Evidence map›Paper›PMID 39644446›Full record

ReviewUpdates in surgery2025

Psychological and psychiatric standardized procedures for metabolic bariatric surgery: a clinical practice model for mental health providers.

Micanti Fausta, Caiazza Claudio, Musella Mario, Paone Emanuela, Navarra Giuseppe

Abstract readReview
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In one paragraph

Review in Updates in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Micanti FaustaDepartment of Time-Dependent Network, Psychiatry, and Psychology: Eating Disorders, Obesity, and Bariatric Surgery Unit, University Hospital "Federico II", Via Sergio Pansini N.5, University Hospital, Edificio 18, Psichiatria, ZIP 80131, Naples, Italy. micanti@unina.it.ORCID http://orcid.org/0000-0002-1293-9774
Caiazza ClaudioDepartment of Time-Dependent Network, Psychiatry, and Psychology: Eating Disorders, Obesity, and Bariatric Surgery Unit, University Hospital "Federico II", Via Sergio Pansini N.5, University Hospital, Edificio 18, Psichiatria, ZIP 80131, Naples, Italy.
Musella MarioBariatric Surgery Department of General Surgery. Bariatric Surgery, University Hospital "Federico II", Naples, Italy.
Paone EmanuelaDepartment of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Polo Pontino, Bariatric Center of Excellence IFSO-EU, Sapienza University, Rome, Italy.
Navarra GiuseppeDepartment of Human Pathology of Adult and Evolutive Age, Surgical Oncology Division, University Hospital "G. Martino", Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionObesity is a multifactorial and chronic disease, constantly growing in prevalence. Metabolic and Bariatric Surgery (MBS) is among the most effective therapies for obesity, determining consistent long-term weight loss and maintenance. Increasing evidence suggests a relevant mental health contribution to obesity pathogenesis. European and International Guidelines for MBS emphasize the importance of a pre-surgical psychological/psychiatric assessment and a post-surgical follow-up to improve MBS outcomes. Yet, no standard psychological/psychiatric procedures currently exist.

methodsThis paper overviews the psychological/psychiatric procedures which Italian mental health providers currently perform on MBS candidates to provide psychological support through every step of the MBS, from the assessment to the postsurgical follow-up, to evaluate eligibility, prevent mental health flare-ups and weight regain, as endorsed by the Board of the Italian Society of Surgery for Obesity and Metabolic Diseases (SICOB).

resultsThe psychological/psychiatric procedures should encompass two phases: pre-surgical assessment and post-surgical follow-up. Pre-surgical assessment should investigate every condition that might reduce the MBS effectiveness or contraindicate the surgical process. It must include a mental state evaluation, weight history, eating behavior, body image, psychosocial conditions, and motivation. The post-surgical follow-up should offer psychological support to patients in achieving weight loss and maintenance. It should also prevent the onset or recurrence of psychiatric disorders that may affect clinical outcomes. DISCUSSION: This paper is the first to introduce a standardized protocol for psychological/psychiatric procedures for each phase of the surgical process, to allow MBS candidates to receive similar care despite geographical differences. It also serves as a potential clinical model for assessing mental eligibility or contraindications prior to MBS, and subsequently support the individual behavioral and lifestyle changes to achieve and maintain weight loss.

Indexed as

Bariatric SurgeryMental DisordersObesityObesity, MorbidHumansItalyMental HealthWeight LossClinical proceduresMental healthMetabolic bariatric surgeryObesity

Identifiers

PMID39644446

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.