1. Training and Research Hospital Amsterdam, The Netherlands
Bagcilar
Istanbul, Turkey
EAES 2016
Amsterdam, The Netherlands
CHANGES OF HOSPITAL ANXIETY AND DEPRESSION SCORES IN OBESE PATIENTS AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY   Sinan Arici1, Candas Ercetin1, Ali Solmaz1, Hakan Yigitbas1, Erkan Yavuz1, Osman Bilgin Gulcicek1, Fatih Celebi1, Riza Kutanis1 1 Bagcilar Training and Research Hospital, Department of General Surgery, Istanbul, Turkey
Objective: Altough several studies point to a correlation between morbid obesity and anxiety – depression symptoms in obese patients, impact of weight loss after sleeve gastrectomy is unknown.1 This study aims to investigate the association between weight loss and preoperative – postoperative depression/anxiety scores in patients undergoing laparoscopic sleeve gastrectomy (LSG), using 'Hospital Anxiety and Depression (HAD) Scale'.
Method: Fifty patients who underwent LSG for morbid obesity between October 2014 and April 2015 were selected for this study. The inclusion criteria for the study included body mass index (BMI) ≥ 40.0 or with the diagnosis of Metabolic Syndrome or with obesity related co-morbidities. Anxiety and depression scores were assesed by the HAD Scale pre-operatively and at 6th month post-operatively.
Results: A total of 50(Male / Female, 19 / 31)patients with a median (min.-max.) age of 37.5 (20-51)years were included. Median (min.-max.) BMI decreased from 42 (36-51) kg/m2 preoperatively to 33 (24-38)kg/m2 at 6 months postoperatively. Preoperative median(min.-max.) HAD-Anxiety score was 10.5 (5-17) decreasing to 3 (0-11) at 6 months postoperatively (P < .005). Preoperative median(min.-max.) HAD-Depression score was 11 (3-17) decreasing to 3 (0-8) at 6 months postoperatively (P < .005).
Table: Comparison of median values for BMI, HADa subscale, HADd subscale and number of patients who have positive cut-off values , preoperatively and 6th follow-up.
Conclusion:Depression and anxiety are frequent among individuals selected to undergo bariatric surgery. HAD scale was found to perform well in evaluating the symptom severity and caseness of anxiety disorders and depression in patients and in the general population.2 This study shows that LSG is a safe and effective bariatric operation for inducing weight loss and significant improvements in HAD scale.
n: 50
Pre-op
6th month
BMI (min-max)
42 (36-51)
33 (24-38)
HAD a (min-max)
10,5 (5-17)
3 (0-11)
HAD d (min-max)
11 (3-17)
3 (0-8)
HAD a (+) 41 4
HAD d (+) 39 3
(1)Guedes et al. Body composition and depressive/anxiety symptoms in overweight and obese individuals with metabolic syndrome. Diabetology & Metabolic Syndrome 2013(5):82.
(2) Bjelland I, Dahl AA, Haug TT, Neckelmann D: The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 2002, 52:69-77.