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Adherence after Surgery: The Role of Psychology in Bariatric Reco

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</div> </div> <h2 class="font-size-7 mt-2">Adherence after Surgery: The Role of Psychology in Bariatric Recovery</h2> <a href='https://www.longdom.org/author/nelson-nicholas-66974' title='Nelson Nicholas' style='color:#555; border-bottom:1px dotted #CCC;'>Nelson Nicholas</a><sup><a href='#Nelson_Nicholas'>*</a></sup> <div>&nbsp;</div> <a id="Nelson_Nicholas"></a> <strong><sup>*</sup>Correspondence:</strong> Nelson Nicholas, Department of Psychology, Karadeniz Technical University, Trabzon, Turkey, <strong>Email:</strong> <i class='fa fa-envelope' aria-hidden='true' title='Nicholas@son'></i> <p><a href="#ai"><strong>Author info &raquo;</strong></a></p> <h4>Description</h4> <p>Adherence to lifestyle changes after bariatric surgery is associated with better health outcomes; however, research suggests that patients struggle to follow post-operative recommendations. This systematic review aimed to examine psychological factors associated with adherence after bariatric surgery. PubMed, PsycInfo, and Embase were searched to identify studies that reported on clinically modifiable psychological factors related to adherence after bariatric surgery. Retrieved abstracts (n=891) were screened and coded by two raters [<a href="#1" title="1">1</a>]. A total of 32 studies met the inclusion criteria and were included in the narrative synthesis. Appointment attendance and dietary recommendations were the most frequently studied postoperative instructions. Higher self-efficacy was consistently predictive of better post-operative adherence to diet and physical activity, while pre-operative depressive symptoms were commonly associated with poorer adherence to appointments, diet, and <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/physical-activity-31280.html'>physical activity</a> [<a href="#2" title="2">2</a>]. Findings were less inconsistent for anxiety and other psychiatric conditions. This systematic review identified that psychological factors such as mood disorders and patients' beliefs/attitudes are associated with adherence to lifestyle changes after bariatric surgery [<a href="#3" title="3">3</a>-<a href="#5" title="5">5</a>]. These factors can be addressed with psychological interventions; therefore, they are important to consider in patient care after bariatric surgery. Future research should further examine psychological predictors of adherence with the aim of informing interventions to support recommended lifestyle changes.</p> <p>Bariatric surgery has become an increasingly utilized intervention for individuals with severe obesity due to its effectiveness in achieving weight loss and improving comorbidities. However, the success of bariatric surgery is contingent upon patients' adherence to recommended lifestyle changes post-operatively, including dietary modifications, regular physical activity, and attending follow-up appointments [<a href="#6" title="6">6</a>]. Despite the potential benefits, research indicates that adherence to these lifestyle changes is challenging for many patients. Understanding the psychological factors that influence adherence after bariatric surgery is crucial for optimizing patient outcomes. While various studies have investigated this topic, a systematic review synthesizing the existing literature can provide a comprehensive understanding of the psychological predictors of adherence and identify areas for future research and intervention development [<a href="#7" title="7">7</a>]. The study identified 32 studies that met the inclusion criteria. These studies examined various psychological factors and their association with adherence to lifestyle changes after bariatric surgery. Appointment attendance and adherence to dietary recommendations were the most frequently studied post-operative instructions [<a href="#8" title="8">8</a>-<a href="#10" title="10">10</a>].</p> <p><strong>Psychological predictors</strong></p> <p><strong>Self-efficacy: </strong>Higher levels of self-efficacy were consistently predictive of better adherence to post-operative diet and physical activity recommendations. Patients who reported greater confidence in their ability to adhere to lifestyle changes were more likely to comply with dietary guidelines and engage in regular exercise.</p> <p><strong>Depressive symptoms: </strong>Pre-operative depressive symptoms were commonly associated with poorer adherence to follow-up appointments, dietary modifications, and physical activity recommendations. Patients experiencing depressive symptoms may struggle with motivation and <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/selfcare-1867.html'>self-care</a> behaviors, leading to difficulties in adhering to post-operative recommendations.</p> <p><strong>Anxiety and psychiatric conditions: </strong>Findings regarding the association between <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/anxiety-4577.html'>anxiety</a> and other psychiatric conditions with adherence to lifestyle changes were less consistent compared to self-efficacy and depressive symptoms. While some studies reported an association between these factors and adherence, others found no significant relationship.</p> <p>This study highlights the importance of considering psychological factors in understanding and promoting adherence to lifestyle changes after bariatric surgery. Self-efficacy emerges as a robust predictor of adherence, suggesting that interventions aimed at enhancing patients' confidence in their ability to adhere to post-operative recommendations may be beneficial [<a href="#11" title="11">11</a>]. Furthermore, the association between depressive symptoms and adherence underscores the need for comprehensive preoperative psychological assessment and targeted interventions for patients at risk of depression. Addressing mood disorders and providing support for <a target='_blank' href='https://www.longdom.org/peer-reviewed-journals/mental-health-54375.html'>mental health</a> concerns may improve adherence and ultimately contribute to better long-term outcomes for bariatric surgery patients.</p> <h4>Conclusion</h4> <p>Psychological factors, including self-efficacy and depressive symptoms, play significant roles in determining adherence to lifestyle changes after bariatric surgery. 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J Clin Med. 2023;12(8):2988. <p>[<a href="https://doi.org/10.3390/jcm12082988">Crossref</a>] [<a href="https://scholar.google.com/scholar?hl=en&amp;as_sdt=0%2C5&amp;q=18.%09Saeki+H%2C+Ohya+Y%2C+Nawata+H%2C+Arima+K%2C+Inukai+M%2C+Rossi+AB%2C+Bego-Le-Bagousse+G.+Impact+of+the+Family+and+Household+Environment+on+Pediatric+Atopic+Dermatitis+in+Japan.+Journal+of+Clinical+Medicine.+2023+Apr+20%3B12%288%29%3A2988&amp;btnG=">Google Scholor</a>] [<a href="https://pubmed.ncbi.nlm.nih.gov/37109324/">PubMed</a>]</p> </li> </ol> <!----------for extracted references-------> <!-------------------------------> <div class="card bg-light mb-3"> <div class="card-body px-3 pb-0"> <h4 class="font-size-4"><a id="ai"></a>Author Info</h4> <a href='https://www.longdom.org/author/nelson-nicholas-66974' title='Nelson Nicholas' style='color:#555; border-bottom:1px dotted #CCC;'>Nelson Nicholas</a><sup><a href='#Nelson_Nicholas'>*</a></sup> <div>&nbsp;</div> Department of Psychology, Karadeniz Technical University, Trabzon, Turkey<br> <div>&nbsp;</div> <p><strong>Citation:</strong> Nicholas N (2024) Adherence after Surgery: The Role of Psychology in Bariatric Recovery. Int J Sch Cogn Psycho. 11:344.</p> <p> <strong>Received: </strong>01-Feb-2024, Manuscript No. IJSCP-24-29832; <strong>Editor assigned: </strong>05-Feb-2024, Pre QC No. IJSCP-24-29832 (PQ); <strong>Reviewed: </strong>19-Feb-2024, QC No. IJSCP-24-29832; <strong>Revised: </strong>26-Feb-2024, Manuscript No. IJSCP-24-29832 (R); <strong>Published:</strong> 04-Mar-2024 , DOI: 10.35248/2469-9837.24.11.344</p> <p><strong>Copyright: </strong>漏 2024 Nicholas N. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</p> </div> </div> </div> </div> </div> </section> <footer class="bg-blue-grey-900 py-3"> <div class="container"> <div class="row"> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Content Links</h4> <ul class="list-unstyled footer-links font-size-3"> <li><a class="" href="https://www.longdom.org/online-tools.html" title="Click here">Tools</a> </li> <li><a class="" href="https://www.longdom.org/feedback.html" title="Click here">Feedback</a></li> <li><a class="" href="https://www.longdom.org/careers.html" title="Click here">Careers</a></li> <li><a class="" href="https://www.longdom.org/privacy-policy.html" title="Click here">Privacy Policy</a></li> <li><a class="" href="https://www.longdom.org/terms-conditions.html" title="Click here">Terms &amp; Conditions</a></li> <li><a class="" href="https://www.longdom.org/authors-reviewers-editors.html" title="Click here">Authors, Reviewers &amp; Editors</a></li> </ul> </div> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Contact Longdom</h4> <p>Longdom Group SA<br> Avenue Roger Vandendriessche,<br> 18, 1150 Brussels, Belgium<br> Phone: +442038085340 <br><strong>Email:</strong> <a href="mailto:info@longdom.org" class="white" title="Click here">info@longdom.org</a></p> </div> <div class="col-12 col-sm-4"> <h4 class="white font-size-4 fweight-400 border-bottom-1 pb-2">Connect</h4> <nav class="nav nav-pills social-icons-footer flex-column a-pl-0"> <a href="https://www.facebook.com/longdompublisher" title="Click here" target="_blank" class="nav-link bg-facebook-hover"><i class="fab fa-facebook-f bg-facebook"></i> Facebook</a> <a href="https://www.linkedin.com/company/longdom-publishing-sl/" title="Click here" target="_blank" class="nav-link bg-linkedin-hover"><i class="fab fa-linkedin-in bg-linkedin"></i> Linkedin</a> <a href="https://twitter.com/LongdomP" title="Click here" target="_blank" class="nav-link bg-twitter-hover"><i class="fab fa-twitter bg-twitter"></i> Twitter</a> <a href="https://www.instagram.com/longdom_publisher/" title="Click here" target="_blank" class="nav-link bg-instagram-hover"><i class="fab fa-instagram bg-instagram"></i> Instagram</a> </nav> </div> </div> <div class="row text-center"> <div class="col"> <p>Copyright &copy; 2024 <a href="https://www.longdom.org/" title="Click here" class="white">Longdom Publishing</a>.</p> </div> </div> </div> </footer> <!--========================== Scroll To Top ============================--> <a href="#0" class="cd-top js-cd-top">Top</a> <!-- Optional JavaScript --> <!-- jQuery first, then Popper.js, then Bootstrap JS --> <script defer src="https://code.jquery.com/jquery-3.3.1.min.js"></script> <script defer src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"></script> <script defer src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"></script> <!--Get the app icon js--> <script> jQuery(function($) { $(window).scroll(function fix_element() { $('#target').css( $(window).scrollTop() > 100 ? 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