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"Mind the gap! Factors that predict progression to bariatric surgery indicate that more psychological treatment may be required"

Graham, Yitka, Johnston, Lynne, Jackson, Kacey and Hilton, Charlotte (2023) "Mind the gap! Factors that predict progression to bariatric surgery indicate that more psychological treatment may be required". Clinical Obesity, 14 (1). e12626. ISSN 1758-8103

Item Type: Article

Abstract

In the UK, the number of adults living with obesity is increasing. Bariatric surgery is an available treatment for those living with a BMI (kg/m2) ≥40 and above, or ≥35 with obesity-related comorbidities. Guidelines highlight the importance of providing psychological support pre- and post-surgery owing to the complex psychopathology present in those living with obesity. There are a lack of studies examining which patients proceed to surgery and the factors that predict progression. Routine patient data were collected within one NHS regional service in the UK, comprising 733 patients between 3 August 2018 and 26 July 2019, aged between 17 and 76 years (M = 43.20, SD = 12.32). The only exclusion criteria were patients still awaiting a final decision for surgical outcome at the point of analysis (N = 29), which resulted in 704 patients included in analysis. Binary Logistic Regression revealed those who were more likely to progress to surgery had a lower-level use of maladaptive external substances; lower level of self-harm and/or suicidality, were older in age; had a lower BMI; and had less comorbidities than those who did not progress. Findings support existing literature in that bariatric patients often present with physical and mental health complexity. Two thirds of patients in this study did not progress to surgery. Service commissioning decisions meant that these patients did not have access to psychology treatment. Consequently, in cases where bariatric surgery is considered, a final treatment option and otherwise clinically appropriate, lack of access to specialist services may result in unmet patient need owing particularly to a lack of psychological treatment provision.

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More Information

Depositing User: Yitka Graham

Identifiers

Item ID: 16934
Identification Number: https://doi.org/10.1111/cob.12626
ISSN: 1758-8103
URI: http://sure.sunderland.ac.uk/id/eprint/16934
Official URL: https://onlinelibrary.wiley.com/journal/17588111

Users with ORCIDS

ORCID for Yitka Graham: ORCID iD orcid.org/0000-0002-6206-1461

Catalogue record

Date Deposited: 16 Nov 2023 17:48
Last Modified: 14 Aug 2025 13:18

Contributors

Author: Yitka Graham ORCID iD
Author: Lynne Johnston
Author: Kacey Jackson
Author: Charlotte Hilton

University Divisions

Faculty of Health Sciences and Wellbeing > School of Nursing and Health Sciences

Subjects

Sciences > Nursing

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