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Depressive disorders as psychiatric complications after obesity surgery
Author(s) -
KODAMA KAZUHIRO,
NODA SHINGO,
MURAKAMI ATSUHIRO,
AZUMA YUKARI,
TAKEDA NAOKI,
YAMANOUCHI NAOTO,
OKADA SHINICHI,
KOMATSU NAOYA,
SATO TOSHIO,
MIYAZAWA YUKIMASA,
KAWAMURA ISAO
Publication year - 1998
Publication title -
psychiatry and clinical neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.609
H-Index - 74
eISSN - 1440-1819
pISSN - 1323-1316
DOI - 10.1046/j.1440-1819.1998.00447.x
Subject(s) - depression (economics) , psychiatry , comorbidity , obesity , major depressive disorder , personality , binge eating disorder , binge eating , personality disorders , medicine , psychology , eating disorders , clinical psychology , mood , bulimia nervosa , social psychology , economics , macroeconomics
Three case reports of morbidly obese patients (two women and a man) who underwent vertical banded gastroplasty and who subsequently fell into depression, are presented here. The psychiatric diagnosis according to DSM‐III‐R ( Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, revised), the eating pattern before obesity surgery, the past history of mental disorder, social adaptation before surgery, psychological gain from their obese state, and the presence of unrealistic expectations of obesity surgery were investigated. Case 1 was diagnosed postoperatively as having a major depressive episode without a personality disorder. Case 2 was diagnosed postoperatively as having a major depressive episode. Case 3 had a depressive disorder not otherwise specified. Cases 2 and 3 had a social phobia with comorbidity of personality disorders. Binge eating disorder was confirmed in all patients before obesity surgery. There were differences between case 1 and cases 2 and 3 based on the presence of personality disorder and the time of onset of depression. When some psychiatric characteristics are confirmed in obese patients, obesity surgery should be undertaken more prudently because the patients may manifest depression postoperatively. The pre‐operative psychiatric assessment is essential for a decision on indication of obesity surgery.