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Psychosocial Aspects and Quality of Life in Bariatric Surgery: An Update and Directions for Future Research

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (7 December 2022) | Viewed by 6922

Special Issue Editors

Dr. Valentina Martinelli

E-Mail Website
Guest Editor
Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy
Interests: psychological and psychiatric aspects of solid organ transplantation; eating disorders; doctor–patient relationship and communication in health care; psychotherapy and psychoanalysis
Dr. Matteo Alessio Chiappedi

E-Mail Website
Guest Editor
Developmental Psychopathology Research Unit, IRCCS Mondino Foundation, Pavia, Italy
Interests: child and adolescent neuropsychiatry; eating disorders; psychodynamic psychotherapy treatments and outcomes
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Obesity is a major health problem worldwide. Obesity is a complex multifactorial disease, involving genetic, metabolic, psychopathological, and environmental factors.

Bariatric surgery currently represents the most effective treatment for patients with severe obesity, resulting in sustained weight loss and improved physical health. Research has clearly documented a high prevalence of psychiatric comorbidities and a significant impairment in quality of life (Qol) in bariatric surgery candidates, followed by a general amelioration in the first years after surgery.

However, the psychopathological implications of bariatric surgery and the Qol trajectory in the long term are still poorly understood. Research addressing the relationship between BMI, psychopathology, and Qol over time represents an area of great interest to inform public health policies, in the light of the extraordinary increase in bariatric interventions and the ongoing debate concerning the extension of current indications to lower BMI classes in the presence of specific conditions (e.g., diabetes).

This Special Issue is open to any contribution concerning bariatric surgery psychosocial aspects in the pre- and post-operative period, particularly the determinants of psychopathology and quality of life; the psychosocial and psychopharmacological interventions in the pre- and post-operative period; and research addressing specific age groups (adolescents, adults, older adults). 

Dr. Valentina Martinelli
Dr. Matteo Alessio Chiappedi
Guest Editors

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Published Papers (3 papers)

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Editorial

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2 pages, 246 KiB  
Editorial
Bariatric Surgery: Psychosocial Aspects and Quality of Life
by Valentina Martinelli and Matteo Chiappedi
Int. J. Environ. Res. Public Health 2022, 19(24), 16516; https://doi.org/10.3390/ijerph192416516 - 8 Dec 2022
Cited by 1 | Viewed by 1316
Abstract
Obesity is a major worldwide health problem, causing an ongoing and decades-long pandemic, which the WHO has termed the “global obesity epidemic”, concurrent with the COVID-19 pandemic [...] Full article
(This article belongs to the Special Issue Psychosocial Aspects and Quality of Life in Bariatric Surgery: An Update and Directions for Future Research)

Research

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10 pages, 380 KiB  
Article
Relationship between Eating Behavior, Quality of Life and Weight Regain in Women after Bariatric Surgery
by Talita Nogueira Berino, Aline Leão Reis, Manuela Maria de Lima Carvalhal, Jeane Lorena Dias Kikuchi, Rachel Coêlho Ripardo Teixeira and Daniela Lopes Gomes
Int. J. Environ. Res. Public Health 2022, 19(13), 7648; https://doi.org/10.3390/ijerph19137648 - 22 Jun 2022
Cited by 2 | Viewed by 1938
Abstract
Individuals undergoing bariatric Surgery (BS) may have long-term weight regain. There is a need to investigate factors that may be related to this and if they can interfere with Quality of Life (QOL). This study aims to evaluate the relationship between eating behavior, [...] Read more.
Individuals undergoing bariatric Surgery (BS) may have long-term weight regain. There is a need to investigate factors that may be related to this and if they can interfere with Quality of Life (QOL). This study aims to evaluate the relationship between eating behavior, perception of QOL, and weight regain in women after 24 months of bariatric surgery. This was a transversal study with 50 adult women residents in the city of Belém, Brazil. Sociodemographic, anthropometric, eating behavior (Three-Factor Eating Questionnaire—TFEQ-21) and perception of QOL (Item Short Form Healthy Survey—SF-36) data were collected. In 60% (n = 30) there was weight regain (≥15%), with a mean weight regain of 23.3% (±18.4). Emotional eating was the most frequent pattern (p = 0.047). Regarding QOL, the functional capacity and limitation due to physical aspects domains had a better perception (p < 0.0001). Women without weight regain showed a better perception of the functional capacity aspects (p = 0.007), limitation due to physical aspects (p = 0.044), social aspects (p = 0.048), and general physical components (p = 0.016) and also had an inverse association with the perception of QOL in physical components (p = 0.008). Patterns of eating behavior and weight regain can damage the perception of QOL, especially physical capacity. Long-term follow-up is essential to evaluate the behavior of people who have undergone BS in order to prevent weight regain and QOL damage. Full article
(This article belongs to the Special Issue Psychosocial Aspects and Quality of Life in Bariatric Surgery: An Update and Directions for Future Research)

Review

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11 pages, 364 KiB  
Review
Ethics of Bariatric Surgery in Adolescence and Its Implications for Clinical Practice
by Valentina Martinelli, Simran Singh, Pierluigi Politi, Riccardo Caccialanza, Andrea Peri, Andrea Pietrabissa and Matteo Chiappedi
Int. J. Environ. Res. Public Health 2023, 20(2), 1232; https://doi.org/10.3390/ijerph20021232 - 10 Jan 2023
Cited by 4 | Viewed by 2839
Abstract
Obesity is increasingly prevalent among adolescents. Clinical and research data support the use of bariatric surgery (BS) as a treatment option for severely obese adolescents, with good results in terms of weight loss, improvement or resolution of comorbidities, and compliance to follow up. [...] Read more.
Obesity is increasingly prevalent among adolescents. Clinical and research data support the use of bariatric surgery (BS) as a treatment option for severely obese adolescents, with good results in terms of weight loss, improvement or resolution of comorbidities, and compliance to follow up. Nevertheless, concerns still remain, with significant disparities among countries and ethical concerns mainly raised by performing an irreversible and invasive procedure in adolescence, with potential life-long alterations. In this context, the purpose of this narrative review was to discuss the main current ethical challenges in performing BS in adolescence and to inform appropriate clinical management in the field. The core ethical principles of autonomy, beneficence, nonmaleficence, and justice were revised in terms of patient-centered healthcare through the lens of psychosocial implications. The review concludes with a discussion regarding the potential directives for future research for effective, patient-centered, and ethical management of obesity in the adolescent population. Full article
(This article belongs to the Special Issue Psychosocial Aspects and Quality of Life in Bariatric Surgery: An Update and Directions for Future Research)
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