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
Obesity; Depression; Bariatric surgery
Obesity is a chronic disease lead to poor quality of life. About 2.8 million people dying each year. Worldwide obesity has nearly tripled since 1975. 1.9 billion adults were overweight versus 650 million were obese in 2016. WHO defines obesity is elevated body Mass index (BMI) more than or equal to 30 and overweight is a BMI more than or equal to 25  in Saudi Arabia about 52.9% of people were obese in 2017 and expected to reach 59.2% by 2022 . Obesity is a major risk for cardiovascular diseases, di-abetes, stroke and other chronic disease; it also associated with increase the risk of morbidity and mortality.  pa-tients mental and social health also affected; There is a pos-itive relationship between obesity and psychiatric illness, mood disorders and anxiety disorders were more frequent in obese . Lifetime diagnoses of major depression, bipo-lar disorder, panic disorder and agoraphobia were more frequent in obese patients .Many varieties for obesity treatments including behaviour modification, diet control, medication, intra-gastric balloon and bariatric surgery used with obesity of different severities. Choosing the treatment may affected by Psychological factors, presurgical psychiat-ric evaluation of obese patient became a mandatory.