Department of Psychiatry, Konya Training and Research Hospital, University of Health Sciences, Konya, Turkey.
Department of General Surgery, Selcuk University Faculty of Medicine, Konya, Turkey.
Eat Weight Disord. 2020 Dec;25(6):1515-1523. doi: 10.1007/s40519-019-00785-7. Epub 2019 Oct 1.
The aim of this study was to assess depressive symptoms, self-esteem, and eating psychopathology in bariatric surgery patients at the preoperative period (t0) and at the 6-month (t1) and 12-month (t2) follow-ups after laparoscopic sleeve gastrectomy (LSG). A second aim was to investigate associations between these variables and weight loss.
The study participants were 48 bariatric surgery candidates and 50 non-obese controls. Both groups underwent assessment with the Sociodemographic Data Form, Hamilton Depression Rating Scale (HDRS), Eating Disorder Examination Questionnaire (EDE-Q), and Rosenberg Self-esteem Scale (RSES). These assessments were repeated for the patient group at t1 and t2.
The HDRS, RSES, and EDE-Q scores were higher in the patients before LSG (t0) than in the control group. A significant progressive improvement was identified in the patient HDRS and RSES scores as well as EDE-Q weight and shape subscale scores at t1 and t2. However, the patient EDE-Q total and dietary restraint scores improved at t1 then stabilized. The patient EDE-Q eating concern subscale improved at t1, but then worsened. The patient HDRS scores at t2 were similar to the control group, but the EDE-Q and RSES scores were still higher than the control scores at t2. Regression analyses revealed no association between the preoperative scores and percent changes in postoperative scores for any scale and patient weight loss at t2.
Depressive symptoms, self-esteem, and eating psychopathology showed an improving trend in patients after LSG. However, some aspects of eating psychopathology worsened despite an initial improvement.
III, prospective cohort and case-control study.
本研究旨在评估腹腔镜袖状胃切除术（LSG）术前（t0）、术后 6 个月（t1）和 12 个月（t2）时肥胖症手术患者的抑郁症状、自尊和饮食病理学，并探讨这些变量与体重减轻之间的关系。
研究参与者包括 48 名肥胖症手术候选者和 50 名非肥胖对照者。两组均接受社会人口统计学数据表格、汉密尔顿抑郁评定量表（HDRS）、饮食障碍检查问卷（EDE-Q）和罗森伯格自尊量表（RSES）评估。患者组在 t1 和 t2 时重复这些评估。
LSG 前（t0）患者的 HDRS、RSES 和 EDE-Q 评分均高于对照组。患者 HDRS 和 RSES 评分以及 EDE-Q 体重和体型子量表评分在 t1 和 t2 时均呈显著的渐进性改善，但 EDE-Q 总分和饮食抑制评分在 t1 时改善后趋于稳定。EDE-Q 进食关注子量表在 t1 时改善，然后恶化。t2 时患者的 HDRS 评分与对照组相似，但 EDE-Q 和 RSES 评分仍高于对照组。回归分析显示，任何量表的术前评分与术后评分的百分比变化以及患者在 t2 时的体重减轻之间均无相关性。
LSG 后患者的抑郁症状、自尊和饮食病理学呈改善趋势。然而，尽管最初有所改善，但饮食病理学的某些方面仍在恶化。
III，前瞻性队列和病例对照研究。
