Volume : 09, Issue : 07, July – 2022



Authors :

Abdullah Mutib Binsultan, Nora Abdullah Gammash, Joharah Issa Almubrad, Reem Ali Alqahtani

Abstract :

Obesity has been linked to a variety of psychological problems and has been demonstrated to have a detrimental effect on one’s overall well-being in several research investigations. Research has found that the link between obesity and mental health varies by culture. Predictors of reduced family income are associated with poorer self-assessed beauty; gender; health policy; life satisfaction; and socioeconomic situations. More weight reduction and better comorbidity remission have been seen in trials comparing bariatric surgery with non-surgical therapy for obesity. Some studies have shown that bariatric surgery improves mental health and quality of life, as well as the financial condition of patients. A few experts, like Borgeraas et al., have studied the impact of bariatric surgery on health, including psychological elements. Variability in weight loss results after bariatric surgery might be rather high. The kind of bariatric surgery done, weight reduction, medical comorbidity, and social support are all important predictors of improved mental health in bariatric surgery patients. Mental health benefits from bariatric surgery may be influenced by variables other than weight reduction alone, such as pre-existing health conditions and the aftermath of surgery. Sleeve-gastrectomy and gastric bypass surgery resulted in higher improvements in mental health than laparoscopic adjustable gastric banding and vertical banding gastroplasty, research by Picot et al. found (2 years). Possibly due to the fact that these operations result in increased weight loss throughout this timeframe.

Cite This Article:

Please cite this article in press Abdullah Mutib Binsultan et al, Review Study: The Relation Between Bariatric Surgery With Depression And Anxiety., Indo Am. J. P. Sci, 2022; 09(7).,

Number of Downloads : 10


1. Susmallian S, Nikiforova I, Azoulai S, Barnea R. Outcomes of bariatric surgery in patients with depression disorders. PloS one. 2019;14(8):e0221576-e. doi:10.1371/journal.pone.0221576.
2. Bell LK, Schammer C, Devenish G, Ha D, Thomson MW, Spencer JA, et al. Dietary Patterns and Risk of Obesity and Early Childhood Caries in Australian Toddlers: Findings from an Australian Cohort Study. Nutrients. 2019;11(11). doi:10.3390/nu11112828.
3. Paczkowska A, Hoffmann K, Raakow J, Pross M, Berghaus R, Michalak M, et al. Impact of bariatric surgery on depression, anxiety and stress symptoms among patients with morbid obesity: international multicentre study in Poland and Germany. BJPsych Open. 2022;8(1):e32-e. doi:10.1192/bjo.2021.1084.
4. Lavallee KL, Zhang XC, Schneider S, Margraf J. Obesity and Mental Health: A Longitudinal, Cross-Cultural Examination in Germany and China. Frontiers in psychology. 2021;12:712567. doi:10.3389/fpsyg.2021.712567.
5. Khawali C, Ferraz MB, Zanella MT, Ferreira SR. Evaluation of quality of life in severely obese patients after bariatric surgery carried out in the public healthcare system. Arquivos brasileiros de endocrinologia e metabologia. 2012;56(1):33-8. doi:10.1590/s0004-27302012000100006.
6. Sarwer DB, Wadden TA, Moore RH, Eisenberg MH, Raper SE, Williams NN. Changes in quality of life and body image after gastric bypass surgery. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 2010;6(6):608-14. doi:10.1016/j.soard.2010.07.015.
7. Borgeraas H, Hofsø D, Hertel JK, Hjelmesaeth J. Comparison of the effect of Roux-en-Y gastric bypass and sleeve gastrectomy on remission of type 2 diabetes: A systematic review and meta-analysis of randomized controlled trials. Obesity reviews : an official journal of the International Association for the Study of Obesity. 2020;21(6):e13011. doi:10.1111/obr.13011.
8. Hachem A, Brennan L. Quality of Life Outcomes of Bariatric Surgery: A Systematic Review. Obesity surgery. 2016;26(2):395-409. doi:10.1007/s11695-015-1940-z.
9. Wimmelmann CL, Dela F, Mortensen EL. Psychological predictors of mental health and health-related quality of life after bariatric surgery: a review of the recent research. Obesity research & clinical practice. 2014;8(4):e314-24. doi:10.1016/j.orcp.2013.11.002.
10. Picot J, Jones J, Colquitt JL, Gospodarevskaya E, Loveman E, Baxter L, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health technology assessment (Winchester, England). 2009;13(41):1-190, 215-357, iii-iv. doi:10.3310/hta13410.
11. Dawes AJ, Maggard-Gibbons M, Maher AR, Booth MJ, Miake-Lye I, Beroes JM, et al. Mental Health Conditions Among Patients Seeking and Undergoing Bariatric Surgery: A Meta-analysis. Jama. 2016;315(2):150-63. doi:10.1001/jama.2015.18118.
12. Wu YK, Berry DC. Impact of weight stigma on physiological and psychological health outcomes for overweight and obese adults: A systematic review. Journal of advanced nursing. 2018;74(5):1030-42. doi:10.1111/jan.13511.
13. Mallorquí-Bagué N, Lozano-Madrid M, Vintró-Alcaraz C, Forcano L, Díaz-López A, Galera A, et al. Effects of a psychosocial intervention at one-year follow-up in a PREDIMED-plus sample with obesity and metabolic syndrome. Scientific reports. 2021;11(1):9144. doi:10.1038/s41598-021-88298-1.
14. Slavich GM, Irwin MR. From stress to inflammation and major depressive disorder: a social signal transduction theory of depression. Psychological bulletin. 2014;140(3):774-815. doi:10.1037/a0035302.
15. Luppino FS, de Wit LM, Bouvy PF, Stijnen T, Cuijpers P, Penninx BW, et al. Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Archives of general psychiatry. 2010;67(3):220-9. doi:10.1001/archgenpsychiatry.2010.2.
16. Zarza-Rebollo JA, Molina E, Rivera M. The role of the FTO gene in the relationship between depression and obesity. A systematic review. Neuroscience and biobehavioral reviews. 2021;127:630-7. doi:10.1016/j.neubiorev.2021.05.013.
17. Rossi AA, Manzoni GM, Pietrabissa G, Di Pauli D, Mannarini S, Castelnuovo G. Weight stigma in patients with overweight and obesity: validation of the Italian Weight Self-Stigma Questionnaire (WSSQ). Eating and weight disorders : EWD. 2022. doi:10.1007/s40519-022-01385-8.
18. O’Brien PE, Hindle A, Brennan L, Skinner S, Burton P, Smith A, et al. Long-Term Outcomes After Bariatric Surgery: a Systematic Review and Meta-analysis of Weight Loss at 10 or More Years for All Bariatric Procedures and a Single-Centre Review of 20-Year Outcomes After Adjustable Gastric Banding. Obesity surgery. 2019;29(1):3-14. doi:10.1007/s11695-018-3525-0.
19. Arterburn DE, Telem DA, Kushner RF, Courcoulas AP. Benefits and Risks of Bariatric Surgery in Adults: A Review. Jama. 2020;324(9):879-87. doi:10.1001/jama.2020.12567.
20. Paczkowska A, Hoffmann K, Raakow J, Pross M, Berghaus R, Michalak M, et al. Impact of bariatric surgery on depression, anxiety and stress symptoms among patients with morbid obesity: international multicentre study in Poland and Germany. BJPsych Open. 2022;8(1):e32. doi:10.1192/bjo.2021.1084.
21. Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. The Cochrane database of systematic reviews. 2014(8):Cd003641. doi:10.1002/14651858.CD003641.pub4.
22. Bøgelund M, Jørgensen NB, Madsbad S, Spanggaard M, Panton UH, Pedersen MH, et al. The Effect of Bariatric Surgery on Healthcare Costs and Labor Market Attachment. Obesity surgery. 2022;32(4):998-1004. doi:10.1007/s11695-022-05913-4.
23. Courcoulas AP, Christian NJ, Belle SH, Berk PD, Flum DR, Garcia L, et al. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. Jama. 2013;310(22):2416-25. doi:10.1001/jama.2013.280928.
24. Mitchell JE, Selzer F, Kalarchian MA, Devlin MJ, Strain GW, Elder KA, et al. Psychopathology before surgery in the longitudinal assessment of bariatric surgery-3 (LABS-3) psychosocial study. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 2012;8(5):533-41. doi:10.1016/j.soard.2012.07.001.
25. Flum DR, Belle SH, King WC, Wahed AS, Berk P, Chapman W, et al. Perioperative safety in the longitudinal assessment of bariatric surgery. The New England journal of medicine. 2009;361(5):445-54. doi:10.1056/NEJMoa0901836.
26. Mahawar KK, Graham Y, Carr WR, Jennings N, Schroeder N, Balupuri S, et al. Revisional Roux-en-Y Gastric Bypass and Sleeve Gastrectomy: a Systematic Review of Comparative Outcomes with Respective Primary Procedures. Obesity surgery. 2015;25(7):1271-80. doi:10.1007/s11695-015-1670-2.
27. Wang MC, Guo XH, Zhang YW, Zhang YL, Zhang HH, Zhang YC. Laparoscopic Roux-en-Y gastric bypass versus sleeve gastrectomy for obese patients with Type 2 diabetes: a meta-analysis of randomized controlled trials. The American surgeon. 2015;81(2):166-71.
28. Wolfe BM, Kvach E, Eckel RH. Treatment of Obesity: Weight Loss and Bariatric Surgery. Circulation research. 2016;118(11):1844-55. doi:10.1161/CIRCRESAHA.116.307591.
29. Carlsson LM, Peltonen M, Ahlin S, Anveden Å, Bouchard C, Carlsson B, et al. Bariatric surgery and prevention of type 2 diabetes in Swedish obese subjects. The New England journal of medicine. 2012;367(8):695-704. doi:10.1056/NEJMoa1112082.
30. Carlsson LMS, Sjöholm K, Karlsson C, Jacobson P, Andersson-Assarsson JC, Svensson PA, et al. Long-term incidence of microvascular disease after bariatric surgery or usual care in patients with obesity, stratified by baseline glycaemic status: a post-hoc analysis of participants from the Swedish Obese Subjects study. The lancet Diabetes & endocrinology. 2017;5(4):271-9. doi:10.1016/s2213-8587(17)30061-x.
31. Maggard-Gibbons M, Maglione M, Livhits M, Ewing B, Maher AR, Hu J, et al. Bariatric surgery for weight loss and glycemic control in nonmorbidly obese adults with diabetes: a systematic review. Jama. 2013;309(21):2250-61. doi:10.1001/jama.2013.4851.
32. Herpertz S, Kielmann R, Wolf AM, Langkafel M, Senf W, Hebebrand J. Does obesity surgery improve psychosocial functioning? A systematic review. International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity. 2003;27(11):1300-14. doi:10.1038/sj.ijo.0802410.
33. Karagülle OO, Yavuz E, Gülçiçek OB, Solmaz A, Şentürk S, Erdoğan A, et al. Psychological well-being and marital satisfaction in response to weight loss after bariatric surgery. Surgery today. 2019;49(5):435-42. doi:10.1007/s00595-018-1750-8.
34. Klassen AF, Cano SJ, Kaur M, Breitkopf T, Pusic AL. Further psychometric validation of the BODY-Q: ability to detect change following bariatric surgery weight gain and loss. Health Qual Life Outcomes. 2017;15(1):227. doi:10.1186/s12955-017-0802-x.
35. Perdue TO, Schreier A, Swanson M, Neil J, Carels R. Evolving self view and body image concerns in female postoperative bariatric surgery patients. Journal of clinical nursing. 2018;27(21-22):4018-27. doi:10.1111/jocn.14527.
36. Brunault P, Frammery J, Couet C, Delbachian I, Bourbao-Tournois C, Objois M, et al. Predictors of changes in physical, psychosocial, sexual quality of life, and comfort with food after obesity surgery: a 12-month follow-up study. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2015;24(2):493-501. doi:10.1007/s11136-014-0775-8.
37. Karlsen TI, Lund RS, Røislien J, Tonstad S, Natvig GK, Sandbu R, et al. Health related quality of life after gastric bypass or intensive lifestyle intervention: a controlled clinical study. Health Qual Life Outcomes. 2013;11:17. doi:10.1186/1477-7525-11-17.
38. Myers VH, Adams CE, Barbera BL, Brantley PJ. Medical and psychosocial outcomes of laparoscopic Roux-en-Y gastric bypass: cross-sectional findings at 4-year follow-up. Obesity surgery. 2012;22(2):230-9. doi:10.1007/s11695-010-0324-7.
39. Sellberg F, Possmark S, Willmer M, Tynelius P, Berglind D. One-year follow-up of a dissonance-based intervention on quality of life, wellbeing, and physical activity after Roux-en-Y gastric bypass surgery: a randomized controlled trial. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 2019;15(10):1731-7. doi:10.1016/j.soard.2019.07.001.
40. Aarts EO, Dogan K, Koehestanie P, Aufenacker TJ, Janssen IM, Berends FJ. Long-term results after laparoscopic adjustable gastric banding: a mean fourteen year follow-up study. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 2014;10(4):633-40. doi:10.1016/j.soard.2014.03.019.
41. Lin VW, Wright A, Flum DR, Garrison LP, Jr., Alfonso-Cristancho R, Sullivan SD. Patients’ experience and outcomes after laparoscopic adjustable gastric banding in Washington state. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 2013;9(5):701-5. doi:10.1016/j.soard.2012.03.011.
42. Burton PR, Ooi GJ, Laurie C, Anderson M, Parker K, Paul E, et al. Changes in Outcomes, Satiety and Adverse Upper Gastrointestinal Symptoms Following Laparoscopic Adjustable Gastric Banding. Obesity surgery. 2017;27(5):1240-9. doi:10.1007/s11695-016-2434-3.
43. Lanthaler M, Mattesich M, Nehoda H, Puelzl P, Matiasek J, Nitto A, et al. Long-term quality-of-life improvement in gastric banding patients from body-contouring surgery. The American surgeon. 2015;81(1):34-40.
44. Toma T, Harling L, Athanasiou T, Darzi A, Ashrafian H. Does Body Contouring After Bariatric Weight Loss Enhance Quality of Life? A Systematic Review of QOL Studies. Obesity surgery. 2018;28(10):3333-41. doi:10.1007/s11695-018-3323-8.
45. Castaneda D, Popov VB, Wander P, Thompson CC. Risk of Suicide and Self-harm Is Increased After Bariatric Surgery-a Systematic Review and Meta-analysis. Obesity surgery. 2019;29(1):322-33. doi:10.1007/s11695-018-3493-4.
46. Kolotkin RL, Crosby RD, Gress RE, Hunt SC, Adams TD. Two-year changes in health-related quality of life in gastric bypass patients compared with severely obese controls. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 2009;5(2):250-6. doi:10.1016/j.soard.2009.01.009.
47. O’Brien PE. Bariatric surgery: mechanisms, indications and outcomes. Journal of gastroenterology and hepatology. 2010;25(8):1358-65. doi:10.1111/j.1440-1746.2010.06391.x.
48. Murphy R, Clarke MG, Evennett NJ, John Robinson S, Lee Humphreys M, Hammodat H, et al. Laparoscopic Sleeve Gastrectomy Versus Banded Roux-en-Y Gastric Bypass for Diabetes and Obesity: a Prospective Randomised Double-Blind Trial. Obesity surgery. 2018;28(2):293-302. doi:10.1007/s11695-017-2872-6.
49. Schauer PR, Kashyap SR, Wolski K, Brethauer SA, Kirwan JP, Pothier CE, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. The New England journal of medicine. 2012;366(17):1567-76. doi:10.1056/NEJMoa1200225.
50. Keidar A, Hershkop KJ, Marko L, Schweiger C, Hecht L, Bartov N, et al. Roux-en-Y gastric bypass vs sleeve gastrectomy for obese patients with type 2 diabetes: a randomised trial. Diabetologia. 2013;56(9):1914-8. doi:10.1007/s00125-013-2965-2.
51. Alsubaie S, Asiri G, Asiri E, Alqahtani F, Bredy G, Alshehri D. Depression and anxiety on post-bariatric surgery among Saudi Adults residing in Abha, Asir Province, Saudi Arabia. International Journal of Medicine in Developing Countries. 2020;5(1):165–71.
52. Sait S TN, Zagzoog M, Mortada H, AltowairebA, Hemdi A. Prevalence of depression and anxietydisorders among bariatric surgery patients J SurgMed. 2019;3(8):574-8.
53. Alley JB, Fenton SJ, Harnisch MC, Tapper DN, Pfluke JM, Peterson RM. Quality of life after sleeve gastrectomy and adjustable gastric banding. Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 2012;8(1):31-40.
54. de Zwaan M, Enderle J, Wagner S, Mühlhans B, Ditzen B, Gefeller O, et al. Anxiety and depression in bariatric surgery patients: a prospective, follow-up study using structured clinical interviews. J Affect Disord. 2011;133(1-2):61-8.
55. Al‐Subaie AS, Al‐Habeeb A, Altwaijri YAJIJoMiPR. Overview of the Saudi National Mental Health Survey. International Journal of Methods in Psychiatric Research. 2020;29(3):e1835.
56. Remes O, Brayne C, van der Linde R, Lafortune L. A systematic review of reviews on the prevalence of anxiety disorders in adult populations. Brain Behav. 2016;6(7): e0049.