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. 2023 Sep;18(3):502-509.
doi: 10.5114/wiitm.2023.128910. Epub 2023 Jun 22.

Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme - a preliminary report

Marta Herstowska  1 , Ada Przygocka-Pieniążek  1 , Karol Grabowski  2 , Łukasz Kaska  3
Affiliations

Prevalence of mental disorders in patients with pathological obesity selected for bariatric surgery in the KOS-BAR nationwide multi-centre pilot programme - a preliminary report

Marta Herstowska et al. Wideochir Inne Tech Maloinwazyjne. 2023 Sep.

Abstract

Obesity affects over 600,000 people in Poland, and bariatric surgery is a vital part of the multidisciplinary approach to treatment. To improve outcomes, Poland's public health institutions implemented the KOS-BAR programme, a multicentre nationwide pilot initiative that includes psychiatric evaluations of patients. The aim of this study was to assess the prevalence of mental disorders, verify diagnoses, and evaluate pharmacotherapy efficacy for patients under psychiatric treatment and selected for bariatric surgery. Of the 180 patients evaluated, 40% had a history of mental disorders, with depressive and eating disorders being the most common diagnoses. Patients selected for revision surgery had a higher incidence of depressive and compulsive eating disorders. Psychiatric support can improve patient cooperation and optimize long-term outcomes after bariatric surgery. A more complete evaluation of the psychological profile and depressive disorder's impact on bariatric treatment outcomes will be the next step for this group of patients.

Keywords: bariatric surgery; obesity; psychiatric disorders.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Surgeries performed in KOS-BAR
Figure 2
Figure 2
Psychiatric state of patients qualified for KOS-BAR Program
Figure 3
Figure 3
Patients with a completed history of psychiatric treatment
Figure 4
Figure 4
Patients currently in treatment
Figure 5
Figure 5
Patients with relapse
Figure 6
Figure 6
Patients diagnosed de novo
See this image and copyright information in PMC

References

    1. Polish National Health Test (Narodowy test zdrowia Polaków) https://www.nn.pl/dam/zasoby/raporty/Narodowy-Test-Zdrowia-Polakow-2020-... (na dzień 07.05.2023)
    1. Program of comprehensive medical care for patients with morbid obesity treated surgically (Program kompleksowej opieki medycznej dla chorych na otyłość olbrzymią leczoną chirurgicznie) https://www.gov.pl/web/zdrowie/program-kompleksowej-opieki-medycznej-dla...) (stan na 07.05.2023)
    1. Milaneschi Y, Simmons WK, van Rossum EFC, et al. . Depression and obesity: evidence of shared biological mechanisms. Mol Psychiatry 2019; 24: 18-33. - PubMed
    1. Kurhe Y, Mahesh R. Mechanisms linking depression co-morbid with obesity: an approach for serotonergic type 3 receptor antagonist as novel therapeutic intervention. Asian J Psychiatr 2015; 17: 3-9. - PubMed
    1. Kalarchian MA, Marcus MD, Levine MD, et al. . Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status. Am J Psychiatry 2007; 164: 328-34; quiz 374. - PubMed