Psychosocial sequelae of ileal bypass

Thomas N. Wise, Nick Melisaratos, Jacqueline Gordon, Leonard R. Derogatis

Research output: Contribution to journalArticle

Abstract

To elucidate the short as well as longer term adjustment to ileal bypass surgery (IBS),we studied three groups of hyperobese patients. Candidates for IBS (N = 27) were significantly distressed on all dimensions of the SCL-90. The cognitive measure of field dependency correlated with greater weight as well as depression in the preoperative sample. Nine patients evaluated at short-term follow-up (mean 5.7 months postsurgery) were compared with 10 patients at longer-term follow-up (mean 39 months postsurgery). In both postsurgical groups, depression and anxiety were significantly associated with the number of complications, and patients with less psychological distress reported greater weight loss, better sexual life, and fewer stools per day. These findings suggest that both short- and long-term adaptation to IBS are primarily associated with the physical success of the procedure and the absence of complications.

Original languageEnglish (US)
Pages (from-to)855-859
Number of pages5
JournalPsychosomatics
Volume21
Issue number10
DOIs
StatePublished - Jan 1 1980

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

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