To examine the psychosocial shifts following metabolic and bariatric surgery (MBS) and their critical influence on patient satisfaction, adherence, and quality of life.
Key Findings:
Obesity is a complex disease with significant physical and psychological comorbidities that affect treatment outcomes.
Psychiatric comorbidity is prevalent in candidates for MBS, with 50-60% meeting criteria for at least one mental disorder, impacting adherence and satisfaction.
MBS leads to durable weight loss and improves metabolic parameters, but also induces significant psychosocial changes that require attention.
Postoperative changes can affect partner relationships, sexual function, and social networks, necessitating integrated support.
Interpretation:
While MBS is effective for weight loss and metabolic health, its psychosocial implications are critical for overall patient outcomes and satisfaction, highlighting the need for integrated psychosocial support.
Limitations:
Variability in study designs, measures, and follow-up in psychosocial research post-MBS may introduce bias.
The narrative review approach limits the ability to conduct a systematic review or meta-analysis.
Conclusion:
Understanding the psychosocial impacts of MBS is essential for enhancing patient care and support, as these factors significantly influence quality of life and treatment adherence, warranting further research.
