Additional preconditioning program for bariatric surgery: Any benefits? A large cohort study.

Postbariatric outcomes may improve by providing an additional preconditioning program (APP) in targeted patients. However, APPs are a demand for health resources while only little and inconsistent evidence consists to support their effectiveness. This cohort study aims to evaluate the effectiveness of APP, by comparing outcomes of patients with and without such APP.

Functional status in patients with medically unexplained physical symptoms: Coping styles and their relationship with depression and anxiety.

This study examined how coping styles are related to functional status in patients with medically unexplained physical symptoms and to what extent depression and anxiety account for this relationship. In 90 Dutch adult patients presenting medically unexplained physical symptoms, coping styles, health-related functional status, anxiety, and depression were measured. Multiple regression analyses and mediation analysis showed that coping styles were directly and indirectly related to functional status.

Bariatric psychology, psychological aspects of weight loss surgery.

Obesity is the 'disease of the 21st century' and results in physical and psychosocial co-morbidities as well as poor quality of life (QoL). In contrast to the nonsurgical treatment of obesity, bariatric surgery is treatment of choice for morbid obesity. Since improved QoL and enhanced psychosocial functioning are important goals of bariatric surgery, success following bariatric surgery should not only include weight loss and improvement or cure of co-morbid conditions, but also improvements in eating behavior, psychosocial variables, and QoL.

Health-related quality of life following vertical banded gastroplasty.

Background: Morbid obesity is associated with increased risks of morbidity and mortality as well as poor quality of life (QoL). Therefore, the goal of bariatric surgery should not only be reducing weight and treatment of comorbid conditions, but also improving QoL. Moreover, enhanced QoL may motivate patients to adhere to adequate health behavior in order to maintain the surgically established weight loss.

Psychosocial predictors of success after vertical banded gastroplasty.

Background: Psychosocial and behavioral factors contribute to successful postoperative outcomes. Patients' psychological factors may be predictive of postsurgical adjustment. The identification of these factors would allow targeting patients at risk of a poor outcome.

Bariatric surgery and bariatric psychology: evolution of the Dutch approach.

Background: Success of bariatric surgery is largely dependent on patients' abilities to change their lifestyle and underlying psychosocial and behavioral factors; these factors should be carefully scrutinized. However, no consensus or guidelines exist for these evaluations.

Materials And Methods: To get a better understanding of the practice of bariatric surgery and bariatric psychology in The Netherlands and its evolution, a survey of bariatric surgery programs was conducted.

Psychosocial functioning, personality, and body image following vertical banded gastroplasty.

Background: In addition to increased risks of morbidity and mortality, extreme obesity is substantially associated with psychosocial problems. Therefore, the ultimate goal of bariatric surgery should not only be reducing weight and counteracting comorbid conditions but also improving psychosocial functioning. In addition to being an important goal of bariatric surgery, enhanced psychosocial functioning may motivate patients to adhere to adequate health behavior to maintain the surgically established weight loss.

Weight loss and eating behavior following vertical banded gastroplasty.

Background: Bariatric surgery is the treatment of choice for patients with morbid obesity. In addition to surgery, postoperative dietary behavior is an important mediator of weight loss and, therefore, critical in influencing outcome. Surgical treatment of obesity is not an alternative to dieting but a method to enforce dieting.

Psychosocial functioning following bariatric surgery.

Morbid obesity is associated with an increased risk of morbidity and mortality as well as psychosocial problems and poor quality of life. The ultimate goal of bariatric surgery is not only reduced weight and reduction of co-morbidities, but also improved psychosocial functioning and quality of life. However, not all patients are successful.

Psychological profile of candidates for vertical banded gastroplasty.

Background: Because bariatric surgery is a forced behavior modification and the operation represents only one element in it, behavioral and psychological factors play an important role in its results. Consequently, better understanding of candidates for bariatric surgery may improve selection for and success with this intervention.

Methods: In this study, the psychological profile of candidates for vertical banded gastroplasty (VBG) was investigated.

Psychosocial predictors of success following bariatric surgery.

Background: Bariatric surgery is the treatment of choice for morbid obesity, but it does not lead to equal results in every patient. In addition to surgery, a number of non-surgical and psychological factors may influence patients' ability to adjust to the postoperative condition. Understanding the relationship between potential predictive variables and success after bariatric surgery will enable better patient selection, and the development of interventions to improve outcome.

Psychological profile of the morbidly obese.

Background: In the surgical treatment of morbid obesity, surgery on its own represents only one element. In fact, bariatric surgery is a forced behavior modification; in addition to surgery, psychological factors play an important role in its results. Because of the importance of the psychological factors and the possibility to intervene in them, there is a need for a better understanding of morbidly obese patients, especially those who are candidates for bariatric surgery.

Bariatric surgery and bariatric psychology: general overview and the Dutch approach.

Background: Obesity is a chronic, multifactorially caused disease with serious somatic and psychosocial comorbidity as well as economical consequences. In the Netherlands, between 1993 and 1997, the prevalence of morbid obesity was 0.2% for men and 0.