Resumo

BORGES, Jéssica Aparecida da Silva; RACY, Nader Raduan Jorge  e  SANTOS JUNIOR, Randolfo dos. Anxiety, depression and binge eating in candidates for bariatric surgery. Rev. SBPH [online]. 2025, vol.28, e019.  Epub 25-Ago-2025. ISSN 1516-0858.  https://doi.org/10.57167/rev-sbph.2025.v28.823.

Obesity, defined by the WHO as the excessive accumulation of body fat, is a significant public health challenge, associated with risks such as cardiovascular diseases and diabetes. Treatment involves lifestyle changes, a balanced diet, exercise, and, in severe cases, bariatric surgery, which requires psychological evaluation and multidisciplinary follow-up. Although not classified as a psychiatric disorder, obesity is often linked to psychological disorders such as depression, anxiety, and food compulsions. This study aims to identify indicators of anxiety, depression, and food compulsions in patients seeking bariatric surgery, as well as explore the correlations between these psychological conditions. To identify and assess the presence of anxiety, depression, and food compulsion symptoms in candidates for bariatric surgery and verify the correlation between the investigated variables. A cross-sectional study involving 30 patients undergoing pre-operative evaluation for bariatric surgery. The instruments used were: a semi-structured interview, the Binge Eating Scale (BES), and the Hospital Anxiety and Depression Scale (HADS). The results showed signs of anxiety in 70% of the sample, indicators of depression in 46.7%, and food compulsion in 53.3% of the interviewed candidates. Additionally, statistical analysis revealed correlations between the assessed variables. Psychological evaluation plays a crucial role in bariatric surgery. The psychologist, in collaboration with the multidisciplinary team, is responsible for identifying and managing psychological and behavioral demands that may interfere with treatment adherence and the patient’s well-being. By creating a safe and welcoming environment, the professional fosters self-awareness and assists in developing effective strategies to address emotional challenges throughout the treatment process. This support is essential to increase adherence to the therapeutic plan, promoting a healthier and more lasting adaptation, ultimately leading to a significant improvement in the patient’s quality of life.

Palavras-chave : Bariatric surgery; Anxiety; Depression; Eating disorder..

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