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Abstract

Purpose of Review: Bariatric surgery and other weight loss interventions have been consistently shown to be effective in short-term
or long-term marked weight loss and in bringing significant improvement to medical comorbidities such as metabolic syndrome.
Empirical data suggest a high prevalence of psychiatric disorders among weight loss interventions candidates. In this review, we focus
on the studies published recently with a high impact on our understanding of the role of psychiatry in those weight loss interventions.
Recent Findings: This article reviews the specific psychopathologies before interventions, changes in psychopathologies after
interventions, suicide risk related to interventions, factors associated with weight loss, and recommendations for pre-intervention
and post-intervention assessment and management. Research indicates a decrease in certain psychiatric symptoms after weight loss
with bariatric surgery. However, the risk of suicide and unsuccessful weight loss in some bariatric surgery patients make monitoring
following surgery as important as careful assessment and management before surgery. Specific considerations for youth and older
populations and future potential research foci are discussed.
Summary: Recent publications suggest new directions for psychiatric evaluation and interventions for weight loss patients. Future
research on outcomes of specific populations, effectiveness of psychopharmacotherapy, and underlying pathophysiology are warranted
for the advancement of treating obese patients.

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