Objective: Obesity, a growing pandemic of this era by affecting approximately 13% of the global population, is associated with various medical comorbidities including Type 2 diabetes, hypertension and atherosclerosis along with psychiatric conditions such as depression and anxiety. In this study our aim is to assess and compare the effect of bariatric surgery on depression, anxiety disorder and sexual experience status of patients by assessment at preoperative period and postoperative 1st year. To assess the psychiatric and sexual experience outcomes prior to and after surgery. A prospective observational cohort study. Material and Methods: Three major inventories, namely Beck Depression Inventory, Beck Anxiety Inventory and Arizona Sexual Experience Scale, have been utilized in order to assess the effect of bariatric surgery on participants in terms of depression, anxiety disorder and sexual experience status. Results: We have included 174 patients operated at the same bariatric surgery department with identical surgical procedure. Our results indicate statistically significant improvement in depression, anxiety and sexual experience at post-operative year 1 compared to pre-operative period. Conclusion: Psychiatric comorbidities of bariatric surgery candidates should not be overlooked and may potentially be included in bariatric surgery indications along with other medical comorbidities, nevertheless, further studies are required in this field.
Keywords: Obesity; bariatric surgery; anxiety; depression; sexual experience
Amaç: Dünya nüfusunun yaklaşık %13'ünü etkileyen ve çağımızın büyüyen bir pandemisi olan obezite, tip 2 diyabet, hipertansiyon ve ateroskleroz gibi çeşitli tıbbi komorbiditeler ile depresyon ve anksiyete gibi psikiyatrik durumlar ile ilişkilidir. Bu çalışmanın amacı, obezite cerrahisinin hastaların depresyon, anksiyete ve cinsel deneyim durumlarına etkisini preoperatif dönemde ve postoperatif 1. yılda değerlendirmek ve karşılaştırmaktır. Prospektif gözlemsel kohort çalışması. Gereç ve Yöntemler: Obezite cerrahisinin katılımcılar üzerindeki etkisini depresyon, anksiyete bozukluğu, cinsel deneyim açısından değerlendirmek için Beck Depresyon Envanteri, Beck Anksiyete Envanteri ve Arizona Cinsel Deneyim Ölçeği olmak üzere 3 ana envanter kullanılmıştır. Bulgular: Aynı obezite cerrahisi bölümünde aynı cerrahi prosedürle ameliyat edilen 174 hastanın verileri değerlendirilmiştir. Sonuçlar, ameliyat sonrası 1. yılda depresyon, anksiyete ve cinsel deneyimde belirgin bir iyileşme olduğunu göstermiştir. Sonuç: Obezite cerrahisi adaylarının psikiyatrik komorbiditeleri göz ardı edilmemeli ve potansiyel olarak diğer tıbbi komorbiditelerle birlikte obezite cerrahisi endikasyonlarına eklenmesi potansiyel olarak düşünülmelidir. Ancak bu alanda daha fazla çalışmaya ihtiyaç vardır.
Anahtar Kelimeler: Obezite; obezite cerrahisi; anksiyete; depresyon; cinsel deneyim
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