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Adherence to Psychiatric Follow-up Predicts 1-Year BMI Loss in Gastric Bypass Surgery Patients

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An Erratum to this article was published on 26 October 2015

Abstract

Objective

The objective of this study was to investigate the effects of adherence to postoperative recommended psychiatric follow-up on weight loss in morbid obesity patients with psychiatric disorders 1 year after gastric bypass.

Methods

Three hundred eighteen morbidly obese patients were retrospectively reviewed. They were divided into four groups according to preoperative psychiatric evaluations and adherence to psychiatric follow-up 1 year after their bypass surgery. The first group included patients who did not meet the referral criteria (NMRC). The second group consisted of patients who did not meet the psychiatric diagnostic criteria (NMDC). The third group was patients who met criteria for a psychiatric disorder and were nonadherent (NA) to psychiatric follow-up. The fourth group consisted of patients who met criteria for a psychiatric disorder and were adherent (A) to psychiatric follow-up.

Results

The A group exhibited higher % change in BMI than the NA and NMRC groups at 1 year after bypass surgery. Regression analyses to examine the effects of the grouping variable on % change in BMI were performed by controlling the effects of age, gender, educational level, and preoperative BMI. The regression coefficient for the grouping variable was 0.175 (p = .003) at the 6-month and 0.133 (p = .027) at the 1-year % change in BMI.

Conclusion

Our preliminary data suggest that adherence to postoperative psychiatric follow-up is associated with greater postoperative weight loss. However, evidence from studies with a longer follow-up is required to justify this therapeutic approach.

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Acknowledgments

This study would not have been possible without the team at the Bariatric & Metabolic International Surgery Center of E-Da Hospital, Taiwan, and, most importantly, the primary care of the participating staff. We also gratefully acknowledge the grant support of the E-Da Hospital, Taiwan (EDAHI100002, EDAHP100015, EDAHI102004, EDAHI103004, EDAHT102002, EDAHT103014, and EDAHT104012).

Conflict of Interest

The authors declare that they have no conflict of interests.

Ethical Approval

For this type of study, formal consent is not required.

Informed Consent

Not applicable.

Author information

Authors and Affiliations

  1. Department of Psychiatry, Bariatric and Metabolic International (BMI) Surgery Center, E-Da Hospital, Kaohsiung, Taiwan

    Shu-Chen Shen

  2. Department of Psychiatry, E-Da Hospital, Kaohsiung, Taiwan

    Hung-Yen Lin

  3. Department of Surgery, Bariatric and Metabolic International (BMI) Surgery Center, E-Da Hospital, I-Shou University, Kaohsiung, Taiwan

    Chih-Kuan Huang

  4. Department of Psychiatry, E-Da Hospital, School of Medicine, I-Shou University, 1 Yi-Da Road, Yan-Chau District, Kaohsiung, 82445, Taiwan

    Yung-Chieh Yen

Authors
  1. Shu-Chen Shen
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  2. Hung-Yen Lin
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Corresponding author

Correspondence to Yung-Chieh Yen.

Additional information

The work was performed in Bariatric and Metabolic International (BMI) Surgery Center, E-Da Hospital, Kaohsiung, Taiwan.

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Shen, SC., Lin, HY., Huang, CK. et al. Adherence to Psychiatric Follow-up Predicts 1-Year BMI Loss in Gastric Bypass Surgery Patients. OBES SURG 26, 810–815 (2016). https://doi.org/10.1007/s11695-015-1821-5

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  • DOI: https://doi.org/10.1007/s11695-015-1821-5

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