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Changes in Depression Following Gastric Banding: A 5- to 7-year Prospective Study

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Abstract

Background

Long-term outcomes of gastric banding regarding depression and predictors of change in depression are still unclear. This prospective, controlled study investigated depression and self-acceptance in morbidly obese patients before and after gastric banding.

Methods

A total of 248 morbidly obese patients (mean body mass index [BMI] = 46.4, SD = 6.9) seeking gastric banding completed questionnaires for symptoms of depression (Beck Depression Inventory) and self-acceptance. One hundred twenty-eight patients were treated with gastric banding and 120 patients were not. After 5 to 7 years, patients who either had (n = 40) or had not (n = 42) received gastric banding were reassessed.

Results

In the preoperative assessment, 35% of all obese patients suffered from clinically relevant depressive symptoms (BDI score ≥18). The mean depression score was higher and the mean self-acceptance score was lower than those of the normal population. Higher preoperative depression scores were observed among patients living alone and who had obtained low levels of education. After 5 to 7 years, patients with gastric banding had lost significantly more weight than patients without gastric banding (mean BMI loss 10.0 vs. 3.3). Gastric banding patients improved significantly in depression and self-acceptance, whereas no change was found in patients without gastric banding. Symptoms of depression were more reduced in patients who lost more weight, lived together with a partner, and had a high preoperative depression score.

Conclusion

Morbid obesity is associated with depressive symptoms and low self-acceptance. Gastric banding results in both long-term weight loss and improvement in depression and self-acceptance.

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Acknowledgement

This study was supported, in part, by Ethicon Endo-Surgery. There are no conflicts of interest.

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Authors and Affiliations

  1. Institute of Psychotherapy and Medical Psychology, University of Wuerzburg, Klinikstr. 3, 97070, Wuerzburg, Germany

    Marion Schowalter, Caroline Lager, Matthias Richard & Hermann Faller

  2. Mainz Department of Clinical Psychology, University of Mainz, Mainz, Germany

    Andrea Benecke

  3. Department of Surgery, Marienkrankenhaus, Kassel, Germany

    Johannes Heimbucher

  4. Department of Surgery, University of Wuerzburg, Wuerzburg, Germany

    Marco Bueter, Andreas Thalheimer & Martin Fein

Authors
  1. Marion Schowalter
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  2. Andrea Benecke
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  3. Caroline Lager
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  4. Johannes Heimbucher
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  5. Marco Bueter
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  6. Andreas Thalheimer
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  7. Martin Fein
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  8. Matthias Richard
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  9. Hermann Faller
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Correspondence to Marion Schowalter.

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Schowalter, M., Benecke, A., Lager, C. et al. Changes in Depression Following Gastric Banding: A 5- to 7-year Prospective Study. OBES SURG 18, 314–320 (2008). https://doi.org/10.1007/s11695-007-9316-7

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  • DOI: https://doi.org/10.1007/s11695-007-9316-7

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