Open Access Journal of Depression and Anxiety

Prevalence of Depression and Anxiety Disorders among Patients Seeking Obesity Treatment

Published on: 2019-03-15

Abstract

Background
Obesity is a chronic medical illness with higher risk of physical and mental cascade. People who seek obesity treatment reported to have some psychiatric disorders affect their disease and choose type of management. Objective and Aimed of the study: This study aimed to estimate the prevalence of mental disorders among Saudi people who sought obesity treat-ment. (surgical or non -surgical)
Methods
Patient recruited from an obesity treatment centre in Saudi Arabia. All subjects underwent a two questionnaires Hamil-ton Rating Scale for Depression (HRSD) and Hamilton Rating Scale for Anxiety (HRSA) and SCID psychiatric interview for diagnosis. 1330 subjects reviewed, 85 excluded because their age below 18 years, 130 subjects excluded due to missed information or refused psychiatric evaluation, the total number completed the study 1115.We compared prevalence of depression and anxiety disorders between patients sought surgical and non-surgical obesity treatment.
Results
Prevalence of patient sought surgical intervention was 54% versus 46% for non-surgical intervention, about 30% of sur-gical group were male versus 32.75% for non-surgical group, the surgical group was higher in BMI and younger in age, higher educational level, higher HRSA score and lower HRSD score than the non-surgical group, Prevalence of Depres-sive disorders in whole sample was 29.23% and anxiety 25.56%. The most prevalent diagnosis was dysthymic disorder (20.7%), general anxiety disorder (16.95%), major depression disorder and social phobia. Dysthymia more common in surgical group (21.4% versus 19.8% p=0.560) while major depression disorders more common in non-surgical group (7.4% versus 5.4 p=0.593) but without significant difference, non-Surgical patients were more likely to have “anxiety disorders” (29.23% versus 22.4%, p=0.840).
Conclusion
A high prevalence of depression and anxiety disorders found among Saudi people sought obesity treatment. Post-surgical evaluation is needed to assess prognosis of this patient

Keywords

Obesity; Depression; Bariatric surgery