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dc.date.accessioned2020-06-23T18:40:13Z
dc.date.created2020-02-14T11:39:35Z
dc.date.issued2020
dc.identifier.citationKvalem, Ingela Lundin Bårdstu, Silje Kvam Bergh, Irmelin Nordvik, Thomas Sogg, Stephanie Mala, Tom . Associations between perceived somatic symptoms and mental health after Roux-en-Y gastric bypass: a 3-year prospective cohort study. Surgery for Obesity and Related Diseases. 2019, 1-7
dc.identifier.urihttp://hdl.handle.net/10852/77159
dc.description.abstractBackground Attention to and interpretation of symptoms are influenced by psychologic and contextual factors. Preoperative anxiety, and to some extent depression, has been found to predict the perceived impact of somatic symptoms 1 year after Roux-en-Y gastric bypass. Postoperative changes in negative affect may possibly both influence and be influenced by the perception of somatic symptoms. Objectives This study aimed to explore whether preoperative anxiety and depressive symptoms correlated with perceived impact of somatic symptoms 3 years after Roux-en-Y gastric bypass. Second, we aimed to examine the 3-year trajectory of depressive and anxiety symptoms, and their interaction with perceived somatic symptoms postoperatively. Setting University hospital. Methods Presurgery, 1-, and 3-year postsurgery data were collected from 169 participants (62.4% follow-up). Anxiety and depressive symptoms were assessed at all time points. The participants reported the degree of perceived impact of various somatic symptoms 1 and 3 years after surgery. A cross-lagged, autoregressive regression analysis was employed to examine the mutual interaction of trajectories over the follow-up period. Results Fatigue (30.8%) and dumping (23.7%) were common high-impact symptoms 3 years postoperatively. Higher baseline anxiety was associated with higher impact of fatigue, pain, and diarrhea, while depressive mood was related to higher impact of diarrhea at 3-year follow-up. Higher anxiety/depression symptoms were bidirectionally related to higher perceived total symptom impact at both 1 and 3 years postoperatively, controlling for percent total weight loss. Higher perceived impact of somatic symptom burden at 1 year after surgery predicted a significant increase in depressive symptoms the next 2 years. Conclusion Baseline anxiety was associated with higher perceived impact of several somatic symptoms 3 years after Roux-en-Y gastric bypass. Higher total symptom burden (pain, fatigue, dumping, diarrhea, and vomiting) at 1 year after surgery predicted increase in depression over the next 2 years. The results underscore the importance of managing somatic symptoms after surgery to prevent patients’ distress.
dc.languageEN
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.titleAssociations between perceived somatic symptoms and mental health after Roux-en-Y gastric bypass: a 3-year prospective cohort study
dc.typeJournal article
dc.creator.authorKvalem, Ingela Lundin
dc.creator.authorBårdstu, Silje Kvam
dc.creator.authorBergh, Irmelin
dc.creator.authorNordvik, Thomas
dc.creator.authorSogg, Stephanie
dc.creator.authorMala, Tom
dc.date.embargoenddate2020-12-26
cristin.unitcode185,17,5,0
cristin.unitnamePsykologisk institutt
cristin.ispublishedtrue
cristin.fulltextpostprint
cristin.qualitycode1
dc.identifier.cristin1794146
dc.identifier.bibliographiccitationinfo:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Surgery for Obesity and Related Diseases&rft.volume=&rft.spage=1&rft.date=2019
dc.identifier.jtitleSurgery for Obesity and Related Diseases
dc.identifier.volume16
dc.identifier.issue5
dc.identifier.startpage626
dc.identifier.endpage632
dc.identifier.doihttps://doi.org/10.1016/j.soard.2019.12.018
dc.identifier.urnURN:NBN:no-80254
dc.type.documentTidsskriftartikkel
dc.type.peerreviewedPeer reviewed
dc.source.issn1550-7289
dc.identifier.fulltextFulltext https://www.duo.uio.no/bitstream/handle/10852/77159/2/Associations%2Bbetween%2Bperceived%2Bsomatic%2Bsymptoms%2Band%2Bmental%2Bhealth%2Bafter%2BRoux-en-Y%2Bgastric%2Bbypass-%2BA%2B3-year%2Bprospective%2Bcohort%2Bstudy%2B.pdf
dc.type.versionAcceptedVersion


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Attribution-NonCommercial-NoDerivatives 4.0 International
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