Depression and anxiety before and after bariatric surgery: a longitudinal cohort study at King Abdulaziz University Hospital, Jeddah, Saudi Arabia - Report - MDSpire

Depression and anxiety before and after bariatric surgery: a longitudinal cohort study at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

  • By

  • Naseem Abdulmohi Alhujaili

  • Salhah Saleh Alsulami

  • Wesam Ayed Almutairi

  • Eman Al-khalawi

  • Alaa Sabbahi

  • Abdulaziz Abdullah Alghamdi

  • Murad Aljiffry

  • June 16, 2026

  • 0 min

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Clinical Report: Psychological Effects of Bariatric Surgery

Overview

This longitudinal study evaluates the psychological outcomes of bariatric surgery, focusing on depression and anxiety among participants at King Abdulaziz University Hospital. Average scores for depression and anxiety were reported post-surgery.

Background

Bariatric surgery is recognized as an effective treatment for severe obesity, which is associated with various psychiatric disorders, including depression and anxiety. Understanding the psychological effects of such surgeries is crucial.

Data Highlights

MeasurePre-Surgery Mean (SD)Post-Surgery Mean (SD)p-value
GAD-76.0 (5.9)5.2 (5.5)0.565
PHQ-97.5 (7.3)5.9 (6.4)0.430

Key Findings

  • Twenty-seven participants completed the pre-surgery questionnaire, with 23 completing the post-surgery questionnaire.
  • The mean age of participants was 33.6 years, with 47.8% being female.
  • Post-surgical complications were linked to worse anxiety and depression trajectories.
  • Prior anxiety diagnosis was associated with greater improvement in anxiety symptoms.
  • The proportion screening positive for GAD-7 decreased from 26.1% to 17.4%, and for PHQ-9 from 26.1% to 13.0%.

Clinical Implications

The findings indicate the importance of monitoring psychological outcomes in patients undergoing bariatric surgery.

Conclusion

While average depression and anxiety scores showed a decline post-surgery, the lack of statistical significance suggests the need for further research.

Related Resources & Content

  1. Frontiers in Endocrinology, 2026 -- Analysis of the trajectory of depressive symptoms and influencing factors in patients undergoing metabolic and bariatric surgery
  2. Effects of Post-Bariatric Surgery Weight Loss on Body Image, Quality of Life, and Self-Esteem in Patients
  3. Obesity Surgery, 2022 -- Exploring the Impact of Internalized Weight Bias on Health-Related Quality of Life: The Role of Self-Esteem and Mental Health in Patients Prior to Bariatric Surgery
  4. 2022 ASMBS/IFSO Indications for Metabolic and Bariatric Surgery - PMC
  5. Depressive symptoms at short‐, medium‐, and long‐term follow‐up after bariatric surgical procedures: A systematic review and meta‐analysis - PMC
  6. Obesity Surgery — Impact of Cognitive Behavioral Therapy on Eating Patterns, Emotional Symptoms, and Weight Reduction Following Bariatric Surgery: A Randomized Clinical Study
  7. 2022 American Society of Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) Indications for Metabolic and Bariatric Surgery - PMC
  8. Depressive symptoms at short‐, medium‐, and long‐term follow‐up after bariatric surgical procedures: A systematic review and meta‐analysis - PMC
  9. Risk of suicide after metabolic bariatric surgery: a meta-analysis of matched cohort studies and population-based studies - PubMed

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