[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-242482-105":53,"doc-detail-242482-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","resource-document-on-bariatric-surgery-and-psychiatric-care-june-2016","Resource Document on Bariatric Surgery and Psychiatric Care - June 2016","","This resource document highlights the role of psychiatrists across the bariatric surgery pathway. It outlines key psychiatric components needed for pre-bariatric assessment and for structured aftercare, emphasizing integrated psychiatric services during both phases of care. The document frames bariatric surgery as an effective treatment for severe obesity while addressing the high prevalence of psychiatric illness among candidates and the need for clear psychosocial guidance after surgery. It aligns with committee recommendations for pre-surgical psychosocial evaluation.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/resource-document-on-bariatric-surgery-and-psychiatric-care-june-2016/242482/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/resource-document-on-bariatric-surgery-and-psychiatric-care-june-2016/242482.png","ImageObject",442,249,{"name":88,"@type":89},"Angel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-12",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the main purpose of this resource document?","Question",{"text":108,"@type":109},"To emphasize the role of psychiatrists in caring for patients undergoing bariatric surgery, including key psychiatric elements for pre-surgical assessment and post-operative aftercare.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Why is pre-surgical psychiatric assessment important for bariatric surgery candidates?",{"text":113,"@type":109},"Because successful outcomes depend on lifelong changes in eating and activity, and bariatric surgery has significant psychosocial effects; assessment helps identify vulnerabilities, provide education and support, and guide treatment planning.",{"name":115,"@type":106,"acceptedAnswer":116},"What situations may lead to deferring bariatric surgery?",{"text":117,"@type":109},"Common reasons include significant psychopathology such as active psychosis, current substance dependence, untreated eating disorders, untreated depression, and/or active suicidal ideation, as well as issues affecting informed consent and adherence.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},242482,1789191051,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":25,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":125,"read_time":47},687207412472,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","APA Resource Document  \nResource Document on Bariatric Surgery and Psychiatric Care  \nApproved by the Joint Reference Committee, June 2016  \n\"The findings, opinions, and conclusions of this report do not necessarily represent the views of the officers, trustees, or all members of the American Psychiatric Association. Views expressed are those of the authors. \" --APA  \nOperations Manual.  \nPrepared by Sanjeev Sockalingam, M.D., Raed Hawa, M.D., Weronika Micula-Gondek, M.D., Wynn Lundblad, M.D., Alexis Fertig, M.D.  \nAbstract  \nThe purpose of this resource document is to highlight the role of psychiatrists in the care of patients undergoing bariatric surgery. The document identifies key psychiatric components to pre-bariatric surgery assessment and aftercare, which underscore the need for integrated psychiatric services throughout patients’ bariatric surgery care.  \nIntroduction  \nObesity is the fifth leading cause of global deaths and is associated with a myriad of serious health conditions, including coronary artery disease, type 2 diabetes and cancer (1) . Moreover, global obesity rates have nearly doubled over the last 30 years giving rise to the “obesity epidemic”(2) . Concerns about morbidity and mortality related to obesity are a significant concern in mental health populations, where obesity prevalence rates are as high as 60% in patients with severe mental illness (3) .  \nBariatric surgery is now recognized as an effective treatment for severe obesity for patients with a body mass index (BMI) > 40 or > 35 with one obesity related co-morbidity (4) . Types of bariatric surgery include restrictive procedures (e.g., laparoscopic gastric banding or sleeve gastrectomy), or combined restrictive and malabsorptive procedures (e.g., Roux-en-Y gastric bypass) (a more detailed description of bariatric surgery procedures can be reviewed in bariatric surgery guidelines) (5) . The benefits of bariatric surgery include sustained weight loss, resolution of obesity-related co-morbidities and improved quality of life (6-8) . Despite the expansion of bariatric surgery procedures and their growing evidence, the role of psychiatric illness and interventions in bariatric surgery outcomes has been a less prominent focus in bariatric surgery programs and literature. Bariatric surgery guidelines recommend pre-surgery behavioral and psychosocial assessment; however, clear recommendations on post-operative psychosocial care are lacking (5) . This is a concern given that up to 70% of bariatric surgery candidates have a history of a psychiatric illness according to structured psychiatric interview (9- 11) . Although the relationship between pre-existing psychiatric illness on weight loss outcomes is  \nunclear, there is emerging literature on the range of mental health complications and challenges that can emerge following bariatric surgery.  \nThis resource document aims to summarize key psychiatric issues related to bariatric surgery and advocates for psychiatric care throughout a patient’s bariatric surgery journey. The role for an integrated approach to bariatric surgery care involving psychiatric support will be highlighted based on the literature. Moreover, this resource document is aligned with the American Society for Metabolic and Bariatric Surgery Integrated Health Clinical Issues and Guidelines Committee “Recommendations for the Pre-Surgical Psychosocial Evaluation of Bariatric Surgery patients”(12) .  \nPre-Surgery Psychiatric Assessment  \nSuccessful bariatric outcomes are not only dependent on the surgical procedures but also require significant and lifelong changes in eating patterns and physical activity. At the same time, weight loss surgery has wide-ranging and profound psychosocial effects. Thorough and specialized pre-operative psychosocial assessment is an important part of a comprehensive bariatric treatment protocol (13) and it has become the standard of care for bariatric surgery centers (14) . Pre-surgical mental health assessme","cbCaigtnJ0D2ltrg","https://ap.wps.com/l/cbCaigtnJ0D2ltrg","pdf",248509,"English","# Introduction\n## Obesity, mental health, and bariatric surgery\n## Purpose and alignment with guidelines\n# Pre-Surgery Psychiatric Assessment\n## Goals and principles of assessment\n## Common reasons for surgical delay","[{\"question\":\"What is the main purpose of this resource document?\",\"answer\":\"To emphasize the role of psychiatrists in caring for patients undergoing bariatric surgery, including key psychiatric elements for pre-surgical assessment and post-operative aftercare.\"},{\"question\":\"Why is pre-surgical psychiatric assessment important for bariatric surgery candidates?\",\"answer\":\"Because successful outcomes depend on lifelong changes in eating and activity, and bariatric surgery has significant psychosocial effects; assessment helps identify vulnerabilities, provide education and support, and guide treatment planning.\"},{\"question\":\"What situations may lead to deferring bariatric surgery?\",\"answer\":\"Common reasons include significant psychopathology such as active psychosis, current substance dependence, untreated eating disorders, untreated depression, and/or active suicidal ideation, as well as issues affecting informed consent and adherence.\"}]","Resource Document on Bariatric Surgery and Psychiatric Care - June 2016 | PDF"]