Psychological complications after bariatric surgery (eating disorders, substance abuse, depression, body image, etc.)

Abstract

Bariatric surgery is the most effective treatment for morbid obesity. While benefits include improvements in health, physical functioning, quality of life, and psychological well-being, 20 % of patients may fail to lose the expected amount of weight. Research on presurgical psychological factors that predict poor outcomes has been inconclusive, however, several postoperative factors warrant further investigation. A minority of patients experience other psychological challenges following surgery, which may affect overall success from surgery. In this chapter we review current research on bariatric surgery and suicide and discuss the integrated role of the mental health professional on the bariatric care team.