The relationship between obesity and negative emotional states (NES) is complex. Persons with obesity have a greater risk for several psychiatric conditions and depressed persons are at increased risk for the development of obesity.
Methods:
This is a prospective study that included all obese patients who underwent laparoscopic sleeve gastrectomy (LSG) at two specialized centers during the period (August 2017 to March 2019). The Depression, Anxiety, and Stress Scale-21 items (DASS-21) was filled pre-LSG as a baseline and at 3, 6, and 12 months postoperatively.
Results Preoperative:
Prevalence rates of NES were higher among male patients than female patients. Preoperative DASS-21 scores correlated positively and significantly among each other (p < 0.001 for all correlations). All NES postoperative scores were significantly lower than the preoperative scores. Patients' age and DASS-21 scores correlated significantly and positively.
Conclusions:
This study confirmed that morbid obesity is a risk factor for symptoms of stress, depression, and anxiety. Over 1 year after LSG, there was a significant improvement in the patients' mental health. Therefore, pre- and postoperative psychological health assessments are economic and effective procedures that can be applied for patients with morbid obesity and could be included in a plan for their management. (REC # 2017-03-01)
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