NDLI: Depression and infertility in women seeking bariatric surgery.

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Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Merrell, Julie Lavery, Megan Ashton, Kathleen Heinberg, Leslie
Description	Author Affiliation: Merrell J ( Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio); Lavery M ( Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio.); Ashton K ( Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio); Heinberg L ( Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio)
Abstract	BACKGROUND: Obesity has been associated with abnormalities in reproductive functioning and fertility in women. A number of potential mechanisms have been identified, including neuroendocrine functioning and polycystic ovarian syndrome. Associations between infertility, depression, and anxiety have been found in nonobese populations; however, the relationship between depression and infertility in women pursuing bariatric surgery has not been examined. This study sought to explore potential psychosocial correlates of infertility in a female bariatric population. METHODS: Data were analyzed from female patients of childbearing age (n = 88; 70.5% Caucasian; mean age 36.2; mean education 14.3 years; mean body mass index [BMI] 47.9 kg/m(2)) psychologically evaluated for bariatric surgery. Participants were dichotomized as Infertility+(n = 43) or Infertility-(n = 45) based on a medical history self-report questionnaire. Medical records were reviewed for demographic characteristics, BMI, physical and/or sexual abuse history, psychiatric medication usage, outpatient behavioral health treatment, and psychiatric diagnoses. RESULTS: Women identified as Infertility+were more likely to have been diagnosed with a depressive disorder not otherwise specified or a major depressive disorder (χ(2) = 3.71, P<.05, χ(2) = 4.33, P< .05) than Infertility-women. However, Infertility+women were less likely to be involved in outpatient behavioral health treatment (χ(2) = 5.65, P< .05) or to have a history of psychotropic medication usage (χ(2) = 4.61, P<.05). CONCLUSION: Women struggling with infertility may be more psychiatrically vulnerable than other bariatric surgery candidates and less likely to have received mental health treatment. Additional research on the association between fertility, depression, behavioral health treatment, and obesity is warranted. Future research should consider whether this potential relationship changes after bariatric surgery.
File Format	HTM / HTML
ISSN	15507289
Issue Number	1
Volume Number	10
e-ISSN	18787533
Journal	Surgery for Obesity and Related Diseases
Language	English
Publisher	Elsevier
Publisher Date	2014-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Metabolism Discipline General Surgery Bariatric Surgery Depressive Disorder Etiology Infertility, Female Psychology Obesity, Morbid Complications Adult Analysis Of Variance Case-control Studies Female Humans Middle Aged Surgery Patient Acceptance Of Health Care Retrospective Studies Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Surgery

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Psychosocial correlates of pelvic floor disorders in women seeking bariatric surgery.

Effect of bariatric surgery on obesity-related infertility.

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Factors associated with suicide ideation in severely obese bariatric surgery-seeking individuals.

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Bariatric surgery: a viable treatment option for patients with severe mental illness.

Psychologists' evaluation of bariatric surgery candidates influenced by patients' attachment representations and symptoms of depression and anxiety.

Depression and infertility in women seeking bariatric surgery.

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Proposal for a bariatric mortality risk classification system for patients undergoing bariatric surgery.

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