Neural Decision-Making and Affective Dynamics in Weight Regain after Metabolic and Bariatric Surgery: A Multimodal Longitudinal Computational Psychiatry Study - Report - MDSpire

Neural Decision-Making and Affective Dynamics in Weight Regain after Metabolic and Bariatric Surgery: A Multimodal Longitudinal Computational Psychiatry Study

  • By

  • Zhihong Li

  • Qianqian Yang

  • Yalian Wang

  • Beibei Li

  • Yiliminuer Ahemai

  • Zimei Li

  • Shaohua Wang

  • Bujian Pan

  • Mingdong Lu

  • Wenwen Zheng

  • July 10, 2026

  • 0 min

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Cognitive Processes and Emotional Factors in Weight Recurrence Following Metabolic and Bariatric Surgery

Overview

This study investigates the cognitive and emotional factors influencing weight recurrence after metabolic and bariatric surgery.

Background

Obesity is a significant public health issue, with metabolic and bariatric surgery being a leading treatment option for severe obesity. Despite its effectiveness, many patients experience weight regain post-surgery.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

  • Postoperative weight trajectories vary significantly among patients.
  • Weight regain is influenced by physiological pressures and emotional factors, including food-cue exposure and eating control.
  • Recent models have begun to predict long-term weight trajectories using baseline clinical variables.
  • Food-cue reactivity can amplify cravings and affect eating behaviors.
  • Existing studies often rely on endpoints that may not capture the complexities of decision-making processes in food choices.

Clinical Implications

Clinicians should consider cognitive and emotional factors when designing follow-up care for bariatric surgery patients.

Conclusion

The study discusses the interplay between cognitive processes and emotional factors in weight management after bariatric surgery.

Related Resources & Content

  1. Obesity Surgery, 2023 -- Influence of Preoperative Mental Health Assessment on Long-term Weight Loss Outcomes Following Bariatric Surgery
  2. Obesity Surgery, 2018 -- Impact of Cognitive Behavioral Therapy on Eating Patterns, Emotional Symptoms, and Weight Reduction Following Bariatric Surgery: A Randomized Clinical Study
  3. Obesity Surgery, 2023 -- Exploring the Development of Loss of Control Eating and Its Predictive Factors After Bariatric Surgery: An Investigative Study
  4. Frontiers in Endocrinology — Analysis of the trajectory of depressive symptoms and influencing factors in patients undergoing metabolic and bariatric surgery
  5. Monitoring after discharge from the bariatric surgery service | NICE
  6. American Society for Metabolic and Bariatric Surgery statement on treatment options
  7. https://link.springer.com/content/pdf/10.1007/s11695-025-08359-6.pdf
  8. https://academic.oup.com/bjs/article/112/10/znaf188/8286998
  9. Psychiatric and Cognitive Functioning After Metabolic and Bariatric Surgery: A Systematic Review and Meta‐Analysis - Reekum - 2025 - Obesity Reviews - Wiley Online Library
  10. Obesity medications in patients with recurrent weight gain or suboptimal clinical response following bariatric surgery: a meta-analysis | International Journal of Obesity
  11. Meta-Analysis of the Effects of Cognitive Behavioral Therapy on Dietary Habits and Emotional Outcomes in Patients With Obesity Undergoing Metabolic and Bariatric Surgery - ScienceDirect

Original Source(s)

Neural Decision-Making and Affective Dynamics in Weight Regain after Metabolic and Bariatric Surgery: A Multimodal Longitudinal Computational Psychiatry Study

  • by Zhihong Li, Qianqian Yang, Yalian Wang, Beibei Li, Yiliminuer Ahemai, Zimei Li, Shaohua Wang, Bujian Pan, Mingdong Lu, Wenwen Zheng

  • July 10, 2026

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