Prevalence and factors influencing eating disorders among post-bariatric surgery patients in Saudi Arabia: A cross-sectional study.

Neurosciences (Riyadh)

From the Department of Psychiatry (Alghamdi), College of Medicine (Almesned, Alkhammash), Imam Mohammad Ibn Saud Islamic University, from the Department of Psychiatry (Al Jaffer), College of Medicine, King Saud University, Riyadh, from the Department of Oncology (Baabbad), King Fahad Specialist Hospital, Dammam, from the Department of Psychiatry (Alanazi), King Abdulaziz Hospital, Al-Ahsa, from the Department of Psychiatry (Alhnake), King Fahad Military Medical Complex, Dhahran, Kingdom of Saudi Arabia.

Published: January 2025

Objectives: To examine the occurrence and contributing factors of disordered eating patterns in individuals post-bariatric surgery. It also investigated the impact of these patterns on weight loss outcomes and long-term weight management, focusing on psychological and emotional factors. Additionally, the relationship between body image dissatisfaction and disordered eating patterns was explored.

Methods: A cross-sectional study was conducted across multiple medical centers in Saudi Arabia, using self-administered questionnaires to evaluate the prevalence of eating disorders and self-esteem among patients who underwent bariatric surgery in the past five years. Out of 557 respondents, 452 met the inclusion criteria.

Results: The study found that 21.5% of participants experienced psychological disorders post-surgery. Notably, there was a significant improvement in mean self-esteem scores after surgery. Depression was the most frequently reported disorder (12.4%), followed by Generalized Anxiety Disorder (9.3%) and Eating Disorders (4.6%). The mean Rosenberg Self-esteem Scale score increased significantly from 28.17±6.2 pre-surgery to 31.7±5.3 post-surgery (<0.001).

Conclusion: The findings highlight a notable prevalence of psychological disorders among post-bariatric surgery patients, with depression being the most common. Despite this, significant improvements in self-esteem were observed. Understanding the psychological and emotional factors contributing to disordered eating patterns and body image dissatisfaction is crucial for improving long-term weight management and patient outcomes post-surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11753594PMC
http://dx.doi.org/10.17712/nsj.2025.1.20240023DOI Listing

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