Obesity Surgery

, Volume 24, Issue 9, pp 1469–1475 | Cite as

Axis I Disorders in Adjustable Gastric Band Patients: the Relationship Between Psychopathology and Weight Loss

  • M. J. Hayden
  • K. D. Murphy
  • W. A. Brown
  • P. E. O’Brien
Original Contributions
First Online:

Abstract

Background

Bariatric surgery candidates have higher rates of co-morbid psychological illnesses than those in the general population. The effect of weight loss on these illnesses is unclear.

Methods

This prospective observational study explored psychiatric co-morbidities and weight loss outcomes in 204 gastric banding surgery candidates. Psychiatric co-morbidities were assessed prior to surgery and 2 years post-surgery. One hundred and fifty patients (74 %) completed assessments at both time points.

Results

At baseline, 39.7 % of the patients met the criteria for a current axis I disorder as defined by the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV). Mood disorders were the most frequent (26.5 %), followed by anxiety disorders (15.2 %) and binge eating disorder (13.2 %). Preoperative psychopathology predicted clinical psychopathology at 2 years. No preoperative or post-operative axis I disorder was significantly related to weight loss at 2 years. The frequency of current axis I disorders decreased significantly from 39.7 % preoperatively to 20 % 2 years post-surgery.

Conclusions

The point prevalence of psychopathology in this sample of Australian bariatric candidates is high. Psychopathology, preoperatively and at 2 years of follow-up, was not associated with weight loss at 2 years.

Keywords

Weight loss Psychology Bariatric Obesity LAGB Depression 
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Notes

Acknowledgments

The Centre for Obesity Research and Education (CORE) receives a grant from Allergan for research support. The grant is not tied to any specified research projects, and Allergan has no control of the protocol, analysis and reporting of any studies. CORE also receives a grant from Applied Medical towards the educational programmes.

Conflict of Interest

Dr Wendy Brown reported receiving an honorarium from Allergan for attending a scientific advisory panel in London in 2009.

Dr Paul O’Brien reported having written a patient information book entitled The LAP-BAND Solution: A Partnership for Weight Loss which was published by Melbourne University Publishing in 2007. Most copies are given to patients without charge, but he reports that he derives a financial benefit from the copies that are sold. He also reports receiving compensation as the national medical director of the American Institute of Gastric Banding, a multicentre facility, based in Dallas, TX, that treats obesity predominantly by gastric banding.

No other authors reported disclosures.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • M. J. Hayden
    • 1
    • 2
  • K. D. Murphy
    • 1
  • W. A. Brown
    • 1
    • 3
  • P. E. O’Brien
    • 1
  1. 1.Centre for Obesity Research and EducationMonash UniversityMelbourneAustralia
  2. 2.School of PsychologyDeakin UniversityMelbourneAustralia
  3. 3.Department of SurgeryMonash UniversityMelbourneAustralia

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