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Interpersonal Abuse and Long-term Outcomes Following Bariatric Surgery

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Abstract

Background

History of abuse may impact weight loss (WL) following bariatric surgery. Some investigations have indicated slower WL rates among patients reporting abuse; however, among studies with multiple assessments, significant differences in WL are not evidenced at later measurement. Few investigations have extended follow-up beyond 18 months, limiting understanding of the impact of abuse on weight trajectory over time. Furthermore, existing research has insufficiently accounted for forms of interpersonal trauma beyond sexual abuse (i.e., emotional, physical) that may impact WL and other health outcomes.

Objectives

To determine whether post-surgical percent total WL (%TWL) and specific clinical outcomes are differentially impacted by history of interpersonal abuse.

Setting

Large, comprehensive medical center.

Methods

Retrospective data was collected from patients who underwent bariatric surgery at a single center (N = 433). Based on pre-surgical interview, patients were grouped according to reported history of interpersonal abuse (Y/N). Nonlinear repeated measures regression examined impact of abuse history on %TWL, and clinical selequae.

Results

Differences in %TWL at 6, 12, 18, 24, and 36 months post-surgically did not differ significantly. Further, %TWL did not differ across time, according to group. A significantly greater number of those with history of interpersonal abuse had a clinical diagnosis of depression as compared with those not reporting interpersonal abuse (38% vs. 22% respectively), p < .001.

Conclusions

Interpersonal abuse history does not negatively impact %TWL post-surgically but is associated with diagnosis of depression, indicating depressive symptoms may be a viable clinical intervention target for surgery patients with interpersonal trauma history.

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Funding

This research was supported by a grant from Geisinger (18-062; S. Gorrell and L. Campbell) and National Institutes of Health grant NIH P30 DK072488 (GC Wood). The funders had no role in study design, data analysis, interpretation, or dissemination of study findings.

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Authors and Affiliations

  1. Department of Psychiatry, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA, 17822, USA

    Sasha Gorrell, Colin T. Mahoney, Michelle Lent & Laura K. Campbell

  2. University of California, San Francisco, 401 Parnassus Avenue, San Francisco, CA, 94143, USA

    Sasha Gorrell

  3. Obesity Institute, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA, 17822, USA

    Michelle Lent, G. Craig Wood & Christopher Still

  4. Department of Psychology, Philadelphia College of Osteopathic Medicine, 4170 City Avenue, Philadelphia, PA, 19131, USA

    Michelle Lent

Authors
  1. Sasha Gorrell
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  5. G. Craig Wood
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Correspondence to Sasha Gorrell.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Dr. Gorrell is now a fulltime employee of University of California, San Francisco. Dr. Mahoney is now a fulltime employee of The National Center for PTSD and Boston University.

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Gorrell, S., Mahoney, C.T., Lent, M. et al. Interpersonal Abuse and Long-term Outcomes Following Bariatric Surgery. OBES SURG 29, 1528–1533 (2019). https://doi.org/10.1007/s11695-018-03696-1

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  • DOI: https://doi.org/10.1007/s11695-018-03696-1

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