Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.
Curr Psychiatry Rep. 2019 Aug 13;21(9):84. doi: 10.1007/s11920-019-1069-1.
Individuals with morbid obesity benefit from bariatric surgery with respect to weight loss and decreases in obesity-related somatic disorders. This paper focuses on psychosocial outcomes and provides a narrative review of recent meta-analyses and controlled studies concerning postoperative depression and suicide.
Considerable evidence shows short- and medium-term improvement in depressive symptoms after surgery. However, a subgroup of patients exhibits erosion of these improvements or new onset of depression in the long run. Some studies have found an increased risk for suicide among postoperative patients. Prospective longitudinal examinations of factors contributing to the increased risk for postoperative depression and suicide and the interaction between these factors are warranted. The inclusion of mental health professionals in bariatric teams would help to monitor patients for negative psychosocial outcomes and to identify those patients who are vulnerable to depression, suicide, and any other forms of deliberated self-harm following surgery.
病态肥胖患者通过减重手术可获益，体质量减轻，与肥胖相关的躯体疾病减少。本文重点关注心理社会结局，并对近期关于术后抑郁和自杀的荟萃分析和对照研究进行综述。
大量证据表明手术可改善短期和中期抑郁症状。然而，部分患者的这些改善会逐渐减少，或长期出现新发抑郁。部分研究发现术后患者自杀风险增加。有必要前瞻性纵向研究导致术后抑郁和自杀风险增加的因素以及这些因素之间的相互作用。让心理健康专业人员加入减重团队，有助于监测患者的负性心理社会结局，并识别出那些在术后容易发生抑郁、自杀和任何其他形式的蓄意自伤的患者。
