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Psychosocial Predictors of Change in Depressive Symptoms Following Gastric Banding Surgery

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Abstract

Objective

The aim of this study is to identify psychosocial variables associated with the relationship between weight loss and change in depressive symptoms following gastric banding surgery.

Methods

Ninety-nine adults completed self-report questionnaires assessing depressive symptoms and other psychosocial variables (self-esteem, body image dissatisfaction, perceived physical health, and perceived weight-based stigmatisation) prior to gastric-band surgery and monthly for 6-month post-surgery.

Results

Weight, depressive symptoms, and other psychosocial variables improved significantly 1-month post-surgery and remained lower to 6 months. Weight loss from baseline to 1- and 6-months post-surgery significantly correlated with change in depressive symptoms. Body image dissatisfaction and self-esteem accounted for some of the variance in change in depressive symptoms from baseline to 1-month and baseline to 6-months post-surgery.

Conclusions

Depressive symptoms improved significantly and rapidly after bariatric surgery, and body image dissatisfaction and self-esteem predicted change in depressive symptoms. Interventions targeting body image and self-esteem may improve depressive symptoms for those undergoing weight loss interventions.

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Authors and Affiliations

  1. Centre of Obesity Research and Education and School of Psychology, Monash University, Melbourne, Australia

    Kymberlie Preiss

  2. School of Psychology and Psychiatry, Monash University, Melbourne, Australia

    David Clarke

  3. Centre of Obesity Research and Education, Monash University, Melbourne, Australia

    Paul O’Brien

  4. School of Psychology, Australian Catholic University, 115 Victoria Parade, Locked Bag 4115, Melbourne, VIC, 3450, Australia

    Xochitl de la Piedad Garcia, Annemarie Hindle & Leah Brennan

Authors
  1. Kymberlie Preiss
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  2. David Clarke
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  3. Paul O’Brien
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  4. Xochitl de la Piedad Garcia
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  5. Annemarie Hindle
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  6. Leah Brennan
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Corresponding author

Correspondence to Leah Brennan.

Ethics declarations

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

Dr. Brennan reports other from Centre for Obesity Research and Education, during the conduct of the study. All other authors have nothing to disclose.

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Preiss, K., Clarke, D., O’Brien, P. et al. Psychosocial Predictors of Change in Depressive Symptoms Following Gastric Banding Surgery. OBES SURG 28, 1578–1586 (2018). https://doi.org/10.1007/s11695-017-3055-1

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