The influence of education and income on the psychopathological profile of post-bariatric patients

Authors

DOI:

https://doi.org/10.55892/jrg.v8i18.2253

Keywords:

Morbid obesity. Bariatric surgery. Mental health. Eating disorders. Socioeconomic factors. Education. Income. Psychopathology.

Abstract

Introduction: Bariatric surgery is an effective intervention for controlling severe obesity, but psychosocial factors such as education and income can significantly influence postoperative outcomes, especially with regard to mental health. Objective: To analyze the influence of education and income on the psychopathological profile of patients undergoing bariatric surgery. Methods: Cross-sectional study, with convenience sampling, involving 124 bariatric patients monitored by a multidisciplinary team. Validated instruments were used to assess symptoms of stress, anxiety, depression, binge eating, and personality traits. Data collection was performed using an online questionnaire and the data were analyzed with statistical tests appropriate to the nature of the variables, adopting a significance level of 5%. Results: It was found that patients with lower education and income had significantly higher scores on dysfunctional psychological and behavioral symptoms. The presence of binge eating and traits of emotional isolation was more prevalent among individuals in situations of social vulnerability. Conclusion: The results point to the importance of considering the social determinants of health in the monitoring of post-bariatric patients. Psychosocial interventions should be incorporated systematically, with special attention to educational and economic inequalities, promoting comprehensive and equitable care.

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Author Biography

Nélio Barreto Vieira, Universidade Federal do Cariri

He graduated in medicine from the Federal University of Ceará in 1999 with a medical residency in surgery from the IJF in Fortaleza from 2000 to 2003. From 2003 to 2009 he was a professor of anatomy at FMJ in Juazeiro do Norte. In 2009 he became a professor at the Federal University of Cariri (UFCA) where he teaches classes in anatomy of the digestive system and digestive system surgery. In 2021 he defended his doctoral thesis in the area of ​​clinical research on Weight Relapse after bariatric surgery by the postgraduate program of the ABC School of Medicine in Santo André São Paulo. He has a specialist qualification record by the CFM in general surgery, laparoscopy and bariatrics. In 2025 he created an experimental surgery laboratory (LABCEX) at UFCA to carry out experimental research focusing on surgical techniques and biochemical dosages. He is an emergency surgeon at HRFB and has performed bariatric surgeries since 2006, with more than 500 procedures performed.

References

Valukas CS, Sanchez J, Vitello D, Hungness EP, Teitelbaum EN, Feinglass J. A population based study of bariatric surgery in Illinois. Surg Obes Report Dis. 2025 Jun;21(6):682–8.

Alhomaid A, Chauhan S, Katamreddy Y, Sidhu A, Sunkara P, Desai R. Prevalence and association of MASLD in metabolically healthy young Asian Americans with obesity: A nationwide inpatient perspective (2019). Obes Pillars. 2025 Mar;13:100168.

Deng L, Tao Y, Li N. Boosting Dietary Compliance After Bariatric Surgery: Winning Tactics for Patients. J Eval Clin Pract. 2025 Feb;31(1):e14317.

Noria SF, Pratt KJ, Abdel-Rasoul M, Diaz K, Shalash B, Abul-Khoudoud D, et al. The impact of social determinants of health (SDOH) on completing bariatric surgery at a single academic institution. Endosc Surg. 2025 Feb;39(2):1234–42.

Pellegrini JR, Sodoma AM, Greenberg S, Rathi S, Knott N, Pellegrini R, et al. A 13-year nationwide analysis of outcomes of non-variceal upper gastrointestinal bleeding in post-bariatric surgery patients. Transl Gastroenterol Hepatol. 2025;10:6.

Doan TD, Suh L, Wu M, Cherng N, Perugini R. The role of socioeconomic status in resolution of type 2 diabetes mellitus following longitudinal sleeve gastrectomy. Endosc Surg. 2025 Jan;39(1):568–76.

Alghalyini B, Zaidi ARZ, Faroog Z, Aljejakli M, Garad NF, Nyroze MSM, et al. Awareness and Attitudes of the Saudi Population Towards Bariatric Surgery in Saudi Arabia. Healthcare (Basel). 2024 Dec 13;12(24):2528.

Dicken SJ, Qamar S, Batterham RL. Who consumes ultra-processed food? A systematic review of sociodemographic determinants of ultra-processed food consumption from nationally representative samples. Nutr Res Rev. 2024 Dec;37(2):416–56.

Ifeanyichi M, Mosso Lara JL, Tenkorang P, Kebede MA, Bognini M, Abdelhabeeb AN, et al. Cost-effectiveness of surgical interventions in low-income and middle-income countries: a systematic review and critical analysis of recent evidence. BMJ Glob Health. 2024 Oct 3;9(10):e016439.

Malhotra A, Heilmann CR, Banerjee KK, Dunn JP, Bunck MC, Bednarik J. Weight reduction and the impact on apnea-hypopnea index: A systematic meta-analysis. Sleep Med. 2024 Sep;121:26–31.

Raphelson JR, Schmickl CN, Sonners C, Kreitinger K, Grunvald E, Horgan S, et al. Obesity Hypoventilation Syndrome and Postsurgical Outcomes in a Bariatric Surgery Cohort. Obes Surg. 2022 Jul;32(7):1–7.

Althumiri NA, BinDhim NF, Aldabaeab AE, AlMousa N, Aljabbary RA, Alumran A. Comparing Lifestyle and Behavior of Post-Bariatric Surgery and Participants with Obesity: A Community-Based Cross-Sectional Study. Diabetes Metab Syndr Obes. 2024;17:31–44.

Lum KY, Oppong R, Kigozi J. Economic Evaluation of Type 2 Diabetes Mellitus Interventions in Low- and Middle-Income Countries: A Systematic Review of the Literature. Asia Pac J Public Health. 2022 Nov;34(8):752–60.

Wallén S, Szabo E, Palmetun-Ekbäck M, Näslund I, Ottosson J, Näslund E, et al. Impact of socioeconomic status on new chronic opioid use after gastric bypass surgery. Surg Obes Report Dis. 2023 Dec;19(12):1375–81.

Bouchard ME, Tian Y, Linton S, De Boer C, O'Connor A, Ghomrawi H, et al. Utilization Trends and Disparities in Adolescent Bariatric Surgery in the United States 2009-2017. Child Obes. 2022 Apr;18(3):188–96.

Schlottmann F, Baz C, Pirzada A, Masrur MA. Postoperative Follow-up Compliance: The Achilles' Heel of Bariatric Surgery. Obes Surg. 2023 Sep;33(9):2945–8.

Alsulami I, Fathaldin A, Alghamdi T, Saud F, Binyamin S, Alghamdi Y, et al. Prevalence of Dumping Syndrome and Its Determinants Among Post-Bariatric Surgery Adult Patients at King Fahad General Hospital, Jeddah, 2019-2020. Cureus. 2022 Dec;14(12):e32630.

Drewnowski A, Hong BD, Shen E, Ji M, Paz SR, Bhakta BB, et al. Neighborhood deprivation and residential property values do not affect weight loss at 1 or 3 years after bariatric surgery. Obesity (Silver Spring). 2023 Feb;31(2):545–52.

Published

2025-06-12

How to Cite

VIEIRA, N. B. The influence of education and income on the psychopathological profile of post-bariatric patients. JRG Journal of Academic Studies, Brasil, São Paulo, v. 8, n. 18, p. e082253, 2025. DOI: 10.55892/jrg.v8i18.2253. Disponível em: http://www.revistajrg.com/index.php/jrg/article/view/2253. Acesso em: 17 jun. 2025.

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