@article{ref1,
title="Bariatric surgery and mental disorders",
journal="Revista Chilena de Cirugia",
year="2015",
author="Olguín V, P. and Carvajal A, D. and Fuentes S, M.",
volume="67",
number="4",
pages="441-447",
abstract="Medical treatments have shown poor outcomes, bariatric surgery has become a frequent treatment alternative for obesity. Obese patients seeking treatment have higher psychiatric comorbidity than not consulting ones. Bariatric surgery has allowed a reduction in medical comorbidity and some improvement in pre surgery psychopathology. Recent evidence reports a decrease in depressive disorders rate, improvement in self-esteem and life quality, in direct association with weight reduction, with no significant anxiety changes. Although weight decrease should help to have a better social life, important difficulties in adapting to the new environment can emerge. An increase in suicides and problematic alcohol use has been observed, as well as a decrease in binge eating disorder with further appearance of compensatory behavior, distorted body image, and marital problems. Pre surgery personality disorder could be a risk factor for a negative outcome. In this context a rigorous post surgery follow up is desirable, in order to optimize mental health benefits of massive weight reduction. © 2015, Sociedad de Cirujanos de Chile. All rights reserved.<p /><p>Language: es</p>",
language="es",
issn="0379-3893",
doi="10.4067/S0718-40262015000400016",
url="http://dx.doi.org/10.4067/S0718-40262015000400016"
}