Além da perda de peso: consequências psicológicas da cirurgia bariátrica Goiânia,

Abstract

Obesity is a multifactorial disease with physical and psychological impacts. While bariatric surgery is effective for weight loss, it is not sufficient to guarantee emotional improvement. This study analyzed psychological adjustment in the postoperative period and its psychological effects, beyond the biological aspects of this phase, through an integrative review (2000–2025). Nine studies published in Portuguese, English, and 3 Spanish were included, and the journals in which the articles were published had a CAPES classification equal to or higher than B1. The selected articles indicate an initial improvement in self-esteem and functionality, followed by possible symptoms such as anxiety, depression, and compulsive eating, as well as adaptation difficulties. Adaptive coping strategies, social support, and multidisciplinary follow-up favor better outcomes, while avoidance patterns and compulsion are associated with worse results. It is concluded that the psychological effects are heterogeneous and depend on biopsychosocial factors, highlighting the importance of continuous follow-up.