{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T04:23:23Z","timestamp":1741839803761,"version":"3.38.0"},"reference-count":51,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Exp Clin Endocrinol Diabetes"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p> Currently, no data are available using standardized\n                    instruments for evaluating the postpartum mental health of women with previous\n                    bariatric surgery. The aim of this pilot study was to assess postpartum mental\n                    health in women following bariatric surgery and to establish appropriate tools\n                    for a prospective registry study in the future. <\/jats:p><jats:p> In this survey, the mental health of 22 women during the first\n                    weeks postpartum was examined (T1) and their status at least 6 months after\n                    childbirth was prospectively assessed (T2). Symptoms of depression and anxiety\n                    were evaluated with standardized questionnaires and depression was diagnosed\n                    with structured diagnostic interviews (SCID-5). <\/jats:p><jats:p> At T1, 3\/22 women (14%) reported depressive or anxiety symptoms,\n                    and in these women, the diagnosis of depression was established. In comparison\n                    with T1, at T2, symptomatology for depression or anxiety increased to 32% and\n                    27% of patients, respectively, but only one woman was diagnosed with depression.\n                    In comparison to patients without symptoms, patients with signs of depression or\n                    anxiety or both had lower total body weight loss and, more often, a personal or\n                    family history of depressive disorders.<\/jats:p><jats:p> Our pilot study suggests that the rate of postpartum depression\n                    in women after BS might be higher than in the general population. High symptom\n                    levels of depression and anxiety emphasize the necessity of long-term bariatric\n                    follow-up care. Further research is needed to evaluate if prevalence of\n                    depression or anxiety disorder or both is higher in this patient group as\n                    compared to other patients after bariatric surgery. <\/jats:p>","DOI":"10.1055\/a-2515-3240","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T23:51:49Z","timestamp":1741823509000},"page":"112-119","source":"Crossref","is-referenced-by-count":0,"title":["Mental Health After Childbirth in Women with Previous Bariatric\n                    Surgery: The SPOtMom Pilot Study"],"prefix":"10.1055","volume":"133","clinical-trial-number":[{"clinical-trial-number":"nct04297956","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Ulrike","family":"Plank","sequence":"additional","affiliation":[{"name":"Dept. of Medicine I, Endocrinology and Diabetology, University Hospital\n                    of W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Wehrmann","sequence":"additional","affiliation":[{"name":"Institute of Psychology, University of W\u00fcrzburg, W\u00fcrzburg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filiz","family":"Oehlhof","sequence":"additional","affiliation":[{"name":"Institute of Psychology, University of W\u00fcrzburg, W\u00fcrzburg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Teske","sequence":"additional","affiliation":[{"name":"Dept. of Medicine I, Endocrinology and Diabetology, University Hospital\n                    of W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Stier","sequence":"additional","affiliation":[{"name":"Section for Interdisciplinary Endoscopy, Mannheim University Hospital,\n                    Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Seyfried","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery, Univ Hosp W\u00fcrzburg, W\u00fcrzburg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wiebke","family":"Buchholz","sequence":"additional","affiliation":[{"name":"Center for Obesity, Westk\u00fcstenklinikum Heide, Heide,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bodo","family":"Warrings","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University Hospital of W\u00fcrzburg, W\u00fcrzburg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6170-6398","authenticated-orcid":false,"given":"Martin","family":"Fassnacht","sequence":"additional","affiliation":[{"name":"Dept. of Medicine I, Endocrinology and Diabetology, University Hospital\n                    of W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"K\u00fcbler","sequence":"additional","affiliation":[{"name":"Institute of Psychology, University of W\u00fcrzburg, W\u00fcrzburg,\n                    Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7085-8657","authenticated-orcid":false,"given":"Ann-Cathrin","family":"Koschker","sequence":"additional","affiliation":[{"name":"Dept. of Medicine I, Endocrinology and Diabetology, University Hospital\n                    of W\u00fcrzburg, W\u00fcrzburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1001\/jama.2015.18118","article-title":"Mental health conditions among patients seeking and undergoing bariatric\n                    surgery: A meta-analysis","volume":"315","author":"A J Dawes","year":"2016","journal-title":"JAMA"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"886","DOI":"10.1016\/j.jad.2018.12.113","article-title":"The long-term effect of bariatric surgery on depression and anxiety","volume":"246","author":"H Gill","year":"2019","journal-title":"J Affect Disord"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"e12998","DOI":"10.1111\/obr.12998","article-title":"Psychological outcomes following surgical and endoscopic bariatric procedures: A\n                    systematic review","volume":"21","author":"D Spirou","year":"2020","journal-title":"Obes Rev"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"2286","DOI":"10.1001\/jama.2008.641","article-title":"Pregnancy and fertility following bariatric surgery: A systematic review","volume":"300","author":"M A Maggard","year":"2008","journal-title":"JAMA"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1007\/s11695-015-1998-7","article-title":"Incidence of successful pregnancy after weight loss interventions in infertile\n                    women: A systematic review and meta-analysis of the literature","volume":"26","author":"M Milone","year":"2016","journal-title":"Obes Surg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1146\/annurev-med-041217-011106","article-title":"Postpartum depression: Pathophysiology, treatment, and emerging\n                    therapeutics","volume":"70","author":"D E Stewart","year":"2019","journal-title":"Annu Rev Med"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1192\/bjp.bp.116.187179","article-title":"Prevalence of antenatal and postnatal anxiety: Systematic review and\n                    meta-analysis","volume":"210","author":"C L Dennis","year":"2017","journal-title":"Br J Psychiatry"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.jad.2020.12.010","article-title":"The impact of pre-pregnancy BMI on maternal depressive and anxiety symptoms\n                    during pregnancy and the postpartum period: A systematic review and\n                    meta-analysis","volume":"281","author":"B A Dachew","year":"2021","journal-title":"J Affect Disord"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1629","DOI":"10.1007\/s11695-017-3060-4","article-title":"Depression and anxiety: Lack of associations with an inadequate diet in a sample\n                    of pregnant women with a history of bariatric surgery-a multicenter prospective\n                    controlled cohort study","volume":"28","author":"G Jans","year":"2018","journal-title":"Obes Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"2859","DOI":"10.1007\/s11695-021-05369-y","article-title":"Adverse neonatal and obstetric outcomes in a 20-year Brazilian retrospective\n                    cohort of pregnancies after bariatric surgery","volume":"31","author":"L B Walter","year":"2021","journal-title":"Obes Surg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1055\/s-0042-1742682","article-title":"Prevalence of depression in pregnant women with bariatric surgery history and\n                    associated factors","volume":"44","author":"AC N da Rocha","year":"2022","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"1962","DOI":"10.1007\/s11695-022-06037-5","article-title":"Depression and anxiety incidence during pregnancy between bariatric surgery\n                    patients and matched control subjects","volume":"32","author":"J Kim","year":"2022","journal-title":"Obes Surg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"3696","DOI":"10.1007\/s11695-022-06283-7","article-title":"Pregnant women following bariatric surgery: A focus on Maternal Mental Health\n                    and Its Impact on Birth Outcomes","volume":"32","author":"Y Yu","year":"2022","journal-title":"Obes Surg"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"K Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of postnatal depression. Development of the 10-item Edinburgh\n                    Postnatal Depression Scale","volume":"150","author":"J L Cox","year":"1987","journal-title":"Br J Psychiatry"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1590\/1516-4446-2012-1048","article-title":"Psychometric properties of the Beck Depression Inventory-II: A comprehensive\n                    review","volume":"35","author":"Y P Wang","year":"2013","journal-title":"Braz J Psychiatry"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"R L Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"l1476","DOI":"10.1136\/bmj.l1476","article-title":"Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major\n                    depression: Individual participant data meta-analysis","volume":"365","author":"B Levis","year":"2019","journal-title":"BMJ"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1007\/s11136-018-2050-x","article-title":"How depressed is \"depressed\"? A systematic review and diagnostic\n                    meta-analysis of optimal cut points for the Beck Depression Inventory revised\n                    (BDI-II)","volume":"28","author":"M von Glischinski","year":"2019","journal-title":"Qual Life Res"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1111\/pcn.12931","article-title":"Clinical validity and intrarater and test-retest reliability of the Structured\n                    Clinical Interview for DSM-5 \u2013 Clinician Version (SCID-5-CV)","volume":"73","author":"F L Os\u00f3rio","year":"2019","journal-title":"Psychiatry Clin Neurosci"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"1283621","DOI":"10.3389\/fendo.2023.1283621","article-title":"Bariatric surgery and mental health outcomes: An umbrella review","volume":"14","author":"S Law","year":"2023","journal-title":"Front Endocrinol (Lausanne)"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1238353","DOI":"10.3389\/fpsyt.2023.1238353","article-title":"Case Report: Semaglutide-associated depression: A report of two cases","volume":"14","author":"J R Li","year":"2023","journal-title":"Front Psychiatry"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.7326\/M24-0329","article-title":"Glucagon-like peptide-1 receptor agonists and risk for suicidal ideation and\n                    behaviors in U.S. older adults with type 2 diabetes: A target trial emulation\n                    study","volume":"177","author":"H Tang","year":"2024","journal-title":"Ann Intern Med"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1080\/14740338.2023.2295397","article-title":"The association between glucagon-like peptide-1 receptor agonists (GLP-1 RAs)\n                    and suicidality: Reports to the Food and Drug Administration Adverse Event\n                    Reporting System (FAERS)","volume":"23","author":"R S McIntyre","year":"2024","journal-title":"Expert Opin Drug Saf"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1001\/jamapsychiatry.2013.3579","article-title":"Accuracy of reports of lifetime mental and physical disorders: Results from the\n                    Baltimore Epidemiological Catchment Area study","volume":"71","author":"Y Takayanagi","year":"2014","journal-title":"JAMA Psychiatry"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.jad.2007.10.008","article-title":"Non-psychotic psychiatric disorders after childbirth: Prevalence and comorbidity\n                    in a community sample","volume":"109","author":"P Navarro","year":"2008","journal-title":"J Affect Disord"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1111\/j.1600-0447.2008.01264.x","article-title":"Prevalence, onset and comorbidity of postpartum anxiety and depressive\n                    disorders","volume":"118","author":"C Reck","year":"2008","journal-title":"Acta Psychiatr Scand"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1370\/afm.933","article-title":"Postpartum depression screening at well-child visits: Validity of a 2-question\n                    screen and the PHQ-9","volume":"7","author":"D Gjerdingen","year":"2009","journal-title":"Ann Fam Med"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1089\/jwh.2010.2355","article-title":"Changes in depressive symptoms over 0-9 months postpartum","volume":"20","author":"D Gjerdingen","year":"2011","journal-title":"J Womens Health (Larchmt)"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"889","DOI":"10.12740\/PP\/68628","article-title":"Screening for maternal postpartum depression and associations with personality\n                    traits and social support. A Polish follow-upstudy 4 weeks and 3 months after\n                    delivery","volume":"51","author":"K Maliszewska","year":"2017","journal-title":"Psychiatr Pol"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1111\/jmwh.13389","article-title":"A brief depression screening tool for perinatal clinical practice: The\n                    performance of the PHQ-2 compared with the PHQ-9","volume":"67","author":"A Gigantesco","year":"2022","journal-title":"J Midwifery Womens Health"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"258","DOI":"10.3122\/jabfm.2011.03.100249","article-title":"Prevalence of depressive symptoms in the immediate postpartum period","volume":"24","author":"G Pawar","year":"2011","journal-title":"J Am Board Fam Med"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1111\/aogs.14092","article-title":"Mental health status of pregnant and breastfeeding women during the COVID-19\n                    pandemic-A multinational cross-sectional study","volume":"100","author":"M Ceulemans","year":"2021","journal-title":"Acta Obstet Gynecol Scand"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1089\/jwh.2015.5346","article-title":"Suicidal ideation during the postpartum period","volume":"25","author":"S Bodnar-Deren","year":"2016","journal-title":"J Womens Health (Larchmt)"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"1469","DOI":"10.1007\/s11695-014-1207-0","article-title":"Axis I disorders in adjustable gastric band patients: The relationship between\n                    psychopathology and weight loss","volume":"24","author":"M J Hayden","year":"2014","journal-title":"Obes Surg"},{"key":"ref37","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/j.soard.2019.01.008","article-title":"Mental disorders and weight change in a prospective study of bariatric surgery\n                    patients: 7 years of follow-up","volume":"15","author":"M A Kalarchian","year":"2019","journal-title":"Surg Obes Relat Dis"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1016\/j.soard.2018.04.012","article-title":"A behavioral rating system predicts weight loss and quality of life after\n                    bariatric surgery","volume":"14","author":"W Hilgendorf","year":"2018","journal-title":"Surg Obes Relat Dis"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1016\/j.soard.2020.06.014","article-title":"Differences in physical and mental health-related quality of life outcomes 3\n                    years after bariatric surgery: A group-based trajectory analysis","volume":"16","author":"A Youssef","year":"2020","journal-title":"Surg Obes Relat Dis"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1159\/000505837","article-title":"Specific health knowledge and health literacy of patients before and after\n                    bariatric surgery: A cross-sectional study","volume":"13","author":"H K\u00f6hler","year":"2020","journal-title":"Obes Facts"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"721","DOI":"10.3390\/nu8110721","article-title":"The impact of impulsivity on weight loss four years after bariatric surgery","volume":"8","author":"K Schag","year":"2016","journal-title":"Nutrients"},{"key":"ref42","doi-asserted-by":"crossref","first-page":"2272","DOI":"10.1007\/s11695-022-06062-4","article-title":"Overvaluation of shape and weight (not BMI) associated with depressive symptoms\n                    and binge eating symptoms pre- and post-bariatric surgery","volume":"32","author":"E L Gordon","year":"2022","journal-title":"Obes Surg"},{"key":"ref43","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1007\/s11695-021-05855-3","article-title":"The role of resilience in psychological health among bariatric surgery\n                    patients","volume":"32","author":"L A McGarrity","year":"2022","journal-title":"Obes Surg"},{"key":"ref44","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1159\/000481825","article-title":"Practical recommendations of the obesity management task force of the European\n                    Association for the Study of Obesity for the Post-Bariatric Surgery Medical\n                    Management","volume":"10","author":"L Busetto","year":"2017","journal-title":"Obes Facts"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1111\/obr.12927","article-title":"Pregnancy after bariatric surgery: Consensus recommendations for periconception,\n                    antenatal and postnatal care","volume":"20","author":"J Shawe","year":"2019","journal-title":"Obes Rev"},{"key":"ref46","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/j.genhosppsych.2009.05.004","article-title":"Psychiatric disorders in bariatric surgery candidates: A review of the\n                    literature and results of a German prebariatric surgery sample","volume":"31","author":"B M\u00fchlhans","year":"2009","journal-title":"Gen Hosp Psychiatry"},{"key":"ref47","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jad.2011.03.025","article-title":"Anxiety and depression in bariatric surgery patients: A prospective, follow-up\n                    study using structured clinical interviews","volume":"133","author":"M de Zwaan","year":"2011","journal-title":"J Affect Disord"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.comppsych.2013.08.021","article-title":"Psychopathology in bariatric surgery candidates: A review of studies using\n                    structured diagnostic interviews","volume":"55","author":"S Malik","year":"2014","journal-title":"Compr Psychiatry"},{"key":"ref49","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1001\/jamapsychiatry.2022.2400","article-title":"Family history of psychiatric disorders as a risk factor for maternal postpartum\n                    depression: A systematic review and meta-analysis","volume":"79","author":"M M Zacher Kjeldsen","year":"2022","journal-title":"JAMA Psychiatry"},{"key":"ref50","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/jmwh.13067","article-title":"Risk factors for postpartum depression: An umbrella review","volume":"65","author":"B F Hutchens","year":"2020","journal-title":"J Midwifery Womens Health"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"1755","DOI":"10.1007\/s11695-020-05160-5","article-title":"Weight regain and insufficient weight loss after bariatric surgery: Definitions,\n                    prevalence, mechanisms, predictors, prevention and management strategies, and\n                    knowledge gaps-a scoping review","volume":"31","author":"W El Ansari","year":"2021","journal-title":"Obes Surg"},{"key":"ref52","first-page":"e25651","article-title":"Prevalence and outcomes of depression after bariatric surgery: A systematic\n                    review and meta-analysis","volume":"14","author":"R A Alyahya","year":"2022","journal-title":"Cureus"}],"container-title":["Experimental and Clinical Endocrinology &amp; Diabetes"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2515-3240.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T23:52:02Z","timestamp":1741823522000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2515-3240"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":51,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2025,3,12]]},"published-print":{"date-parts":[[2025,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2515-3240","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0947-7349","1439-3646"],"issn-type":[{"value":"0947-7349","type":"print"},{"value":"1439-3646","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}