Quality of Life and Psychosocial Adjustment in Patients after Roux-en-Y Gastric Report Bypass: A Brief Report
Abstract
Background While Roux-en-Y gastric bypass (RYGBP) appears to be the most effective procedure for weight loss in morbidly obese patients, objective outcome data regarding quality of life (QoL) and psychosocial status following surgery are lacking.Methods The present study examined the effects of RYGBP in 32 morbidly obese subjects on a variety of outcome measures including QoL and psychosocial functioning. Assessments were conducted before surgery, 1 to 3 weeks post-surgery, and at 6-month follow-up.Results In addition to weight loss, results show significant improvements in health-related QoL, depression, and self-esteem, as well as a significant reduction in eating pathology following surgery. Results also show that neither the presence of binge-eating disorder nor clinical depression predicted poorer outcome post-surgery.Conclusion RYGBP results in a dramatic reduction in weight, and marked improvements in health-related QoL, depression, self-esteem, and eating pathology, including binge-eating in the short term. These findings need to be replicated in a larger cohort of patients and followed for a longer time before we can reach more definitive conclusions regarding the psychosocial outcome in RYGBP.
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Beyond 18 months after bariatric surgery, results on emotion-based eating are mixed, with some studies suggesting attenuation through 36 months and others finding reoccurrence between 12 and 36 months.
“Results beyond the 18-month timeframe are mixed, with some studies suggesting attenuation of emotion-based eating through 36 months after having bariatric surgery and other studies finding reoccurrence between 12 and 36 months after having bariatric surgery (33–39).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [33]
For bariatric surgery patients, emotion-based eating appears to reliably decrease in the first 18 months postoperatively.
“For bariatric surgery patients specifically, emotion-based eating appears to reliably decrease in the first 18 months postoperatively (33, 34).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [33]
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- Authors
- Dymek, M. P., le Grange, D., Neven, K., & Alverdy, J.
- Affiliations
- University of Chicago Medical Center (US)
- University of Chicago (US)
- ORCID
- Alverdy, John
- Venue
- Obesity Surgery
- Published
- 2001-02-01
- Volume
- 11
- Issue
- 1
- Pages
- 32-39
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W1983136378
- Cited by
- 209
- References
- 14
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 5 · 2015: 9 · 2014: 13 · 2013: 9 · 2012: 18
- FWCI
- 12.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- Roux-en-Y gastric bypass, morbid obesity
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Anastomosis, Roux-en-Y, Body Image, Body Weight, Bulimia, Depression, Health Status, Humans, Mental Health, Middle Aged, Obesity, Morbid, Prospective Studies, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Self Concept, Stomach, Gastric Bypass, Weight Loss, Body Mass Index, Treatment Outcome
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