Advertisement

Obesity Surgery

, Volume 17, Issue 11, pp 1487–1491 | Cite as

Why Patients Seek Bariatric Surgery: A Qualitative and Quantitative Analysis of Patient Motivation

  • Daniel J. MunozEmail author
  • Mona Lal
  • Eunice Y. Chen
  • Mayce Mansour
  • Sarah Fischer
  • Megan Roehrig
  • Lisa Sanchez-Johnsen
  • Maureen Dymek-Valenitine
  • John Alverdy
  • Daniel le Grange
Article

Background

Bariatric surgery is becoming a common procedure to control the obesity problem in the United States. However, despite the prevalence of the surgery, little is known regarding the motivation of patients who seek out these procedures. This present study aims to qualitatively and quantitatively examine in a moderate-sized sample of bariatric seeking patients their reported reasons for wanting surgery.

Methods

109 severely obese patients (mean BMI 49.9) seeking either the duodenal switch or gastric bypass surgery between 1999 and 2002 were surveyed as to their motivations for seeking weight loss surgery. Their responses were coded into psychological, medical and quality of life categories for analysis. Depression and Quality of Life data was also obtained.

Results

Descriptive analysis of the data indicated the vast majority (73.4%) of respondents endorsed current medical ailments as their primary reason for seeking weight loss surgery. Patients who responded with a secondary reason for desiring surgery reported primarily psychological and quality of life reasons. Scores on depression and quality of life measures did not impact their endorsed reasons for seeking surgery.

Conclusions

Patients in the present sample appear motivated for surgery primarily to control current medical problems. However, a significant portion of patients do endorse psychological and quality of life factors as important in their decision to seek weight loss surgery.

Key words

Bariatric surgery morbid obesity weight loss patient motivation 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Nguyen N, Root J, Zainabadi K et al. Accelerated growth of bariatric surgery with the introduction of minimally invasive surgery. Arch Surg 2005; 140: 1198–202.PubMedCrossRefGoogle Scholar
  2. 2.
    Wadden T, Sarwer D, Williams N. Behavioral assessment and characteristics of patients seeking bariatric surgery. Obesity 2006; 14: 51s–52s.PubMedCrossRefGoogle Scholar
  3. 3.
    Sjostrom L, Lindroos A, Peltonen M et al. Swedish Obese Subjects Study Scientific Group. Lifestyle, diabetes and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 2004; 351: 2683–93.PubMedCrossRefGoogle Scholar
  4. 4.
    Buchwald H, Avidor Y, Braunwald E et al. Bariatric Surgery: A Systematic Review and Meta-analysis JAMA 2004; 292: 1724–37.PubMedCrossRefGoogle Scholar
  5. 5.
    Foster G, Wadden T, Phelan S et al. Obese patients’ perceptions of treatment outcomes and the factors that influence them. Arch Intern Med 2001; 161: 2133–9.PubMedCrossRefGoogle Scholar
  6. 6.
    Ballantyne GH. Measuring outcomes following bariatric surgery: weight loss parameters, improviement in co-morbid conditions, changes in quality of life and patient satisfaction. Obes Surg 2003; 13: 954–64.PubMedCrossRefGoogle Scholar
  7. 7.
    Kolotkin RL, Crosby R, Pendleton R et al. Health quality of life in patients seeking gastric bypass surgery vs nontreatment-seeking controls. Obes Surg 2003; 13: 371–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Dixon JB, Dixon M, O’Brien PE. Body image: Appearance orientation and evaluataion in the severely obese. Changes with weight loss. Obes Surg 2002; 12: 65–71.PubMedCrossRefGoogle Scholar
  9. 9.
    Adami GF, Meneghelli A, Bressani A et al. Body image in obese patients before and after stable weight reduction following bariatric surgery. J Psycom Res 1999; 46: 275–81.CrossRefGoogle Scholar
  10. 10.
    Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res 2005; 13: 639–48.PubMedCrossRefGoogle Scholar
  11. 11.
    Wee C, Jones D, Davis R et al. Understanding patients’ value of weight loss and expectations for bariatric surgery. Obes Surg 2006; 16: 496–500.PubMedCrossRefGoogle Scholar
  12. 12.
    Liberton M, Dixon J, Laurie C et al. Patient motivation for bariatric surgery: Characteristics and outcomes. Obes Surg 2004; 14: 392–8.CrossRefGoogle Scholar
  13. 13.
    Beck A, Steer R, Garbin M. Psychometric properties of the Beck Depression Inventory: Twenty five years of evaluation. Clin Psychol Rev 1988; 8: 77–100.CrossRefGoogle Scholar
  14. 14.
    Munoz D, Chen E, Fischer. Considerations for use of the Beck Depression Inventory in the assessment of weight loss surgery seeking patients. Obes Surg 2007; 17: 1097–101.PubMedCrossRefGoogle Scholar
  15. 15.
    Ternovits C, Tichansky D, Madan A. Band versus bypass: randomization and patient’s choices and perceptions. Surg Obes Rel Dis 2006; 2: 6–10.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Daniel J. Munoz
    • 1
    Email author
  • Mona Lal
    • 2
  • Eunice Y. Chen
    • 3
  • Mayce Mansour
    • 3
  • Sarah Fischer
    • 4
  • Megan Roehrig
    • 5
  • Lisa Sanchez-Johnsen
    • 3
  • Maureen Dymek-Valenitine
    • 6
  • John Alverdy
    • 3
  • Daniel le Grange
    • 3
  1. 1.Indianapolis School of Psychological SciencesIndianapolisUSA
  2. 2.Department of PsychiatryUniversity of Chicago HospitalsChicagoUSA
  3. 3.University of Chicago Eating and Weight Disorders ProgramChicagoUSA
  4. 4.University of GeorgiaGeorgiaUSA
  5. 5.Yale UniversityYaleUSA
  6. 6.University of North Carolina at Chapel HillNorth CarolinaUSA

Personalised recommendations