Depressive symptoms before and after abdominoplasty among post-bariatric patients – a cohort study

Figures & data

Table 1. Patient characteristics.

	At inclusion n = 110
Age, years	43.6 (21.5–68.1)
Female gender, n	97 (88%)
BMI, (kg/m^2)	26.8 (21.2–30.6)
Weight loss, kg	44.5 (19–100)
Resection weight, g	1770 (200–4700)

Values are median (min–max), or n (%).

Table 2. Effect of abdominoplasty on BDI (items 1–21), BDI sum, SESQ score and SF-36 (mental component score and physical component score).

		Preoperatively	Postoperatively 1 year	p Value
BDI	(1) Sadness	0.37 (0.70)	0.36 (0.67)	.899
		0 [0–3]	0 [0–3]
	(2) Pessimism	0.34 (0.55)	0.35 (0.66)	.984
		0 [0–2]	0 [0–3]
	(3) Past failure	0.33 (0.60)	0.35 (0.72)	.756
		0 [0–3]	0 [0–3]
	(4) Loss of satisfaction	0.38 (0.59)	0.32 (0.59)	.254
		0 [0–3]	0 [0–3]
	(5) Guilty feelings	0.35 (0.68)	0.25 (0.57)	.148
		0 [0–3]	0 [0–2]
	(6) Punishment feelings	0.22 (0.63)	0.25 (0.57)	.456
		[0–3]	0 [0–3]
	(7) Self-dislike	0.51 (0.72)	0.37 (0.65)	.065
		0 [0–3]	0 [0–3]
	(8) Self-criticism	0.49 (0.64)	0.45 (0.70)	.452
		0 [0–2]	0 [0–3]
	(9) Suicidal thoughts or wishes	0.08 (0.30)	0.14 (0.44)	.094
		0 [0–2]	0 [0–3]
	(10) Crying	0.24 (0.59)	0.21 (0.51)	.545
		0 [0–3]	0 [0–3]
	(11) Agitation	0.49 (0.66)	0.37 (0.62)	.101
		0 [0–3]	0 [0–2]
	(12) Loss of interest	0.26 (0.48)	0.35 (0.61)	.123
		0 [0–2]	0 [0–2]
	(13) Indecision	0.29 (0.53)	0.35 (0.67)	.339
		0 [0–2]	0 [0–3]
	(14) Feelings of worthlessness	0.75 (0.99)	0.43 (0.82)	.001***
		0 [0–3]	0 [0–3]
	(15) Loss of energy	0.33 (0.68)	0.37 (0.72)	.504
		0 [0–3]	0 [0–3]
	(16) Changes in sleeping pattern	0.48 (0.67)	0.55 (0.84)	.407
		0 [0–3]	0 [0–3]
	(17) Irritability	0.41 (0.60)	0.56 (0.78)	.025*
		0 [0–2]	0 [0–3]
	(18) Changes in appetite	0.23 (0.52)	0.22 (0.58)	.753
		0 [0–3]	0 [0–3]
	(19) Concentration difficulty	0.78 (1.21)	0.29 (0.77)	.001***
		0 [0–3]	0 [0–3]
	(20) Tiredness or fatigue	0.39 (0.70)	0.40 (0.76)	.804
		0 [0–3]	0 [0–3]
	(21) Loss of interest in sex	0.86 (1.06)	0.68 (1.08)	.150
		0 [0–3]	0 [0–3]
	BDI sum (0–63)	8.56 (8.80)	7.55 (10.24)	.037*
		5.8 [0–43]	3.0 [0–50]
	Grade	1.30 (0.93	1.08 (1.04)	.001
		1 [0–4]	1 [0–4]
SESQ	SESQ score (0–28)	16.5 (5.9)	2.4 (5.1)	.001***
		17 [1–28]	0 [0–28]
SF-36	Mental composite score	45.1 (13.2)	45.7 (14.1)	.776
		49.5 [9–64]	52.1 [7–63]
	Physical composite score	48.6 (10.2)	48.8 (11.4)	.284
		52.0 [12–67]	52.6 [11–66]

Values are mean (SD), median [min–max]. BDI score is given from 0 to 4 (0 = none; 1 = minimal; 2 = light; 3 = moderate; 4 = severe).

* Significant at <.05.

*** Significant at <.001.

Table 3. The effect of abdominoplasty on BDI grades.

		BDI grade after abdominoplasty
		0	1	2	3	4	Total
BDI before abdominoplasty	0	6	1	5	0	0	12
	1	2	2	5	1	2	12
	2	22	5	42	2	1	72
	3	1	1	5	1	1	9
	4	0	1	0	2	2	5
	Total	31	11	57	6	6	110

Crosstabulation shows the number of patients scoring from 0 to 4 (grade 0 = none, grade 1 = minimal, grade 2 = light, grade 3 = moderate, grade 4 = severe). Green colour marks patients with lower depression, yellow colour marks increased depression and the uncoloured marks no change.

BDI grade 0 (score 0), grade 1 (score 1–13), grade 2 (score 14–19), grade 3 (score 20–28) and grade 4 (score 29–63).