Self-reported psychosocial health in obese patients before and after weight loss

Abstract

Psychosocial profiles were examined in 255 morbidly obese patients attending a hospital service offering access to standard weight loss therapies. 129 patients were reassessed after at least 6-month follow-up. At baseline, 51.8% and 32.7% of patients, respectively, had evidence of anxiety and depressive disorders, 24% had severe impairments in self esteem, and 29.7% had an increased risk of eating disorders. At follow-up, weight loss from baseline was significant in all 3 therapies: diet only is 0.74 ± 1.8 kg; pharmacotherapy is 6.7 ± 4.2 kg; and surgery is 20.1 ± 13.6 kg. Anxiety scores improved in all three groups (P