Pliuta I. I.

MENTAL HEALTH AS A DETERMINANT OF SUCCESS IN SLEEVE GASTRECTOMY

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About the author:

Pliuta I. I.

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CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

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The aim of the study was to assess the prevalence of mental health disorders and their role as predictors of long term outcomes following sleeve gastrectomy. Clinical outcomes were analyzed in 93 patients with obesity who un derwent sleeve gastrectomy, including 69 women (74.19%) and 24 men (25.81%). The mean age of participants was 42.20±11.09 years. Clinical outcomes were assessed using the SF-BARI Score QoL questionnaire. Mental health sta tus was evaluated with the Hospital Anxiety and Depression Scale (HADS). Statistical analysis was performed using STATISTICA 13 software. A p-value <0.05 was considered statistically significant. The average clinical outcome was rated as very good (129.77±28.07 points). Excellent outcomes were observed in 29 (31.18%) patients, very good in 38 (40.86%), good in 20 (21.51%), and satisfactory in 6 (6.45%). The mean HADS-A score was 6.76±4.49 points. Anxiety symptoms were absent in 48 (51.61%) patients, subclinical in 27 (29.03%), and clinically significant in 18 (19.36%). Anxiety was significantly associated with poorer surgical outcomes (τ=-0.77, p<0.00001). The mean HADS-D score was 6.55±4.41 points. Depression symptoms were absent in 64 (68.82%) patients, subclinical in 16 (17.20%), and clinically significant in 13 (13.98%). Depression was likewise associated with poorer clinical outcomes (τ=-0.74, p<0.00001). Patients without anxiety had significantly higher odds of achieving excellent outcomes (OR=10.25; 95% CI: 3.12-33.63; p=0.000007), as did those without depression (OR=3.75; 95% CI: 1.15-12.28; p=0.02). The presence of subclinical anxiety or depression was associated with increased odds of good outcomes (OR=2.94; 95% CI: 1.05-8.22; p=0.04) and (OR=4.92; 95% CI: 1.54-15.75; p=0.007), respectively. Patients with clinically significant anxiety had a higher likelihood of achieving good outcomes (OR=10.21; 95% CI: 3.16-33.03; p=0.00005), as did those with clinically significant depression (OR=3.71; 95% CI: 1.07-12.87; p=0.04). Mental health is a significant determinant of long-term outcomes after sleeve gastrectomy.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», Issue 2,177, 243-252 pages, index UDC 616-089.843+616.379-008.64+616.89-008.454.4

DOI:

10.29254/2077-4214-2025-2-177-243-252