{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T15:09:26Z","timestamp":1781104166402,"version":"3.54.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["OBES SURG"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Mental disorders are relatively common in individuals who undergo metabolic bariatric surgery (MBS). Prior research suggests that mental disorders may relate to increased healthcare use after MBS. We retrospectively explored the association between preoperative mental health disorders and healthcare use in the first postoperative year.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Patients who underwent primary MBS and had a structured preoperative psychological assessment report were included. Data on healthcare use was collected as the total number of non-routine healthcare appointments including inpatient, outpatient, and emergency department visits. Additionally, gastrointestinal (GI) healthcare use at the radiology, gastroenterology, and emergency departments was analyzed separately.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Of the 944 included patients, 261 (28%) had a preoperatively diagnosed mental disorder. Most prevalent were depressive disorders, anxiety disorders, and eating disorders. Patients with a preoperative mental disorder had a 15% (adjusted, CI 1.04\u20131.27, <jats:italic>p<\/jats:italic>\u2009=\u20090.005) higher rate of total healthcare use compared to those without. Among patients who had any GI-related healthcare, those with a mental disorder had a 61% higher rate of GI-related healthcare use (CI 1.02\u20132.55, <jats:italic>p<\/jats:italic>\u2009=\u20090.041). Patients with a mental disorder tended to have 20% lower odds of having no GI-related healthcare appointments (unadjusted, not statistically significant, CI 0.37\u20131.74, <jats:italic>p<\/jats:italic>\u2009=\u20090.568).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The presence of preoperative mental disorders was weakly related to higher total non-routine hospital healthcare use in the first year after MBS. Models explained only 5\u201313% of the variation in appointment frequency, meaning unmeasured and\/or unknown factors play a role in healthcare use.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11695-025-07769-w","type":"journal-article","created":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T12:26:51Z","timestamp":1741177611000},"page":"1423-1430","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Preoperative Mental Disorders and Hospital Healthcare Use in the First Year After Metabolic Bariatric Surgery: A Retrospective Study"],"prefix":"10.1007","volume":"35","author":[{"given":"Nadia","family":"Botros","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura N.","family":"Deden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elske M.","family":"van den Berg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J.","family":"Hazebroek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,5]]},"reference":[{"issue":"2","key":"7769_CR1","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1001\/jama.2015.18118","volume":"315","author":"AJ Dawes","year":"2016","unstructured":"Dawes AJ, Maggard-Gibbons M, Maher AR, et al. Mental health conditions among patients seeking and undergoing bariatric surgery: a meta-analysis. JAMA. 2016;315(2):150\u201363.","journal-title":"JAMA"},{"key":"7769_CR2","unstructured":"Proper KI, Bemelmans WJE. Overgewicht en psychische problemen. Hoe vaak komen ze samen voor? [Overweight and psychological problems. What is the joint prevalence?]. Dutch National Institute for Public Health and the Environment. 2011. RIVM report 260701006\/2011."},{"key":"7769_CR3","unstructured":"Institute of Health Metrics and Evaluation. Global health data exchange (GHDx). 2024. Available from: https:\/\/vizhub.healthdata.org\/gbd-compare\/#.\u00a0Accessed 1-11-2024."},{"issue":"6","key":"7769_CR4","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1001\/jamasurg.2015.5110","volume":"151","author":"SB Gribsholt","year":"2016","unstructured":"Gribsholt SB, Pedersen AM, Svensson E, et al. Prevalence of self-reported symptoms after gastric bypass surgery for obesity. JAMA Surg. 2016;151(6):504\u201311.","journal-title":"JAMA Surg"},{"issue":"2","key":"7769_CR5","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1097\/SLA.0000000000003356","volume":"273","author":"J Gormsen","year":"2021","unstructured":"Gormsen J, Burcharth J, Gogenur I, et al. Prevalence and risk factors for chronic abdominal pain after Roux-en-Y gastric bypass surgery: a cohort study. Ann Surg. 2021;273(2):306\u201314.","journal-title":"Ann Surg"},{"issue":"6","key":"7769_CR6","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1007\/s11695-016-2499-z","volume":"27","author":"IK Hogestol","year":"2017","unstructured":"Hogestol IK, Chahal-Kummen M, Eribe I, et al. Chronic abdominal pain and symptoms 5 years after gastric bypass for morbid obesity. Obes Surg. 2017;27(6):1438\u201345.","journal-title":"Obes Surg"},{"issue":"7","key":"7769_CR7","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/j.ejpain.2008.07.015","volume":"13","author":"A Hinrichs-Rocker","year":"2009","unstructured":"Hinrichs-Rocker A, Schulz K, Jarvinen I, et al. Psychosocial predictors and correlates for chronic post-surgical pain (CPSP) - a systematic review. Eur J Pain. 2009;13(7):719\u201330.","journal-title":"Eur J Pain"},{"issue":"7","key":"7769_CR8","doi-asserted-by":"crossref","first-page":"1878","DOI":"10.1111\/codi.15640","volume":"23","author":"J Jin","year":"2021","unstructured":"Jin J, Chen Q, Min S, et al. Prevalence and predictors of chronic postsurgical pain after colorectal surgery: a prospective study. Colorectal Dis. 2021;23(7):1878\u201389.","journal-title":"Colorectal Dis"},{"issue":"1","key":"7769_CR9","doi-asserted-by":"crossref","first-page":"53","DOI":"10.3390\/jcm10010053","volume":"10","author":"S Gravani","year":"2020","unstructured":"Gravani S, Matiatou M, Nikolaidis PT, et al. Anxiety and depression affect early postoperative pain dimensions after bariatric surgery. J Clin Med. 2020;10(1):53.","journal-title":"J Clin Med"},{"issue":"5","key":"7769_CR10","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1111\/j.1365-2036.2008.03771.x","volume":"28","author":"MT Hillila","year":"2008","unstructured":"Hillila MT, Hamalainen J, Heikkinen ME, et al. Gastrointestinal complaints among subjects with depressive symptoms in the general population. Aliment Pharmacol Ther. 2008;28(5):648\u201354.","journal-title":"Aliment Pharmacol Ther"},{"issue":"6","key":"7769_CR11","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.jpsychores.2008.02.019","volume":"64","author":"M Mussell","year":"2008","unstructured":"Mussell M, Kroenke K, Spitzer RL, et al. Gastrointestinal symptoms in primary care: prevalence and association with depression and anxiety. J Psychosom Res. 2008;64(6):605\u201312.","journal-title":"J Psychosom Res"},{"issue":"9","key":"7769_CR12","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1111\/nmo.12155","volume":"25","author":"SA Walter","year":"2013","unstructured":"Walter SA, Jones MP, Talley NJ, et al. Abdominal pain is associated with anxiety and depression scores in a sample of the general adult population with no signs of organic gastrointestinal disease. Neurogastroenterol Motil. 2013;25(9):741-e576.","journal-title":"Neurogastroenterol Motil"},{"issue":"11","key":"7769_CR13","doi-asserted-by":"crossref","first-page":"1047","DOI":"10.1080\/17474124.2020.1801414","volume":"14","author":"N Koloski","year":"2020","unstructured":"Koloski N, Holtmann G, Talley NJ. Is there a causal link between psychological disorders and functional gastrointestinal disorders? Expert Rev Gastroenterol Hepatol. 2020;14(11):1047\u201359.","journal-title":"Expert Rev Gastroenterol Hepatol"},{"key":"7769_CR14","doi-asserted-by":"publisher","unstructured":"American Psychiatric Association, DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5\u2122. 5th ed. American Psychiatric Publishing, Inc.; 2013.  https:\/\/doi.org\/10.1176\/appi.books.9780890425596.","DOI":"10.1176\/appi.books.9780890425596"},{"issue":"8","key":"7769_CR15","doi-asserted-by":"crossref","first-page":"e199910","DOI":"10.1001\/jamanetworkopen.2019.9910","volume":"2","author":"B Sporinova","year":"2019","unstructured":"Sporinova B, Manns B, Tonelli M, et al. Association of mental health disorders with health care utilization and costs among adults with chronic disease. JAMA Netw Open. 2019;2(8):e199910.","journal-title":"JAMA Netw Open"},{"issue":"5","key":"7769_CR16","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1002\/oby.21814","volume":"25","author":"D Fisher","year":"2017","unstructured":"Fisher D, Coleman KJ, Arterburn DE, et al. Mental illness in bariatric surgery: a cohort study from the PORTAL network. Obesity (Silver Spring). 2017;25(5):850\u20136.","journal-title":"Obesity (Silver Spring)"},{"issue":"5","key":"7769_CR17","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.soard.2019.12.018","volume":"16","author":"IL Kvalem","year":"2020","unstructured":"Kvalem IL, Bardstu S, Bergh I, et al. Associations between perceived somatic symptoms and mental health after Roux-en-Y gastric bypass: a 3-year prospective cohort study. Surg Obes Relat Dis. 2020;16(5):626\u201332.","journal-title":"Surg Obes Relat Dis"},{"issue":"11","key":"7769_CR18","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1038\/s41575-022-00634-6","volume":"19","author":"TH Bisgaard","year":"2022","unstructured":"Bisgaard TH, Allin KH, Keefer L, et al. Depression and anxiety in inflammatory bowel disease: epidemiology, mechanisms and treatment. Nat Rev Gastroenterol Hepatol. 2022;19(11):717\u201326.","journal-title":"Nat Rev Gastroenterol Hepatol"},{"issue":"9","key":"7769_CR19","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1001\/jama.2020.22532","volume":"325","author":"M Camilleri","year":"2021","unstructured":"Camilleri M. Diagnosis and treatment of irritable bowel syndrome: a review. JAMA. 2021;325(9):865\u201377.","journal-title":"JAMA"},{"issue":"8","key":"7769_CR20","doi-asserted-by":"crossref","first-page":"1327","DOI":"10.1016\/j.soard.2017.04.031","volume":"13","author":"D Haddad","year":"2017","unstructured":"Haddad D, David A, Abdel-Dayem H, et al. Abdominal imaging post bariatric surgery: predictors, usage and utility. Surg Obes Relat Dis. 2017;13(8):1327\u201336.","journal-title":"Surg Obes Relat Dis"}],"container-title":["Obesity Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-025-07769-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11695-025-07769-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11695-025-07769-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T08:53:12Z","timestamp":1744102392000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11695-025-07769-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,5]]},"references-count":20,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["7769"],"URL":"https:\/\/doi.org\/10.1007\/s11695-025-07769-w","relation":{},"ISSN":["0960-8923","1708-0428"],"issn-type":[{"value":"0960-8923","type":"print"},{"value":"1708-0428","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,5]]},"assertion":[{"value":"6 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 November 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 February 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 March 2025","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"For this type of study, formal consent is not required.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}