manual for administration, scoring and interpretation. Minneapolis, MN: University of Minnesota Press.
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Reasons for underutilization of bariatric surgery: The role of insurance benefit design
Gasoyan, H., Tajeu, G. S., Halpern, M. T., & Sarwer, D. B. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.10.005 · Cited by 172 · see citing works
Self-citationRyan, L., Coyne, R., Heary, C., Birney, S., Crotty, M., Dunne, R., Conlan, O., & Walsh, J. C. (2023) · Obesity Reviews · doi:10.1111/obr.13606 · Cited by 149 · see citing works
“Weight stigma is prevalent across healthcare settings(7) where it has been consistently shown to contribute to poor physical health outcomes and the maintenance of obesity via physiological(8) cognitive, emotional, and behavioral pathways.(3,9) In addition to physical ill health, weight stigma is associated with poor…”
BackgroundHaddad, A. J., Suter, M., Greve, J. W. M., Shikora, S. A., Prager, G., Dayyeh, B. K. A., Neto, M. G., Grothe, K. B., Herrera, M. F., Kow, L., et al. (2024) · Obesity Surgery · doi:10.1007/s11695-024-07489-7 · Cited by 66 · see citing works
“Psychological disorders such as depression and anxiety are more common in patients seeking RBS and can be chronic, recurrent, or undertreated, suggesting it is important to screen patients for these conditions before performing a RBS [51, 52].”
Kops, N. L., Vivan, M. A., Fülber, E. R., Fleuri, M., Fagundes, J., & Friedman, R. (2020) · Obesity Surgery · doi:10.1007/s11695-020-05124-9 · Cited by 52 · see citing works
“The prevalence of eating disorders is even higher in individuals undergoing weight reduction surgery than in the general population [5, 6], and binge eating disorder (BED) is the second most common single disorder, occurring in 17% of patients [7].”
BackgroundPsychopathology, disordered eating, and impulsivity in patients seeking bariatric surgery
Sarwer, D. B., Wadden, T. A., Ashare, R. L., Spitzer, J. C., McCuen‐Wurst, C., Lagrotte, C. A., Williams, N. N., Edwards, M. A., Tewksbury, C. M., Wu, J., et al. (2020) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2020.11.005 · Cited by 49 · see citing works
Self-citationDisordered eating following bariatric surgery: a review of measurement and conceptual considerations
Ivezaj, V., Carr, M. M., Brode, C. S., Devlin, M. J., Heinberg, L. J., Kalarchian, M. A., Sysko, R., Williams‐Kerver, G. A., & Mitchell, J. E. (2021) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2021.03.008 · Cited by 48 · see citing works
Self-citationPaul, L., van der Heiden, C., van Hoeken, D., Deen, M. L., Vlijm, A., Klaassen, R. A., Biter, L. U., & Hoek, H. W. (2020) · Obesity Surgery · doi:10.1007/s11695-020-05081-3 · Cited by 34 · see citing works
Archi, S. E., Brunault, P., Luca, A. D., Cortese, S., Hankard, R., Bourbao-Tournois, C., Ballon, N., Réveillère, C., & Barrault, S. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.745857 · Cited by 33 · see citing works
Hilbert, A., Staerk, C., Strömer, A., Mansfeld, T., Sander, J., Seyfried, F., Kaiser, S., Dietrich, A., & Mayr, A. J. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.26244 · Cited by 29 · see citing works
Wright, C., Mutsekwa, R. N., Hamilton, K., Campbell, K. L., & Kelly, J. T. (2021) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2021.07.020 · Cited by 28 · see citing works
Effects of Bariatric Surgery on Depression: Role of Body Image
Behrens, S. C., Lenhard, K., Junne, F., Ziser, K., Lange, J., Zipfel, S., Giel, K. E., Teufel, M., & Mack, I. (2020) · Obesity Surgery · doi:10.1007/s11695-020-05057-3 · Cited by 26 · see citing works
Predictors of Alcohol Use after Bariatric Surgery
Miller-Matero, L. R., Hamann, A., LaLonde, L., Martens, K. M., Son, J., Clark-Sienkiewicz, S., Sata, M., Coleman, J. P., Hecht, L. M., Braciszewski, J. M., et al. (2020) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-020-09751-3 · Cited by 26 · see citing works
Multidisciplinary Team in Bariatric Surgery: Structure and Role
Kaur, V., Bowen, L., Bano, G., Reddy, M., & Khan, O. A. (2022) · Springer eBooks · doi:10.1007/978-3-030-54064-7_15-1 · Cited by 25 · see citing works
Bianciardi, E., Gentileschi, P., Niolu, C., Innamorati, M., Fabbricatore, M., Contini, L. M., Procenesi, L., Siracusano, A., & Imperatori, C. (2020) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-020-01068-2 · Cited by 23 · see citing works
Randomized Controlled Trial of Treatments for Loss‐of‐Control Eating Following Bariatric Surgery
Grilo, C. M., Ivezaj, V., Duffy, A. J., & Gueorguieva, R. V. (2021) · Obesity · doi:10.1002/oby.23124 · Cited by 22 · see citing works
“In contrast, research has identified one reliable postsurgery predictor of subsequent outcomes: “lossof- control” (LOC) eating (3,1012).”
BackgroundInfluentialAllison, K. C., Wu, J., Spitzer, J. C., McCuen‐Wurst, C., Ashare, R. L., Tewksbury, C. M., Lagrotte, C. A., Wadden, T. A., Williams, N. N., & Sarwer, D. B. (2023) · Obesity Surgery · doi:10.1007/s11695-022-06442-w · Cited by 23 · see citing works
“The physical properties of bariatric surgery are likely strongest in the first 6 months after surgery; behavioral and psychosocial variables may have a greater impact over time [6, 36, 37].”
BackgroundSelf-citationKvalem, I. L., Gabrielsen, L., Eribe, I., Kristinsson, J. A., & Mala, T. (2022) · Obesity Science & Practice · doi:10.1002/osp4.594 · Cited by 21 · see citing works
“In the long‐term, a relapse in psychological concerns, such as depressive symptoms and body image problems, has been documented, often in association with suboptimal weight loss.(23,24) For example, depressive symptoms have been associated with less outcome satisfaction at 2 years(12) and 4 years after surgery,(6) and…”
BackgroundSoulliard, Z. A., Brode, C. S., Tabone, L. E., Abunnaja, S., Szoka, N. L., & Cox, S. J. (2020) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2020.12.012 · Cited by 20 · see citing works
The Association Between Bariatric Surgery and Psychiatric Disorders: a National Cohort Study
Becerra, A. Z., Khalid, S. I., Morgenstern, A. S., Rembert, E., Carroll, M. D., Omotosho, P. A., & Torquati, A. (2022) · Obesity Surgery · doi:10.1007/s11695-022-05896-2 · Cited by 19 · see citing works
Bennett, B. L., Grilo, C. M., Alperovich, M. A., & Ivezaj, V. (2021) · Aesthetic Surgery Journal · doi:10.1093/asj/sjab327 · Cited by 18 · see citing works
Sarwer, D. B., & Grilo, C. M. (2020) · American Psychologist · doi:10.1037/amp0000610 · Cited by 18 · see citing works
Self-citationConradson, H. E., Hayden, K. A., Russell‐Mayhew, S., Raffin Bouchal, S., & King‐Shier, K. (2022) · Obesity Science & Practice · doi:10.1002/osp4.605 · Cited by 15 · see citing works
“Women's appraisal of their body image and quality of life are also negatively impacted by obesity.(11,22,23) Women with obesity are particularly at risk for having poorer overall health, socioeconomic status, education, and employment compared to non‐obese women or men.”
BackgroundMurton, L. M., Plank, L. D., Cutfield, R., Kim, D. S., Booth, M., Murphy, R., & Serlachius, A. S. (2023) · Obesity Surgery · doi:10.1007/s11695-023-06537-y · Cited by 15 · see citing works
“There is an increasing number of studies exploring the relationship between psychosocial functioning and postoperative psychological and weight outcomes after bariatric surgery[31, 32], however, this has seldom been investigated in a prospective randomised blinded study comparing two different procedure types, or inve…”
BackgroundMarijuana and Bariatric Surgery
Diggins, A. D., & Heinberg, L. J. (2021) · Current Psychiatry Reports · doi:10.1007/s11920-020-01218-4 · Cited by 15 · see citing works
Self-citationThe Role of Resilience in Psychological Health Among Bariatric Surgery Patients
McGarrity, L. A., Terrill, A. L., Martinez, P. L., Ibele, A. R., Morrow, E. H., Volckmann, E. T., & Smith, T. W. (2022) · Obesity Surgery · doi:10.1007/s11695-021-05855-3 · Cited by 13 · see citing works
“Despite evidence that resilience frequently develops in response to chronic stress in other marginalized or chronically ill groups and can be enhanced through coaching, this concept has been understudied by researchers and underutilized by interventionists with regards to obesity and bariatric surgery [9].”
BackgroundGordon, E. L., Terrill, A. L., Smith, T. W., Ibele, A. R., Martinez, P. L., & McGarrity, L. A. (2022) · Obesity Surgery · doi:10.1007/s11695-022-06062-4 · Cited by 12 · see citing works
Sarwer, D. B., Wadden, T. A., Ashare, R. L., Spitzer, J. C., McCuen‐Wurst, C., Lagrotte, C. A., Williams, N. N., Soans, R. S., Tewksbury, C. M., Wu, J., et al. (2024) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2024.01.019 · Cited by 12 · see citing works
Self-citationBaskaran, C., Animashaun, A., Rickard, F., Toth, A. T., Eddy, K. T., Plessow, F., Bredella, M. A., & Misra, M. (2021) · Obesity Surgery · doi:10.1007/s11695-021-05386-x · Cited by 12 · see citing works
“In addition to metabolic complications, severe obesity is associated with a broad range of mood [7, 8], emotional [8, 9], and cognitive alterations [10, 11].”
BackgroundMathieu, J., Brunaud, L., Reibel, N., Moukah, D., Witkowski, P., Lighezzolo‐Alnot, J., Quilliot, D., & Ziegler, O. (2022) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-022-01488-2 · Cited by 14 · see citing works
“The prevalence of emotional neglect, physical, emotional and sexual abuse is high in patients with severe obesity [5], especially in those with binge eating disorder (BED) [4, 6, 7].”
BackgroundInfluentialFerreres-Galán, V., Quilez-Orden, A. B., & Osma, J. (2022) · Anales de Psicología · doi:10.6018/analesps.482301 · Cited by 11 · see citing works
The challenge of addressing obesity in people with poorly controlled asthma
Dixon, A. E., Blake, K., DiMango, E., Dransfield, M. T., Feemster, L. C., Johnson, O., Roy, G., Hazucha, H., Harvey, J. R., McCormack, M. C., et al. (2021) · Obesity Science & Practice · doi:10.1002/osp4.533 · Cited by 10 · see citing works
Ryan, L., Coyne, R., Heary, C., Birney, S., Crotty, M., Dunne, R., Conlan, O., & Walsh, J. C. (2022) · International Journal of Qualitative Methods · doi:10.1177/16094069221102710 · Cited by 10 · see citing works
“…al., 2021; Puhl et al., 2021) where it has been consistently shown to contribute to poor physical health outcomes and the maintenance of obesity via physiological (Daly et al., 2019) cognitive, emotional and behavioural pathways (Tomiyama et al., 2018; Sarwer & Heinberg, 2020; Gerend et al., 2020).”
BackgroundSong, Y., Ni, Z., Li, Y., Li, Z., Zhang, J., Guo, D. L., Yuan, C., Zhang, Z., & Li, Y. (2022) · Therapeutic Advances in Gastrointestinal Endoscopy · doi:10.1177/26317745221111944 · Cited by 10 · see citing works
“28 Behavioral and psychosocial interventions play an important role in promoting long-term success after BMS. 29 Perioperative care is also an important content of clinical case management.”
BackgroundClark, M. M., Goetze, R. E., Howell, L. A., & Grothe, K. B. (2020) · Techniques and Innovations in Gastrointestinal Endoscopy · doi:10.1016/j.tige.2020.03.006 · Cited by 9 · see citing works
Problematic alcohol use in post-bariatric patients – a qualitative study
Tvedt, H., Stokke, R., Lid, T. G., & Selbekk, A. S. (2023) · Tidsskrift for Den norske legeforening · doi:10.4045/tidsskr.22.0449 · Cited by 9 · see citing works
Quilez-Orden, A. B., Ferreres-Galán, V., & Osma, J. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17176155 · Cited by 9 · see citing works
“This is a pilot study using a repeated single-case experimental design (multiple baseline design) to explore the feasibility and clinical usefulness of a transdiagnostic emotion-based online group intervention (UP) for BS candidates with EDs or subclinical anxious or depressive symptoms attended to in a public mental…”
BackgroundResultInfluentialBenson‐Davies, S., Rogers, A. M., Huberman, W. L., Sann, N., GOURASH, W. F., Flanders, K. M., & Ren‐Fielding, C. J. (2022) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2022.06.295 · Cited by 8 · see citing works
Grilo, C. M., Ivezaj, V., Duffy, A. J., & Gueorguieva, R. V. (2022) · International Journal of Eating Disorders · doi:10.1002/eat.23804 · Cited by 8 · see citing works
Kimura, Y., Fujishima, Y., Nishizawa, H., Saito, T., Miyazaki, Y., Shirahase, K., Tokuzawa, C., Nagai, N., Fukuda, S., Maeda, K., et al. (2023) · Nutrients · doi:10.3390/nu15020353 · Cited by 8 · see citing works
“Mental health problems with eating disorders, such as uncontrolled eating and binge eating, are very common among morbidly obese patients undergoing MBS [36,37].”
BackgroundA Qualitative Analysis of Patient Experiences Using Semaglutide 2.4 mg for Weight Loss
Plenn, E., Amin, D., Henry, J., Leavitt, G., Walker, J., & Soleymani, T. (2025) · Obesity Science & Practice · doi:10.1002/osp4.70085 · Cited by 8 · see citing works
Sarwer, D. B., Schroeder, K., Fischbach, S. R., Atwood, S. M., & Heinberg, L. J. (2024) · Obesity Surgery · doi:10.1007/s11695-024-07597-4 · Cited by 7 · see citing works
Self-citationSoliman, A. R., Saleem, H. M. E., Meligi, A. A. H. E., Naguib, M., Mohamed, R. S., Abdelaziz, G. R., Rakha, M., Abdelghaffar, S., Hamed, A. E., Hammad, H., et al. (2025) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-024-01564-w · Cited by 7 · see citing works
“Post-operative hurdles, including weight regain, metabolic alterations, and unrealistic expectations, can further complicate these issues [169, 170].”
Magurano, M. R., Napolitano, D., Bozzetti, M., Cascio, A. L., Oppo, L., Tayupanta, L. A. F., Ferrazzoli, S., Lopasso, L., Rellini, E., Raffaelli, M., et al. (2025) · Healthcare · doi:10.3390/healthcare13111294 · Cited by 8 · see citing works
“Studies have shown that while bariatric surgery can lead to significant psychological improvements, a subset of patients continues to struggle with mood disorders, disordered eating patterns, and impaired social functioning [1,4,10].”
InfluentialSchreyer, C. C., Salwen‐Deremer, J. K., Montanari, A., & Coughlin, J. W. (2021) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2021.11.022 · Cited by 7 · see citing works
Preoperative Psychological Evaluation Outcomes, Reasoning, and Demographic and Diagnostic Correlates
Kiser, H. M., Pratt, K. J., Focht, B. C., Wallace, L., Slesnick, N., Noria, S. F., NEEDLEMAN, B. J., & Pona, A. A. (2022) · Obesity Surgery · doi:10.1007/s11695-022-06414-0 · Cited by 7 · see citing works
“For example, 30–56% of preoperative patients have one, and 38% have two or more psychiatric, disordered eating, and/or substance use diagnoses [4, 8].”
BackgroundKoball, A. M., Dougherty, E. N., Stanley, T. B., Williams‐Kerver, G. A., Grothe, K. B., Clark, M. M., Ghanem, O. M., Patten, C. A., Phelan, S. M., & Engel, S. G. (2025) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2024.12.022 · Cited by 6 · see citing works
Klemenčič, S., Bujišić, A., Hribernik, N. Š., Battelino, T., Homan, M., Orel, R., & Kotnik, P. (2021) · Frontiers in Pediatrics · doi:10.3389/fped.2021.688287 · Cited by 6 · see citing works
“Integration of clinical psychologist or mental health professional, who recognised week points of individual adolescent, provide additional support, and promote post-operative adherence in the bariatric process could be crucial for success (24).”
BackgroundDunford, A., Ivezaj, V., & Grilo, C. M. (2023) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2023.09.028 · Cited by 6 · see citing works
Mulhauser, K. R. W., Reynolds, E. L., Callaghan, B. C., Fierro, C., Giordani, B., & Votruba, K. (2021) · Obesity Surgery · doi:10.1007/s11695-021-05319-8 · Cited by 6 · see citing works
Legatto, T., Taylor, V. H., Kidane, B., Anvari, M., & Hensel, J. M. (2021) · Obesity Surgery · doi:10.1007/s11695-021-05781-4 · Cited by 6 · see citing works
“A comprehensive and multi-disciplinary approach should be adopted in the peri-operative psychosocial evaluation and management of bariatric surgery patients [34].”
BackgroundHoyt, T., & Walter, F. A. (2022) · Obesity Surgery · doi:10.1007/s11695-022-06052-6 · Cited by 6 · see citing works
Role of 3D-CT gastric volumetric study in post-sleeve gastrectomy
Moursi, D. M. A.-E., Allam, K. E., Hetta, W. M., Elsalam, A. M. A., & Hussein, R. S. E. (2022) · The Egyptian Journal of Radiology and Nuclear Medicine · doi:10.1186/s43055-022-00811-2 · Cited by 6 · see citing works
“Recently, those techniques are the most successful management for obesity [9, 10].”
BackgroundMarek, R. J., Ivezaj, V., Parikh, M., Jayade, M., Davila-Shiau, E., & Grilo, C. M. (2022) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2022.12.015 · Cited by 6 · see citing works
Psychological well‐being as a motive for and result of post‐bariatric body contouring procedures
Pehlke, B., Oliveira, F., Varnava, C., Nehls, F., Wiebringhaus, P., Kueckelhaus, M., Hirsch, T., & Dermietzel, A. (2023) · Obesity Science & Practice · doi:10.1002/osp4.719 · Cited by 6 · see citing works
“15 Shortly after bariatric surgery and subsequent weight loss, depression and anxiety significantly decrease 16,17 whereas body image significantly improves.”
BackgroundAbdelaziz, H. A., Abdelbaki, T. N., Dean, Y. E., & Assem, S. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05160-6 · Cited by 5 · see citing works
“Vice versa, obesity may increase the risk of depression [46] as people suffering from obesity some-how have body image concerns and stigmatization [14].”
BackgroundNascimento, A. Q., Matte, D. L., Dantas, D. B., Farias, A. G. P., Abreu, K., & Andrade, A. (2025) · International Journal of Obesity · doi:10.1038/s41366-025-01830-5 · Cited by 4 · see citing works
“…increased risk of developing a range of comorbidities, such as type 2 diabetes, hypertension, cardiovascular disease, sleep apnea, osteoarthritis, and various forms of cancer, as well as psychosocial conditions, such as mood disorders, eating disorders, anxiety, substance abuse, and depression [2].”
Yin, C.-Y., Zhang, H., Liu, L., Ban, X.-Y., Xu, T., Peng, G., Wang, C., Zhang, H., Han, X., Zheng, H., et al. (2025) · Scientific Reports · doi:10.1038/s41598-025-17358-7 · Cited by 4 · see citing works
Ivezaj, V., Alperovich, M. A., Price, G. J., Dunford, A., Metzler, A. L., & Grilo, C. M. (2024) · Aesthetic Plastic Surgery · doi:10.1007/s00266-024-04427-x · Cited by 4 · see citing works
“…weight loss and broad improvements in medical [1] and psychosocial functioning [2], including reduced risk for mortality and cardiovascular disease 1, reduced anxiety and depression, and improvements in health-related quality of life, sexual functioning [2], and some body image domains [3].”
The Impact of Preoperative Eating Habits on Weight Loss After Metabolic Bariatric Surgery
Ergenç, M., Uprak, T. K., Feratoğlu, H., & Günal, Ö. (2025) · Obesity Surgery · doi:10.1007/s11695-025-07766-z · Cited by 4 · see citing works
“Many studies have shown that a significant proportion of people with obesity experience binge eating episodes [20, 21].”
Kiser, H. M., Pona, A. A., Focht, B. C., Wallace, L., Slesnick, N., Noria, S. F., NEEDLEMAN, B. J., & Pratt, K. J. (2022) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2022.12.018 · Cited by 4 · see citing works
Post-gastric Sleeve Surgery Chronic Symptoms From a Sample of Patients in Saudi Community
Alhuzaim, W. M., Alajlan, R. M., Alshehri, R., Alanazi, R., Alsarhan, L. K., & Alamri, H. K. (2023) · Cureus · doi:10.7759/cureus.42000 · Cited by 5 · see citing works
“Depending on the individual, these symptoms may include nausea, vomiting, abdominal discomfort, acid reflux, and alterations in bowel habits [44].”
BackgroundWang, R. X., Lee, J. J., Mirda, D. E., Hao, J., Goebel, A. M., Deutsch‐Link, S., Serper, M., & Bittermann, T. (2024) · Liver Transplantation · doi:10.1097/lvt.0000000000000421 · Cited by 4 · see citing works
“[25,26] The influence of comorbid eating disorders on LT evaluation has also not been previously explored.”
The psychological burden associated with metabolic syndrome: Evidence from UK and US older adults
Robinson, E., Daly, M., & Putra, I. G. N. E. (2024) · Obesity Science & Practice · doi:10.1002/osp4.780 · Cited by 4 · see citing works
Schumacher, L. M., & Sarwer, D. B. (2025) · Plastic & Reconstructive Surgery Global Open · doi:10.1097/gox.0000000000007085 · Cited by 3 · see citing works
“47 Weight stigma, which refers to negative attitudes, stereotypes, or discriminatory acts toward individuals based on their weight, is commonly reported by patients with obesity.”
Self-citationBarriers for bariatric surgery in provincial New Zealand : a qualitative analysis
Cahill, H. W., McGuinness, M. J., Bissett, I. P., & Harmston, C. (2024) · ANZ Journal of Surgery · doi:10.1111/ans.19225 · Cited by 3 · see citing works
Psychological Treatment Considerations in Medical Comorbidity
Farris, S. G., Kibbey, M. M., Fedorenko, E. J., Babu, A. A., Gomez, G. J., & Smith, J. E. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00195-3 · Cited by 3 · see citing works
Drakos, P., Volteas, P., Seeras, K., Humayon, S., Flink, B. J., Yang, J., Zhu, C., Spaniolas, K., Talamini, M. A., & Pryor, A. D. (2022) · Surgical Endoscopy · doi:10.1007/s00464-022-09029-9 · Cited by 3 · see citing works
“5% for depression, up to 50% for disordered eating, including 5–15% for binge eating disorder, and up to 24% for anxiety disorders in obese patients [5], indicating that changes in the diet should be combined with behavioral and psychiatric support [23].”
BackgroundMultidisciplinary Team in Bariatric Surgery: Structure and Role
Kaur, V., Bowen, L., Bano, G., Reddy, M., & Khan, O. A. (2023) · Springer eBooks · doi:10.1007/978-3-030-60596-4_15 · Cited by 3 · see citing works
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Paone, E., Trani, M. D., Visani, E., Monte, C. D., Campedelli, V., Silecchia, G., & Lai, C. (2024) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-024-01638-8 · Cited by 3 · see citing works
“In recent years, the interest has increased in analyzing psychosocial risk factors that may relate to obesity development and have an impact on surgical treatment outcomes [1, 2].”
Backgroundde Almeida, V. P., Kortchmar, E., Guerra, L. S. D., Neto, F. L., Santo, M. A., & Wang, Y. (2025) · Obesity Surgery · doi:10.1007/s11695-025-08066-2 · Cited by 3 · see citing works
“However, larger, rigorous trials remain essential to validate these preliminary results and inform broader implementation [49–61].”
Tajeu, G. S., Wu, J., Tewksbury, C. M., Spitzer, J. C., Rubin, D. J., Gadegbeku, C. A., Soans, R. S., Allison, K. C., & Sarwer, D. B. (2024) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2024.10.004 · Cited by 2 · see citing works
Self-citationMajstorovic, M., Chur‐Hansen, A., Burke, A. L. J., & Andrews, J. M. (2024) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2024.12.002 · Cited by 2 · see citing works
Bonny, P., Tazartez, C., & Tiscini, G. (2025) · British Journal of Psychotherapy · doi:10.1111/bjp.12982 · Cited by 2 · see citing works
American Society for Metabolic and Bariatric Surgery review of endobariatric procedures
Docimo, S., Oviedo, R. J., Afaneh, C. I., Schirmer, B. D., Moustarah, F., Grothe, K. B., Vosburg, R. W., & Carter, J. T. (2025) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2025.10.001 · Cited by 3 · see citing works
Exploring patients’ perceptions and anticipated concerns regarding bariatric surgery
Chen, X., Cai, C. Z., Yang, N., Zhou, L., Yang, H., Hua, H., Song, Y., Alias, H., Huang, Z., Wong, L. P., et al. (2025) · BMC Surgery · doi:10.1186/s12893-025-03194-z · Cited by 2 · see citing works
Preoperative Assessment of a Patient Undergoing Bariatric Surgery
Yuan, J. J., Bangalore, R., Darwish, D., Moon, T. S., & Wadhwa, A. N. (2023) · Anesthesiology Clinics · doi:10.1016/j.anclin.2023.07.005 · Cited by 2 · see citing works
Use of Broadband Personality Tests in Bariatric Surgery: A Scoping Review
Maki, S., Leon, M. A., Glenn, E. J., Tanner, T. N., & Krause, C. M. (2023) · Journal of Surgical Research · doi:10.1016/j.jss.2023.09.041 · Cited by 2 · see citing works
Moro, O., Albert, U., De, E. F., Palmisano, S., Mastronardi, M., & Blas, L. D. (2024) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-024-01660-w · Cited by 2 · see citing works
“…report a lower quality of life, higher stigmatization, higher psychological as well as psychiatric disturbances, worse body images, lower self-esteem, more eating disordered habits, and all these individual domains tend to improve after bariatric surgery, though leaving scars [3, 10, 11, 19].”
BackgroundResultSwager, L. C., Pratt, K. J., Kiser, H. M., & Pona, A. A. (2024) · Obesity Science & Practice · doi:10.1002/osp4.70030 · Cited by 2 · see citing works
Smith, C. E., Dilip, A., Ivezaj, V., Duffy, A. J., & Grilo, C. M. (2023) · Clinical Obesity · doi:10.1111/cob.12603 · Cited by 2 · see citing works
Diet, Exercise, and Behavior Therapy
Schumacher, L. M., Sarwer, D. B., & Allison, K. C. (2023) · Springer eBooks · doi:10.1007/978-3-031-40116-9_43 · Cited by 2 · see citing works
Self-citationPrice, C., Fraser, K., Bartel, S. J., Vallis, M., Jad, A., & Keshen, A. R. (2025) · Obesities · doi:10.3390/obesities5020019 · Cited by 1 · see citing works
De novo anorexia nervosa post-bariatric surgery
Chu, R., Desman, J. M., Lynch, H., Hill, I., Devine, G., & Rice, T. (2025) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2025.06.005 · Cited by 1 · see citing works
Köhler, H., Bollenbach, J. N., Weiß, F., Köhler, L. E., Gruner‐Labitzke, K., Böker, C., Markov, V., & Kröger, C. B. (2025) · Obesity Surgery · doi:10.1007/s11695-025-08259-9 · Cited by 1 · see citing works
“However, such improvements can be impacted by the overall quality of the romantic relationship [1].”
Kadesch, C., Weiß, C., Hetjens, M., Taebi, N., Schölch, S., Reissfelder, C., Blank, S., Otto, M., & Yang, C. (2026) · Obesity Surgery · doi:10.1007/s11695-026-08768-1 · Cited by 1 · see citing works
“Psychological assessment addresses the higher prevalence of psychiatric disorders, disordered eating, and psychosocial difficulties among bariatric can - didates, and helps identify contraindications or conditions requiring stabilization prior to surgery [6, 7 ].”
El‐mezayen, M. Y., Abokhozima, A., Ahmed, N. S. A., Elaidy, P., Elghadban, H. M., Al-Ela, M. S. A., AbdulNasser, N. G., Kashwaa, M. F. A., Elmagd, A. A., & El-Masry, H. (2026) · Obesity Surgery · doi:10.1007/s11695-026-08922-9 · Cited by 1 · see citing works
“Metabolic bariatric surgery (MBS) remains the most effective long-term treatment for severe obesity, produc - ing substantial and sustained weight loss while improving obesity-related comorbidities, including type 2 diabetes mellitus, hypertension, and cardiovascular disease [1, 2].”
Diaz, P. M., Hernández, M. D. M. B., Arias, M. Á., Mas, M. D. L. M. B., & Budía, A. L. (2020) · Acción Psicológica · doi:10.5944/ap.17.2.27437 · Cited by 1 · see citing works
Psychological Issues Before and After Bariatric Surgery
Snowdon‐Carr, V. (2023) · Springer eBooks · doi:10.1007/978-3-030-60596-4_71 · Cited by 1 · see citing works
Diet, Exercise, and Behavior Therapy
Schumacher, L. M., Sarwer, D. B., & Allison, K. C. (2023) · Springer eBooks · doi:10.1007/978-3-319-12125-3_43-2 · Cited by 1 · see citing works
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“Weight regain after BS is associated with physiological and behavioral factors (e.g., poor stress management or problem-solving skills), in the absence of ongoing instruction to facilitate incorporation of learned changes into long-term routines (Sarwer & Heinberg, 2020).”
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Kushner, R. F., Ard, J. D., Wadden, T. A., O'Neil, P. M., Bays, H. E., Greenway, F. L., Jakicic, J. M., Wyatt, H. R., Kenan, Y., Asaraf, L. C., et al. (2025) · International Journal of Obesity · doi:10.1038/s41366-025-01910-6 · Cited by 1 · see citing works
“Obesity, now recognized as a chronic and recurrent disease, has tripled over the last few decades, and is associated with numerous complications [1 – 3], including increased occurrence of multi-morbidity, e.g., hypertension, cardiovascular disease, type 2 diabetes, certain cancers, obstructive…”
Cosmetic surgical and minimally invasive treatments
Sarwer, D. B., & Spitzer, J. C. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-91497-0.00024-2 · Cited by 1 · see citing works
Self-citationSarwer, D. B. (2021) · CommonHealth · doi:10.15367/ch.v2i1.452
Self-citationOccupational Therapy Joining Bariatric Care Teams: A Web-Based Resource
Tarnowski, A., & Skyberg, R. (2021) · UND Scholarly Commons (University of North Dakota)
Sarwer, D. B. (2021) · Aesthetic Surgery Journal · doi:10.1093/asj/sjab369
Self-citationFatherhood in Men Who Underwent Bariatric Surgery in Campina Grande Paraíba, Brazil
Brandt, C. T., de Farias, C. R. L., & Alves, K. M. L. (2021) · Journal of Clinical Surgery and Research · doi:10.31579/2768-2757/008
“Bariatric surgery has been the main treatment for obese patients when clinical attempts fail in controlling the body mass index (BMI) and morbidities associated with this condition [4-7].”
BackgroundPsychological Issues Before and After Bariatric Surgery
Snowdon‐Carr, V. (2022) · Springer eBooks · doi:10.1007/978-3-030-54064-7_71-1
Psychosocial Aspects of Metabolic and Bariatric Surgeries and Endoscopic Therapies
Marchese, S. H., & Pandit, A. U. (2022) · Gastroenterology Clinics of North America · doi:10.1016/j.gtc.2022.07.005
- Authors
- Sarwer, D. B., & Heinberg, L. J.
- Affiliations
- Cleveland Clinic Lerner College of Medicine (US)
- Corresponding author
- Sarwer, David B.
- Venue
- American Psychologist
- Published
- 2020-02
- Volume
- 75
- Issue
- 2
- Pages
- 252-264
- ISSN
- 0003-066X (ISSN-L)
- 1935-990X
- PMC
- PMC7027921
- OpenAlex
- W3005721901
- Cited by
- 141
- References
- 137
- Citations by year
- 2026: 18 · 2025: 25 · 2024: 23 · 2023: 22 · 2022: 24 · 2021: 17 · 2020: 11 · 2018: 1
- FWCI
- 16.91
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- American Psychologist (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- University of Minnesota
- Novo Nordisk
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK112585, R01DK108628)
- National Institute of Dental and Craniofacial Research (R01DE026603)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- morbid obesity, bariatric surgery, psychosocial factors, postoperative outcomes, behavioral interventions, multidisciplinary care, clinical guidelines
- MeSH terms
- Behavior Therapy, Humans, Obesity, Quality of Life, Weight Loss, Treatment Outcome, Bariatric Surgery
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