Obesity Surgery

, Volume 19, Issue 6, pp 701–707 | Cite as

Psychosocial Predictors of Success After Vertical Banded Gastroplasty

  • Gerbrand C. M. van Hout
  • Christine A. J. M. Hagendoren
  • Saskia K. M. Verschure
  • Guus L. van Heck
Research Article
First Online:
Received:
Accepted:

Abstract

Background

Psychosocial and behavioral factors contribute to successful postoperative outcomes. Patients’ psychological factors may be predictive of postsurgical adjustment. The identification of these factors would allow targeting patients at risk of a poor outcome. Furthermore, it would enable better patient selection and preoperative and/or postoperative counseling to improve long-term outcomes. Unfortunately, no such consistent and reproducible predictors have been found so far.

Methods

The present study investigated in morbid obese patients who underwent vertical banded gastroplasty (VBG) the predictive value of preoperative parameters, especially health-related quality of life (HRQoL), personality, psychosocial functioning, body image, and eating behavior for 2-year changes in these variables, as well as weight loss.

Results

Two years after VBG, patients had significant weight loss and reported improvements in physical HRQoL, personality and psychosocial functioning, body image, and eating behavior. Although we were not able to find psychosocial predictors of excess weight loss or excess body mass index loss 2 years after VBG, we did find psychosocial predictors of 2-year changes in HRQoL, personality and psychosocial functioning, body image, and eating behavior.

Conclusion

Preoperative psychological assessment may not be necessary with respect to weight loss. However, it is helpful in targeting patients at risk of poor psychological outcomes after VBG.

Keywords

Morbid obesity Bariatric surgery Vertical banded gastroplasty Quality of life Personality Body image Eating behavior 
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Notes

Acknowledgments

This study was supported by the Scientific Research Fund of the Catharina Hospital, Eindhoven, The Netherlands.

References

  1. 1.
    Oria HE, Moorehead MK. Bariatric analysis and reporting outcome system (BAROS). Obes Surg. 1998;8:487–99.PubMedCrossRefGoogle Scholar
  2. 2.
    Puzziferri N. Psychologic issues in bariatric surgery—the surgeon’s perspective. Surg Clin N Am. 2005;85:741–55.PubMedCrossRefGoogle Scholar
  3. 3.
    Bauchowitz AU, Gonder-Frederick LA, Olbrisch ME, et al. Psychosocial evaluation of bariatric surgery candidates: a survey of present practices. Psychosom Med. 2005;67:825–32.PubMedCrossRefGoogle Scholar
  4. 4.
    Hsu LKG, Benotti PN, Dwyer J, et al. Nonsurgical factors that influence the outcome of bariatric surgery: a review. Psychosom Med. 1998;60:338–46.PubMedGoogle Scholar
  5. 5.
    Dziurowicz-Kozlowska AH, Wierzbicki Z, Lisik W, et al. The objective of psychological evaluation in the process of qualifying candidates for bariatric surgery. Obes Surg. 2006;16:196–202.PubMedCrossRefGoogle Scholar
  6. 6.
    Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13:639–48.PubMedCrossRefGoogle Scholar
  7. 7.
    Greenberg I, Perna F, Kaplan M, et al. Behavioral and psychological factors in the assessment and treatment of obesity surgery patients. Obes Res. 2005;13:244–9.PubMedCrossRefGoogle Scholar
  8. 8.
    NIH. Gastrointestinal surgery for severe obesity 25-27 March 1991. National Institutes of Health Consensus Development Conference Draft Statement. Obes Surg. 1991;1:257–65.CrossRefGoogle Scholar
  9. 9.
    Wadden TA, Sarwer DB. Behavioral assessment of candidates for bariatric surgery: a patient-oriented approach. Obesity. 2006;14 (Suppl 2):53S–62S.PubMedCrossRefGoogle Scholar
  10. 10.
    Dixon JB, Dixon ME, O’Brien PE. Quality of life after lap-band placement: Influence of time, weight loss, and co-morbidities. Obes Res. 2001;9:713–21.PubMedCrossRefGoogle Scholar
  11. 11.
    Fabricatore AN, Crerand CE, Wadden TA, et al. How do mental health professionals evaluate candidates for bariatric surgery? Survey results. Obes Surg. 2006;16:567–73.PubMedCrossRefGoogle Scholar
  12. 12.
    Van Hout GCM, Verschure SKM, van Heck GL. Psychosocial predictors of success following bariatric surgery. Obes Surg. 2005;15:552–60.PubMedCrossRefGoogle Scholar
  13. 13.
    Bocchieri LE, Meana M, Fisher BL. A review of psychosocial outcomes of surgery for morbid obesity. J Psychosom Res. 2002;52:155–65.PubMedCrossRefGoogle Scholar
  14. 14.
    Masheb RM, White MA, Toth CM, et al. The prognostic significance of depressive symptoms for predicting quality of life 12 months after gastric bypass. Compr Psychiatry. 2007;48:231–6.PubMedCrossRefGoogle Scholar
  15. 15.
    Black DW, Goldstein RB, Mason EE. Psychiatric diagnosis and weight loss following gastric surgery for obesity. Obes Surg. 2003;13:746–51.PubMedCrossRefGoogle Scholar
  16. 16.
    Delin CR, Watts JM, Bassett DL. An exploration of the outcomes of gastric bypass surgery for morbid obesity: patient characteristics and indices of success. Obes Surg. 1995;5:159–70.PubMedCrossRefGoogle Scholar
  17. 17.
    Herpertz S, Kielman R, Wolf AM, et al. Do psychological variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res. 2004;12:1554–69.PubMedCrossRefGoogle Scholar
  18. 18.
    Vallis MT, Ross MA. The role of psychological factors in bariatric surgery for morbid obesity: identification of psychological predictors of success. Obes Surg. 1993;3:346–59.PubMedCrossRefGoogle Scholar
  19. 19.
    Saunders R. Grazing: a high-risk behavior. Obes Surg. 2004;14:98–102.PubMedCrossRefGoogle Scholar
  20. 20.
    Burgmer R, Grigutsch K, Zipfel S, et al. The influence of eating behavior and eating pathology on weight loss after gastric restriction operations. Obes Surg. 2005;15:684–91.PubMedCrossRefGoogle Scholar
  21. 21.
    Pekkarinen T, Koskela K, Huikuri K, et al. Long-term results of gastroplasty for morbid obesity: Binge-eating as a predictor of poor outcome. Obes Surg. 1994;4:248–55.PubMedCrossRefGoogle Scholar
  22. 22.
    Fitzgibbon ML, Stolley MR, Kirschenbaum DS. Obese people who seek treatment have different characteristics than those who do not seek treatment. Health Psychol. 1993;12:342–5.PubMedCrossRefGoogle Scholar
  23. 23.
    Valey V, Grace DM. Psychosocial risk factors in gastric surgery for obesity: identifying guidelines for screening. Int J Obes. 1987;11:105–13.Google Scholar
  24. 24.
    Larsen JK, van Ramshorst B, Geenen R, et al. Binge eating and its relationship to outcome after laparoscopic adjustable gastric banding. Obes Surg. 2004;14:1111–7.PubMedCrossRefGoogle Scholar
  25. 25.
    Van Gemert WG, Adang EMM, Kop M, et al. A prospective cost-effectiveness analysis of vertical banded gastroplasty for the treatment of morbid obesity. Obes Surg. 1999;9:484–91.PubMedCrossRefGoogle Scholar
  26. 26.
    Arribas del Amo D, Martínez Díez M, Guedea ME, et al. Vertical banded gastroplasty: is it a durable operation for morbid obesity? Obes Surg. 2004;14:536–8.CrossRefGoogle Scholar
  27. 27.
    van Hout GCM, Vreeswijk MJM, van Heck GL. Bariatric Surgery and Bariatric Psychology: Evolution of the Dutch Approach. Obes Surg. 2008 Jan 17 [Epub ahead of print].Google Scholar
  28. 28.
    Wang W, Yu P-J, Lee Y-C, et al. Laparoscopic vertical banded gastroplasty: 5 year results. Obes Surg. 2005;15:1299–1303.PubMedCrossRefGoogle Scholar
  29. 29.
    Arrindel WA, Ettema JHM. SCL-90. Handleiding bij een multidimensionele psychopathologie-indicator. [SCL-90. Manual for a multidimensional psychopathology-indicator]. Lisse: Swets & Zeitlinger 2003.Google Scholar
  30. 30.
    Luteijn F, Starren J, van Dijk H, Handleiding NPV [Manual NPV]. Lisse: Swets & Zeitlinger 2000.Google Scholar
  31. 31.
    Wilde GJS. Neurotische labiliteit gemeten volgens de vragenlijstmethode. [Neurotic lability measured by the questionnaire method]. Amsterdam: Van Rossen 1970.Google Scholar
  32. 32.
    Van Strien T, Frijters JER, Bergers GPA, et al. Handleiding Nederlandse Vragenlijst voor Eetgedrag [Manual Dutch Eating Behavior Questionnaire]. Lisse: Swets & Zeitlinger 1986.Google Scholar
  33. 33.
    Van Strien T. Dutch Eating Behavior Questionnaire. Suffolk: Thames Valley Test Company Limited 2002.Google Scholar
  34. 34.
    Van Strien T. Handleiding EDI-II-NL [Manual EDI-II-NL]. Lisse: Swets & Zeitlinger 2000.Google Scholar
  35. 35.
    Probst M, Vandereycken W, van Coppenolle H, et al. Body Attitude Test for patients with an eating disorder: psychometric characteristics of a new questionnaire. Eat Disord. 1995;3:133–45.CrossRefGoogle Scholar
  36. 36.
    Schreurs PJG, van de Willige G, Tellegen B, et al. De Utrechtse Coping Lijst. Omgaan met problemen en gebeurtenissen. Handleiding [The Utrecht Coping List. Coping with problems and events. Manual]. Lisse: Swets & Zeitlinger 1988.Google Scholar
  37. 37.
    Halfens R, Philipsen H. Een gezondheidsspecifieke beheersings-oriëntatieschaal: Validiteit en betrouwbaarheid van de MHLC. [Health specific locus of control scale: Validity and reliability of the MHLC]. Tijdschr Soc Gezondheidsz. 1988;66:399–403.Google Scholar
  38. 38.
    Larsen JK, Geenen R. Een beheersingsoriëntatieschaal voor obesitas [Locus of control scale for obesity]. Internal publication, Department of Health Psychology, Utrecht University, The Netherlands 2000.Google Scholar
  39. 39.
    Zijlstra H, Larsen JK, van Ramshorst B, et al. The association between weight loss and self-regulation cognitions before and after laparoscopic adjustable gastric banding for obesity: a longitudinal study. Surgery. 2006;139:334–9.PubMedCrossRefGoogle Scholar
  40. 40.
    Van der Zee KI, Sanderman R. Het meten van de algemene gezondheidstoestand met de RAND-36. Een handleiding [Measuring of general health-state with the RAND-36. A manual]. Groningen: Noordelijk Centrum voor Gezondheidsvraagstukken/RUG 1993.Google Scholar
  41. 41.
    Ware JE, Kosinski MA, Keller SD. Sf-36 physical and mental health summary scales: a user’s manual. Boston: The Health Institute, New England Medical Center 1994.Google Scholar
  42. 42.
    International Federation for the Surgery of Obesity. IFSO Statement on patient selection for surgery. Obes Surg. 1997;7:41.CrossRefGoogle Scholar
  43. 43.
    Sallet PC, Sallet JA, Dixon JB, et al. Eating behavior as a prognostic factor for weight loss after gastric bypass. Obes Surg. 2007;17:445–51.PubMedCrossRefGoogle Scholar
  44. 44.
    Tabachnick BG, Fidell LS. Using multivariate statistics (4th edn.). New York: HarperCollins 2001.Google Scholar
  45. 45.
    Deitel M, Gawdat K, Melissas J. Reporting weight loss 2007. Obes Surg. 2007;17:565–8.PubMedCrossRefGoogle Scholar
  46. 46.
    Cohen, J. Statistical power analysis for the behavioral sciences (2nd edn). Hillsdale, NJ: Lawrence Erlbaum Associates 1988.Google Scholar
  47. 47.
    Kalfarentzos F, Kechagias I, Soulikia K, et al. Weight loss following vertical banded gastroplasty: intermediate results of a prospective study. Obes Surg. 2001;11:265–70.PubMedCrossRefGoogle Scholar
  48. 48.
    Kalarchian MA, Marcus MD, Wilson T, et al. Binge eating among gastric bypass patients at long-term follow-up. Obes Surg. 2002;12:270–5.PubMedCrossRefGoogle Scholar
  49. 49.
    Van de Weijgert EJHM, Ruseler CH, Elte JWF. Long-term follow-up after gastric surgery for morbid obesity: preoperative weight loss improves the long-term control of morbid obesity after vertical banded gastroplasty. Obes Surg. 1999;9;426–32.PubMedCrossRefGoogle Scholar
  50. 50.
    Buddeberg-fisher B, Klaghofer R, Sigrist S, et al. Impact of psychosocial stress and symptoms on indication for bariatric surgery and outcome in morbidly obese patients. Obes Surg. 2004;14:361–9.CrossRefGoogle Scholar

Copyright information

© Springer Science + Business Media, LLC 2008

Authors and Affiliations

  • Gerbrand C. M. van Hout
    • 1
  • Christine A. J. M. Hagendoren
    • 1
  • Saskia K. M. Verschure
    • 1
  • Guus L. van Heck
    • 2
  1. 1.Department of Medical PsychologyCatharina HospitalEindhovenThe Netherlands
  2. 2.Department of Medical Psychology and NeuropsychologyTilburg UniversityTilburgThe Netherlands

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