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SHR Neuro Cancer Cardio Lipid Metab Microb
Nickel, C; Widermann, C; Harms, D; Leiberich, PL; Tritt, K; Kettler, C; Lahmann, C; Rother, WK; Loew, TH; Nickel, MK.
Patients with extreme obesity: change in mental symptoms three years after gastric banding.
Int J Psychiatry Med. 2005; 35(2):109-122
Doi: 10.2190/ANYR-WE1M-39G5-K92D
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- Leading authors Med Uni Graz
- Nickel-Palczynski Marius
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- 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/m2). 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 symptomatology, 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).
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Anxiety - diagnosis Anxiety - epidemiology Anxiety - psychology
- Body Mass Index -
- Cross-Sectional Studies -
- Depression - diagnosis Depression - epidemiology Depression - psychology
- Digestive System Surgical Procedures - methods
- Feeding Behavior - psychology
- Female -
- Humans -
- Obesity - diagnosis Obesity - epidemiology Obesity - surgery
- Prospective Studies -
- Quality of Life - psychology
- Questionnaires -
- Find related publications in this database (Keywords)
- extreme obesity
- gastric banding
- eating behavior
- depression
- anxiety
- health related quality of life