Iceta Sylvain, Disse Emmanuel, Robert Maud, Laville Martine
Département de psychiatrie et de neurosciences, faculté de médecine, université Laval, QC G1V 0A6, Québec, Canada. Centre de recherche de l'Institut universitaire de cardiologie et de pneumologie de Québec, université Laval, QC G1V 4G5, Québec, Canada. Centre intégré de l'obésité Rhône-Alpes, Fédération hospitalo-universitaire DO-iT, CHU de Lyon, Pierre-Bénite, France.
Centre intégré de l'obésité Rhône-Alpes, Fédération hospitalo-universitaire DO-iT, CHU de Lyon, Pierre-Bénite, France. CarMeN, unité Inserm 1060, université Claude-Bernard-Lyon-1, Pierre-Bénite, France.
Rev Prat. 2022 Feb;72(2):179-184.
PSYCHIATRIC DISORDERS AND BARIATRIC SURGERY Psychiatric disorders are common in people with obesity and their lifetime prevalence is estimated to range from 30 % to 70 %. The most frequently reported disorders are mood and anxiety disorders, attention deficit disorder, and binge eating disorder. These disorders will usually improve after bariatric surgery and do not appear to have a significant negative impact on weight loss. However, increased attention is needed regarding some aspects of these disorders (e. G., emotional dysregulation, impulsivity) as well as regarding the increased risk of developing a substance abuse disorder or increased suicide risk after bariatric surgery. As well as a high quality pre-operative psychiatric assessment is required, post-operative psychiatric follow-up is required.
精神疾病与减肥手术 精神疾病在肥胖人群中很常见，据估计其终生患病率在30%至70%之间。最常报告的疾病是情绪和焦虑障碍、注意力缺陷障碍和暴饮暴食障碍。这些疾病通常会在减肥手术后得到改善，并且似乎对体重减轻没有显著的负面影响。然而，需要更多关注这些疾病的某些方面（例如，情绪调节障碍、冲动性）以及减肥手术后发生物质使用障碍的风险增加或自杀风险增加的情况。除了需要高质量的术前精神科评估外，术后还需要精神科随访。
