Key result
The prevalence of depressive disorder in postbariatric surgery patients was 23.7%, which is similar to the 20% prevalence in the nonobese general Saudi population.
Why the study?
What is the prevalence of depressive symptoms in postbariatric surgery patients using the Arabic PHQ-9?
Cross-Sectional (n=152)
No
What is the prevalence of depressive symptoms in postbariatric surgery patients using the Arabic PHQ-9?
Absolute Event Rate: 23.7% vs 20%
The prevalence of depressive symptoms in postbariatric surgery patients in Saudi Arabia is 23.7%, which is comparable to the general population.
Post-bariatric depressive symptoms warrant clinical monitoring; cross-sectional data leaves open the need for longitudinal confirmation.
BACKGROUND: The prevalence of depressive symptoms in obese patients is higher than nonobese patients. Evidence shows an improvement of depressive symptoms after bariatric surgery, but this improvement fluctuates 3–4 years after surgery. Some studies report a worsening of depressive symptoms, but that the type of surgery and surgical complications contribute to the high depression rate. Our objective was to assess depressive symptoms in postbariatric surgery patients using an Arabic version of Patient Health Questionnaire-9 (PHQ-9). MATERIALS AND METHODS: A cross-sectional study was conducted in a tertiary care hospital in Riyadh from January to December 2019 using a validated Arabic version of PHQ-9. The questionnaires sent through Google Survey link to patient phone numbers were registered in an electronic record system. Data analysis was analyzed using SPSS version 23. Frequency and percentages were computed for the categorical variables and mean and standard deviation were calculated for the continuous variables. Chi-square test performed to test for the association between categorical variables and depression and logistic regression analysis were performed to determine the risk factors for development of depression after bariatric surgery. RESULTS: A total of 152 patients were included in the study. Fifty percent patients did not have depression, 26.3% had mild depression, 15.8% had moderate depression, 7.2% had moderately severe depression, and only one patient (0.7%) had severe depression. Only marital status was significantly associated with depression after bariatric surgery (P = 0.019). Gender, education, marital status, and income when used in the multivariate logistic regression could not predict the incidence of depression. CONCLUSION: Using a score of 10 in PHQ-9 as a cutoff, the prevalence of depressive disorder in postbariatric surgery patients was 23.7%, which is similar to the prevalence of nonobese general Saudi population of 20%.
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ALOMAYSH et al. (2022) conducted a cross-sectional in Depressive symptoms (n=152). Postbariatric surgery vs. Nonobese general Saudi population was evaluated on Prevalence of depressive disorder (PHQ-9 score ≥ 10). The prevalence of depressive disorder in postbariatric surgery patients was 23.7%, which is similar to the 20% prevalence in the nonobese general Saudi population.
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