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Bariatric Surgery is Associated with Reduced Depressive Symptoms and Better Sexual Function in Obese Female Patients: A One-Year Follow-Up Study

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Abstract

Bariatric surgery is an effective treatment for obesity; few studies, however, have investigated its impact on patients’ sexuality. We aimed to determine bariatric surgery’s effect on female patients’ body mass index (BMI), anxiety and depressive symptoms, and sexual function and delineate predictors of treatment outcomes. Fifty-nine obese female bariatric candidates were administered the Hospital Anxiety and Depression Scale and the Female Sexual Function Index 1 week before surgery (T1) and 1 year after (T2). Statistical analysis revealed significant reductions in BMI (p < 0.001), depression (p < 0.001), and sexual pain levels (p = 0.014) and significant improvements in sexual desire (p = 0.005), arousal (p = 0.001), lubrication (p = 0.003), satisfaction (p = 0.012), and total sexual function (p = 0.003) postoperatively. Postoperative total sexual function was independently predicted by baseline sexual function and low baseline BMI. Bariatric surgery is an effective way to reduce weight, manage depression, and improve sexual function in female obese patients.

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References

  1. Buddeberg-Fischer B, Klaghofer R, Krug L, et al. Physical and psychosocial outcome in morbidly obese patients with and without bariatric surgery: a 41/2-year follow-up. Obes Surg. 2006;16:321–30.

    Article  PubMed  Google Scholar 

  2. Dixon JB, Dixon ME, O’ Brien E. Quality of life after lap-band placement: influence of time, weight loss and comorbidities. Obes Res. 2001;9:713–21.

    Article  CAS  PubMed  Google Scholar 

  3. Van Hout GCM, van Oudheusden I, van Heck GL. Psychological profile of the morbidly obese. Obes Surg. 2004;14:579–88.

    Article  PubMed  Google Scholar 

  4. Tiggermann M. Body dissatisfaction and adolescent self-esteem: prospective findings. Body Image. 2005;2:129–35.

    Article  Google Scholar 

  5. Dymek MP, LeGrange D, Neven K, et al. Quality of life after gastric bypass surgery: a cross-sectional study. Obes Res. 2002;10:1135–42.

    Article  PubMed  Google Scholar 

  6. Mathus-Vliegen EMH, de Wit LT. Health-related quality of life after gastric banding. Br J Surg. 2007;94:457–65.

    Article  CAS  PubMed  Google Scholar 

  7. Assimakopoulos K, Panayiotopoulos S, Iconomou G, Karaivazoglou K, Matzaroglou C, Vagenas K, et al. Assessing sexual function in obese women preparing for bariatric surgery. Obes Surg. 2006;16(8):1087–91.

    Article  PubMed  Google Scholar 

  8. Kolotkin RL, Crosby RD, Gress RE, et al. Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surg Obes Relat Dis. 2009;5:250–6.

    Article  PubMed  Google Scholar 

  9. Bond DS, Vithiananthan S, Leahey TM, et al. Prevalence and degree of sexual dysfunction in a sample of women seeking bariatric surgery. Surg Obes Relat Dis. 2009;5:698–704.

    Article  PubMed  Google Scholar 

  10. Mamplekou E, Komesidou V, Bissias C, et al. Psychological condition and quality of life in patients with morbid obesity before and after surgical weight loss. Obes Surg. 2005;15:1177–84.

    Article  CAS  PubMed  Google Scholar 

  11. Bond D, Vithiananthan S, Leahey TM, et al. Significant resolution of female sexual dysfunction (FSD) following bariatric surgery. Surg Obes Relat Dis. 2010;S6(3):3.

    Article  Google Scholar 

  12. Mahony D. Psychological gender differences in bariatric surgery candidates. Obes Surg. 2008;18:607–10.

    Article  PubMed  Google Scholar 

  13. Kalfarentzos F, Papadoulas S, Skroubis G, Kehagias I, Loukidi A, Mead N. Prospective evaluation of biliopancreatic diversion with Roux-en-Y gastric bypass in the super obese. J Gastrointest Surg. 2004;8:479–88.

    Article  PubMed  Google Scholar 

  14. Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.

    Article  CAS  PubMed  Google Scholar 

  15. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67:361–70.

    Article  CAS  PubMed  Google Scholar 

  16. Michopoulos I, Douzenis A, Kalkavoura C, Christodoulou C, Michalopoulou P, Kalemi G, et al. Hospital Anxiety and Depression Scale (HADS): validation in a Greek general hospital sample. Ann Gen Psychiatry. 2008;7:4.

    Article  PubMed  Google Scholar 

  17. Body Mass Index: BMI for adults. Department of Health and Human Services, Centers for Disease Control and Prevention. Available at http://www.cdc.gov/nccdphp/dnpa/bmi/adultBMI/aboutadultBMI.htm

  18. Altman DG. Practical statistics for medical research. London: Chapman and Hall; 1991.

    Google Scholar 

  19. Burgmer R, Petersen I, Burgmer M, et al. Psychological outcome two years after restrictive bariatric surgery. Obes Surg. 2007;17(6):785–91.

    Article  PubMed  Google Scholar 

  20. Wolfe BL, Terry ML. Expectations and outcomes with gastric bypass surgery. Obes Surg. 2006;16:1622–9.

    Article  PubMed  Google Scholar 

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The authors declare that they have no conflict of interest.

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Correspondence to Konstantinos Assimakopoulos.

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Assimakopoulos, K., Karaivazoglou, K., Panayiotopoulos, S. et al. Bariatric Surgery is Associated with Reduced Depressive Symptoms and Better Sexual Function in Obese Female Patients: A One-Year Follow-Up Study. OBES SURG 21, 362–366 (2011). https://doi.org/10.1007/s11695-010-0303-z

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  • DOI: https://doi.org/10.1007/s11695-010-0303-z

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