ALCOHOL USE DISORDER AND DEPRESSION IN PATIENTS AFTER UNDERGOING BARIATRIC SURGERY.

Kátia Cristina Oliveira, Fernando Santa-Cruz, Luciana Melo Souza Leão, Flávio Kreimer, Álvaro Antonio Bandeira Ferraz
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Abstract

Background: Research indicates that patients undergoing bariatric surgery face a six to seven times higher risk of developing alcohol use disorder (AUD) compared with the population of obese individuals not undergoing surgical intervention. Studies suggest that problematic alcohol consumption encompassing depression escalates gradually after surgery.

Aims: The purpose of this study was to evaluate the impact of bariatric surgery on the incidence of AUD and depression during the postoperative period.

Methods: Prospective study that evaluated 68 patients who underwent either sleeve gastrectomy (SG) or Roux-en-Y gastric bypass (RYGB). The presence of AUD and depression was assessed both pre- and post-operatively. AUD assessment utilized the AUD identification test-C score, whereas depression assessment employed the Beck Depression Inventory (BDI).

Results: The average age of the sample was 42.81±9.28 years, with 85.3% being female. The mean follow-up was 16.54±7.41 months. In the preoperative assessment, 92.6% of the sample fell into the low-risk category for AUD. No significant difference was observed between the RYGB and SG groups. Postoperatively, 89.7% of the sample was classified as low risk for AUD, with no significant differences compared with the preoperative assessment. Regarding depression, there was no significant difference between pre- and post-operative periods for all patients. However, a notable trend toward a reduction in "severe depression" was observed in the postoperative period for patients undergoing SG (pre: 14.0% vs. post: 7.0%, p=0.013).

Conclusions: There is no significant difference in the presence of AUD and depression between pre- and post-operative assessments in patients who have undergone bariatric surgery.

减肥手术后患者的酒精使用障碍和抑郁
背景:研究表明,与未接受手术干预的肥胖人群相比,接受减肥手术的患者患酒精使用障碍(AUD)的风险高出6至7倍。研究表明,包括抑郁症在内的问题性饮酒在手术后逐渐加剧。目的:本研究的目的是评估减肥手术对术后AUD和抑郁发生率的影响。方法:前瞻性研究评估68例接受袖式胃切除术(SG)或Roux-en-Y胃旁路术(RYGB)的患者。术前和术后均评估AUD和抑郁的存在。AUD评估采用AUD识别测试- c得分,而抑郁评估采用贝克抑郁量表(BDI)。结果:样本平均年龄为42.81±9.28岁,女性占85.3%。平均随访16.54±7.41个月。在术前评估中,92.6%的样本属于AUD低风险类别。RYGB组与SG组间无显著差异。术后89.7%的患者被归为AUD低风险,与术前比较无显著差异。在抑郁方面,所有患者术前和术后无显著差异。然而,在接受SG的患者术后,观察到“严重抑郁”减少的显著趋势(术前:14.0% vs.术后:7.0%,p=0.013)。结论:在接受减肥手术的患者术前和术后评估中,AUD和抑郁的存在没有显著差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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