{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T19:20:33Z","timestamp":1792869633384,"version":"4.5.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T00:00:00Z","timestamp":1745452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Bariatric surgery can lead to significant weight loss and improved physical health. Still, it often also brings about complex psychological effects, including changes in self\u2010esteem, body image and emotional well\u2010being that require careful monitoring and support. This systematic review with meta\u2010analysis aims to analyse the relationship between bariatric surgery and postoperative improvement in psychiatric and eating disorders. MEDLINE, EMBASE, COCHRANE Library and other specialized databases were searched in July 2024. Observational studies included individuals who had undergone any bariatric surgical treatment with a preoperative evaluation of eating disorders, depression and anxiety and at a postoperative measure of the same variables selected. Thirteen studies that met the eligibility criteria were included for qualitative synthesis and eight studies for meta\u2010analysis. Two reviewers independently screened for eligibility. The mean difference was calculated using the random\u2010effects model. Bariatric surgery was found to be effective in improving eating disorders (\u22120.81%, 95% CI \u20131.61 to \u20130.05; I2\u2009=\u200998%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05), depression (\u22120.56, 95% CI \u22121.09 to \u22120.04, I2\u2009=\u200997%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.03) and anxiety (\u22120.74, 95% CI \u22121.17 to \u22120.31, I2\u2009=\u200994%, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.00). The literature reveals high heterogeneity between studies, particularly in assessing psychological factors, with a common reliance on self\u2010reported questionnaires rather than gold\u2010standard assessments. Nonetheless, based on the findings of this study, there was a genuine effect on eating disorders, depression and anxiety when those participants underwent bariatric surgery.<\/jats:p>","DOI":"10.1111\/cob.70017","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:14:56Z","timestamp":1745540096000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Is bariatric surgery a crime? A systematic review and meta\u2010analysis of postoperative psychiatric symptoms and eating disorders"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1833-4599","authenticated-orcid":false,"given":"Bushra","family":"Albadareen","sequence":"first","affiliation":[{"name":"Department of Community Health Faculty of Applied Medical Sciences Northern Border University  Arar Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"AlBadareen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Acute Medicine Krajsk\u00e1 Nemocnice Liberec  Liberec Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"issue":"8","key":"e_1_2_11_2_1","article-title":"Surgery for weight loss in adults","volume":"2014","author":"Colquitt JL","year":"2014","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.12.024"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1242673"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(13)70218-3"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.3458"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/2046\u20104053\u20104\u20101"},{"key":"e_1_2_11_8_1","unstructured":"University of Illinois at Chicago's Library of the Health Sciences at Peoria.Evidence\u2010Based Medicine\u2014What is the PICO Model?Accessed September 11 2019.https:\/\/researchguides.uic.edu\/c.php?g=252338&p=3954402"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.1411"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-014-0123-6"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519\u2010013\u20100069\u20100"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-020-05025-x"},{"key":"e_1_2_11_14_1","first-page":"109","article-title":"The comparison of severity and prevalence of major depressive disorder, general anxiety disorder and eating disorders before and after bariatric surgery","volume":"28","author":"Matini D","year":"2014","journal-title":"Med J Islam Repub Iran"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-021-05855-3"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000536602"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695\u2010021\u201005374\u20101"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12532"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-023-06621-3"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu10111616"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11695-024-07246-w"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089202320995547"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40519-019-00785-7"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2007.127316"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:EJEP.0000036568.02655.f8"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa066254"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa035622"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000746"},{"key":"e_1_2_11_29_1","unstructured":"American Psychiatric Association.Diagnostic and Statistical Manual of Mental Disorders.Text Revision.2000."},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0801949"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1381\/0960892053923798"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1381\/096089201321209341"}],"container-title":["Clinical Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cob.70017","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:55:59Z","timestamp":1756774559000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cob.70017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,24]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/cob.70017"],"URL":"https:\/\/doi.org\/10.1111\/cob.70017","archive":["Portico"],"relation":{},"ISSN":["1758-8103","1758-8111"],"issn-type":[{"value":"1758-8103","type":"print"},{"value":"1758-8111","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,24]]},"assertion":[{"value":"2024-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70017"}}