Bariatrik cerrahi hastalarında depresyon ve anksiyete bozukluklarının sıklığı

Öz

Amaç: Obezite, artmış psikolojik stres, depresyon ve anksiyete riski taşır. Bazı çalışmalar morbid obezite için en iyi tedavi yönteminin bariatrik cerrahi olduğunu kanıtlamıştır. Ancak, bariatrik cerrahinin psikolojik sağlık konusundaki sonucu bireyler arasında değişmektedir. Bariatrik cerrahi arayan hastalar için kapsamlı perioperatif zihinsel sağlık değerlendirmesi önemlidir, çünkü psikiyatrik komorbiditeler kötü sonuçlara neden olabilir ve bilgilerimize dayanarak, Suudi Arabistan'da bariyatrik cerrahi sonrası psikiyatrik sonuçlarla ilgili çalışmalar sınırlıdır. Bu çalışma, bariatrik cerrahinin depresyon ve anksiyete semptomları geliştirmedeki etkisini değerlendirmeyi amaçlamaktadır.

Yöntemler: Bu kesitsel çalışmaya ilişkin veriler, Temmuz 2013 ile Temmuz 2017 arasında Kral Abdulaziz Üniversitesi Hastanesi (KAUH), Cidde, Suudi Arabistan'da bariatrik cerrahi uygulanan her iki cinsiyetten elektronik olarak uygulanan bir anket formu ile hastalardan toplandı.

Bulgular: Katılımcıların toplam sayısı 214 olup, 66'sı (%30,8) erkek, 150'si (%69,2) kadındır. Bariatrik cerrahi geçiren katılımcılar 17-64 yaşları arasındaydı ve ortanca yaşları 36,69 idi. Preoperatif değerlendirme açısından, örneklemimizin% 95.8'inin bir psikiyatri kliniğini ziyaret etmediğini bulduk. Postoperatif depresyon ve anksiyete yüzdesi hastalar arasında sırasıyla 67 (%31,3) ve 40 (%18,7) idi. Çok değişkenli regresyon analizini kullanarak, hastaların gelirlerinin kaygı ile anlamlı bir şekilde ilişkili olduğu, daha yüksek geliri olanların düşük gelirli gruplara göre (<3000 riyal) daha az endişeli olma olasılıkları olduğu istatistiksel olarak anlamlı görülmüştür.

Sonuç: Bariatrik cerrahi sonrası genel popülasyona göre kaygı ve depresyon prevalansı yüksektir. Tüm bariatrik cerrahi hastaları için henüz uygulanmayan ve ameliyat öncesi protokollerde uygulanmayan merkezlerde psikiyatrik psikiyatrik değerlendirme yapılmasını öneriyoruz.

Anahtar Kelimeler

• Bariatrik cerrahi,Obezite cerrahisi,Preoperatif değerlendirme,Bariatrik kaygı,Bariatrik depresyon

Prevalence of depression and anxiety disorders among bariatric surgery patients

Abstract

Aim: Obesity carries with itself an increased risk of psychological distress, depression and anxiety. Several studies have proven that the best modality of treatment for morbid obesity is bariatric surgery. However, the outcome of bariatric surgery on psychological health varies between individuals. Comprehensive perioperative mental health evaluation for patients seeking bariatric surgery is important, as psychiatric comorbidities could result in poor outcomes, and based on our knowledge, studies on psychiatric outcomes post bariatric surgery are limited in Saudi Arabia. This study is aimed at assessing the impact of bariatric surgery on developing depression and anxiety symptoms.

Methods: Data for this cross-sectional study were collected from patients via an electronic self-administered questionnaire of both genders who underwent bariatric surgery during the period between July 2013 and July 2017 at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia.

Results: The total number of the participants was 214, wherein 66 (30.8%) were males and 150 (69.2%) were females. Participants who underwent bariatric surgery ranged between 17 and 64 years of age with a median age of 36.69 years. With regards to preoperative assessment, we found that 95.8% of our sample did not visit a psychiatry clinic. The postoperative percentage of depression and anxiety among patients was 67 (31.3%) and 40 (18.7%), respectively. Using multivariate regression analysis, patients’ income was found to be significantly associated with anxiety, those who had higher income had less odds of being anxious compared to the group with low income (<3000 riyals) and this was statistically significant. 

Conclusion: Compared to general population, the post bariatric surgery prevalence of anxiety and depression is high. We recommend pre- and postoperative psychiatric assessment for all bariatric surgery patients in centers where this has not yet been implemented in the pre- and postoperative protocols.

Keywords

• Bariatric surgery,Obesity surgery,Preoperative assessment,Bariatric anxiety,Bariatric depression

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