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The Impact of Massive Weight Loss on Psychological Comorbidities: A Large, Retrospective Database Review
Rachel Guest, BA; Debra Bourne, MD; Ian Chow, MD; J. Peter Rubin, MD
University of Pittsburgh School of Medicine
2018-02-15
Presenter: Rachel Guest
Affidavit:
The work presented in this abstract represents the original work of the residents and medical student involved in this project.
Director Name: Vu Nguyen
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Aesthetics
INTRODUCTION: The obese population has been shown to have a higher incidence of mood disorders compared to individuals with normal body mass index (BMI). Obtaining a better understanding of the unique psychosocial challenges faced by this patient population is important and will allow for optimization of patient psychosocial support systems in the perioperative period.
METHODS: A large, retrospective database of 1,135 patients who had lost greater than 50 lbs was reviewed. Data was analyzed using a multinomial regression model to determine the influence of a variety of psychosocial factors on the incidence of depression and anxiety.
RESULTS: Prior to massive weight loss, patients reported an overall incidence of depression and anxiety of 42.5% and 26.3% respectively. Following massive weight loss, the incidence of depression decreased to 32.3%. Patients with spousal support and with positive self-image were more likely to experience resolution of depression. Patients with positive self-image were likely to experience resolution of anxiety.
CONCLUSION: Support systems are a vital resource for patients with psychological comorbidities undergoing massive weight loss. Patients who have a positive self-image of themselves are more likely to experience resolution of psychological comorbidities.
