ObesityBARI-SCLNCT07780058
Longitudinal Study of the Psychological Impact of Bariatric Surgery
An observational study of Obesity, run by University of Alicante at 2 sites in Spain.
Trial summary
This prospective observational study evaluates the effect of bariatric surgery on mental health and hair cortisol in patients with morbid obesity over a 3-year follow-up. Assessments will be performed before surgery and at 1 month, 1 year, 2 years, and 3 years to analyze psychological changes, weight changes, and the… Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Obesity
- How many people
- 70 participants
- Where
- 2 sitesSpain
- Study dates
- 2 Sep 2025to 28 Oct 2028
- How long will I take part?
- 3 Years
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Patients with morbid obesity who are candidates for bariatric surgery and will be treated and followed at the participating hospital/center.
Who may be able to join
- Men and women aged 18 to 70 years who are candidates for gastric bypass, sleeve gastrectomy, or single-anastomosis duodeno-ileal bypass (SADI-S), with a body mass index of at least 40 kg/m² or at least 35 kg/m² with comorbidities, and who are able to provide informed consent.
Who cannot join
- Patients with previous bariatric surgery and pregnant women during follow-up will be excluded.
Trial locations and contacts
2 sites in 1 country. Contact the study team or a site near you to ask about taking part.
Spain2 sites, 2 recruiting
- Recruiting
Hospital Universitario Virgen de los Lirios
Alcoy, Alicante, 03804
Cristian Marco, endocrino, +34 965 53 74 00, marco_criala@gva.es
Nieves Pérez, cirugía, +34 965 53 74 00, perez_nie@gva.es
- Recruiting
Hospital General Universitario Dr. Balmis
Alicante, Alicante, 03010
Rahma Amrani, nutrición, +34965 93 30 00, raramma@gmail.com
Ángel L Abad, endocrino, +34965 93 30 00, angeluis1024@gmail.com
About this study
Official title: Psychological Impact of Bariatric Surgery in Patients With Morbid Obesity: a Longitudinal Study Protocol
This prospective observational study evaluates the effect of bariatric surgery on mental health and hair cortisol in patients with morbid obesity over a 3-year follow-up. Assessments will be performed before surgery and at 1 month, 1 year, 2 years, and 3 years to analyze psychological changes, weight changes, and the need for psychological support.
Read the detailed description
Objective: To evaluate the impact of bariatric surgery on mental health and hair cortisol concentrations in patients with morbid obesity over a 3-year follow-up.
Methods: This is a prospective observational study in candidates for bariatric surgery. Assessments will include sociodemographic data, anthropometric measures, clinical, nutritional and lifestyle variables, hair cortisol concentrations, and psychological variables, including psychopathological symptoms, stress levels, impulsivity, emotional eating, and health-related quality of life. Evaluations will be performed at five time points: preoperative (T0), 1 month (T1), 1 year (T2), 2 years (T3), and 3 years (T4). The study will describe psychological and weight changes after surgery and identify possible needs for psychological support before surgery and during mid- and long-term follow-up.
- Conditions
- Obesity
- Keywords
- psychological well-being, bariatric surgery, hair cortisol, morbid obesity, follow-up
- Medical subject headings
- Obesity, Psychological Well-Being, Obesity, Morbid
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Bariatric Surgery Group | Patients with severe obesity who are candidates for bariatric surgery. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Global Severity Index (GSI) score of the Symptom Checklist-90-Revised (SCL-90-R)
Change in overall psychological distress assessed using the Global Severity Index (GSI) of the Symptom Checklist-90-Revised (SCL-90-R).
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Secondary outcomes (11)
Perceived Stress Scale (PSS-14) score
Change in perceived stress assessed using the 14-item Perceived Stress Scale (PSS-14). Outcome measure: total PSS-14 score.
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
UPPS-P Short Version score
Change in impulsivity assessed using the 20-item UPPS-P Short Version questionnaire. Outcome measure: total UPPS-P score and subscale scores.
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Hair cortisol concentration
Change in hair cortisol concentration measured in hair samples, expressed as pg/mg of hair.
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Moorehead-Ardelt Quality of Life Questionnaire II score
Change in health-related quality of life assessed using the Moorehead-Ardelt Quality of Life Questionnaire II. Outcome measure: total questionnaire score.
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Eating Disorder Examination Questionnaire (EDE-Q) score
Change in eating disorder symptoms assessed using the Eating Disorder Examination Questionnaire (EDE-Q). Outcome measure: total EDE-Q score.
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Emotional Eating Questionnaire (EEQ) score
Change in emotional eating assessed using the Emotional Eating Questionnaire (EEQ). Outcome measure: total EEQ score.
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Body weight
Change in body weight measured in kilograms (kg).
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery
Body Mass Index (BMI)
Change in body mass index calculated as weight divided by height squared, expressed in kg/m².
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Mediterranean Diet Adherence Screener (MEDAS) score
Change in adherence to the Mediterranean diet assessed using the 14-item Mediterranean Diet Adherence Screener (MEDAS). Outcome measure: total MEDAS score (0-14).
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Sleep quality
Change in self-reported sleep quality assessed using the study-specific questionnaire. Outcome measure: sleep quality score.
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Physical activity
Change in self-reported physical activity assessed using the study-specific questionnaire.
Measured: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Aug 2026
- Study start2 Sep 2025
- Primary completion28 Sep 2028 (estimated)
- Study completion28 Oct 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for ObesityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 70 participants (estimated)
- Target duration
- 3 Years
Sponsor and investigators
- Lead sponsor
- University of Alicante
- Sponsor type
- University, hospital or other
- Collaborators
- Instituto de Investigación Sanitaria y Biomédica de Alicante, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
- Responsible party
- Sponsor
- Investigators
- Cristian Marco, MD, PhD, Study director, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat ValencianaRahma Amrani, MSc, Study chair, Instituto de Investigación Sanitaria y Biomédica de AlicanteNieves Pérez, MD, Study chair, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat ValencianaTrinidad M Castillo, MSc, Study chair, Instituto de Investigación Sanitaria y Biomédica de AlicanteÁngel L Abad, MD, Study chair, Instituto de Investigación Sanitaria y Biomédica de AlicanteMyriam Sánchez, MD, Study chair, Instituto de Investigación Sanitaria y Biomédica de AlicanteDolores M Fernández, PhD, Study chair, Instituto de Investigación Sanitaria y Biomédica de Alicante
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07780058
- Sponsor's protocol ID
- B/2025/15
- Other IDs
- B/2025/15
- Acronym
- BARI-SCL
- Status last verified
- Aug 2026
- First submitted
- 6 Aug 2026
- Last updated
- 21 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual patient data will not be shared with other researchers. The data will be used solely for the purposes of this study and will be presented in aggregate form, ensuring confidentiality and protecting participants' identities.
Publications
Sarwer DB, Wadden TA, Ashare R, Spitzer JC, McCuen-Wurst C, LaGrotte C, Williams N, Soans R, Tewksbury C, Wu J, Tajeu G, Allison KC. Psychopathology, disordered eating, and impulsivity as predictors of weight loss 24 months after metabolic and bariatric surgery. Surg Obes Relat Dis. 2024 Jul;20(7):634-642. doi: 10.1016/j.soard.2024.01.019. Epub 2024 Feb 7.
PubMed 38480031van Reekum EA, Darcy M, Drage J, Xu J, Ng K, Forestell B, Santesso N, Joundi RA, Wong J, Doumouras A, Taylor VH, Yusuf S, Van Lieshout R. Psychiatric and Cognitive Functioning After Metabolic and Bariatric Surgery: A Systematic Review and Meta-Analysis. Obes Rev. 2025 Nov;26(11):e13968. doi: 10.1111/obr.13968. Epub 2025 Jun 22.
PubMed 40545266Martinez Gonzalez A, Gonzalez Nunes M, Pena Pineiro N, Argibay Ulloa M, Fraile Amador FJ, Llopiz Castedo J, Jaimes Jaimes SM, Rodriguez Pulian J, Rodriguez Castineira TC, Silva Sousa JI, Sieiro Pena CE, Gonzalez Valladares MG. [Long-term effectiveness of bariatric surgery: weight and metabolic outcomes after 10 years of follow-up]. Nutr Hosp. 2025 Sep 4;42(4):686-694. doi: 10.20960/nh.05876. Spanish.
PubMed 40576229Budin AJ, Brown WA, MacCormick AD, Caterson I, Sumithran P. Depressive symptoms at short-, medium-, and long-term follow-up after bariatric surgical procedures: A systematic review and meta-analysis. Obes Rev. 2025 Aug;26(8):e13927. doi: 10.1111/obr.13927. Epub 2025 Apr 13.
PubMed 40222815
Study at a glance
From the registry record, last updated by the sponsor on 21 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Psychological Impact of Bariatric Surgery in Patients With Morbid Obesity: a Longitudinal Study Protocol
- ClinicalTrials.gov ID
- NCT07780058
- Acronym / sponsor ID
- BARI-SCL / B/2025/15
- Conditions
- Obesity
- Keywords
- psychological well-being, bariatric surgery, hair cortisol, morbid obesity, follow-up
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- University of AlicanteUniversity, hospital or other
- Collaborators
- Instituto de Investigación Sanitaria y Biomédica de Alicante, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
- Study start
- 2 Sep 2025 (actual)
- Primary completion
- 28 Sep 2028 (estimated)
- Study completion
- 28 Oct 2028 (estimated)
- First posted
- 21 Aug 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This prospective observational study evaluates the effect of bariatric surgery on mental health and hair cortisol in patients with morbid obesity over a 3-year follow-up. Assessments will be performed before surgery and at 1 month, 1 year, 2 years, and 3 years to analyze psychological changes, weight changes, and the need for psychological support.
Detailed description
Objective: To evaluate the impact of bariatric surgery on mental health and hair cortisol concentrations in patients with morbid obesity over a 3-year follow-up.
Methods: This is a prospective observational study in candidates for bariatric surgery. Assessments will include sociodemographic data, anthropometric measures, clinical, nutritional and lifestyle variables, hair cortisol concentrations, and psychological variables, including psychopathological symptoms, stress levels, impulsivity, emotional eating, and health-related quality of life. Evaluations will be performed at five time points: preoperative (T0), 1 month (T1), 1 year (T2), 2 years (T3), and 3 years (T4). The study will describe psychological and weight changes after surgery and identify possible needs for psychological support before surgery and during mid- and long-term follow-up.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Target follow-up
- 3 Years
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Bariatric Surgery Group | – | –Patients with severe obesity who are candidates for bariatric surgery. |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Patients with morbid obesity who are candidates for bariatric surgery and will be treated and followed at the participating hospital/center.
Key inclusion criteria (1 listed)
- Men and women aged 18 to 70 years who are candidates for gastric bypass, sleeve gastrectomy, or single-anastomosis duodeno-ileal bypass (SADI-S), with a body mass index of at least 40 kg/m² or at least 35 kg/m² with comorbidities, and who are able to provide informed consent.
Key exclusion criteria (1 listed)
- Patients with previous bariatric surgery and pregnant women during follow-up will be excluded.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Global Severity Index (GSI) score of the Symptom Checklist-90-Revised (SCL-90-R)
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Change in overall psychological distress assessed using the Global Severity Index (GSI) of the Symptom Checklist-90-Revised (SCL-90-R).
11 secondary outcomes
Perceived Stress Scale (PSS-14) score
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
UPPS-P Short Version score
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Hair cortisol concentration
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Moorehead-Ardelt Quality of Life Questionnaire II score
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Eating Disorder Examination Questionnaire (EDE-Q) score
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Emotional Eating Questionnaire (EEQ) score
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Body weight
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery
Body Mass Index (BMI)
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Mediterranean Diet Adherence Screener (MEDAS) score
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Sleep quality
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Physical activity
Time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Aug 2026.
- Background: PubMed 38480031Sarwer DB, Wadden TA, Ashare R, Spitzer JC, McCuen-Wurst C, LaGrotte C, Williams N, Soans R, Tewksbury C, Wu J, Tajeu G, Allison KC. Psychopathology, disordered eating, and impulsivity as predictors of weight loss 24 months after metabolic and bariatric surgery. Surg Obes Relat Dis. 2024 Jul;20(7):634-642. doi: 10.1016/j.soard.2024.01.019. Epub 2024 Feb 7.
- Background: PubMed 40545266van Reekum EA, Darcy M, Drage J, Xu J, Ng K, Forestell B, Santesso N, Joundi RA, Wong J, Doumouras A, Taylor VH, Yusuf S, Van Lieshout R. Psychiatric and Cognitive Functioning After Metabolic and Bariatric Surgery: A Systematic Review and Meta-Analysis. Obes Rev. 2025 Nov;26(11):e13968. doi: 10.1111/obr.13968. Epub 2025 Jun 22.
- Background: PubMed 40576229Martinez Gonzalez A, Gonzalez Nunes M, Pena Pineiro N, Argibay Ulloa M, Fraile Amador FJ, Llopiz Castedo J, Jaimes Jaimes SM, Rodriguez Pulian J, Rodriguez Castineira TC, Silva Sousa JI, Sieiro Pena CE, Gonzalez Valladares MG. [Long-term effectiveness of bariatric surgery: weight and metabolic outcomes after 10 years of follow-up]. Nutr Hosp. 2025 Sep 4;42(4):686-694. doi: 10.20960/nh.05876. Spanish.
- Background: PubMed 40222815Budin AJ, Brown WA, MacCormick AD, Caterson I, Sumithran P. Depressive symptoms at short-, medium-, and long-term follow-up after bariatric surgical procedures: A systematic review and meta-analysis. Obes Rev. 2025 Aug;26(8):e13927. doi: 10.1111/obr.13927. Epub 2025 Apr 13.
- Individual participant dataSharing planned: No. Individual patient data will not be shared with other researchers. The data will be used solely for the purposes of this study and will be presented in aggregate form, ensuring confidentiality and protecting participants' identities.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Cristian Marco, MD, PhD study director
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
Rahma Amrani, MSc study chair
Instituto de Investigación Sanitaria y Biomédica de Alicante
Nieves Pérez, MD study chair
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Obesity, run by University of Alicante at 2 sites in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 21 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Lorena Andreu Lucena, MSc (+34667508676, lorenapsicologiabariatrica@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Global Severity Index (GSI) score of the Symptom Checklist-90-Revised (SCL-90-R) (time frame: Baseline (3 months before surgery), 1 month, 1 year, 2 years, and 3 years after bariatric surgery.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07780058, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Aug 2026.