Objective: This study aimed to evaluate the knowledge levels, attitudes,
and referral practices of psychiatrists regarding obesity and bariatric
surgery.
Method: In this descriptive, cross-sectional study, a questionnaire
was administered to 169 psychiatrists and 75 psychiatry residents
across Turkiye. The questionnaire included sections on demographic
characteristics, clinical approaches to obesity, sources of information
about bariatric surgery, referral tendencies, psychiatric contraindications,
and knowledge regarding the postoperative period. Data were collected
through a structured questionnaire created by the researchers and
administered online via Google Forms.
Results: Most participants were able to define obesity (82.8%)
correctly, but a large proportion reported that they do not routinely
record patients’ height and weight in clinical practice (71.3%). It was
reported by 78.7% of the participants that they had conducted at least
one psychiatric evaluation prior to bariatric surgery, and 69.7% stated
that they would refer patients for surgery when appropriate indications
were present. Psychotic disorders, substance use disorders, and eating
disorders were most frequently considered as contraindications, while
anxiety and personality disorders were generally not regarded as
contraindications. The level of knowledge regarding the conditions
that need to be considered after surgery varied, with predominant
lack of knowledge regarding nutritional management. Approximately
one-third of the participants reported that they do not have sufficient
knowledge about obesity treatment.
Conclusion: Although the general attitudes towards bariatric surgery are
positive, there were differences in levels of knowledge and some barriers
affecting referral to surgery were evident. These findings highlight the
need to develop educational programs aimed at enhancing psychiatrists’
knowledge and skills related to bariatric surgery.
Keywords: Attitudes, bariatric surgery, obesity, psychiatrist