Clinical Commentary on Mental Healthcare Utilization in Patients Seeking Bariatric Surgery: The Role of Attachment Behavior

Proper mental health assessment and follow-up monitoring are vital in the management of the bariatric population. This manuscript emphasizes to healthcare providers the role of significant relationships in our patients ' lives. Although attachment theory is generally rooted in child–parent or adult romantic relationships, ¹ attachment behaviors can also surface in the relationships that patients have with their caregivers. It is helpful to identify attachment issues, as these can potentially affect one's psychopathology and impact the coping capacity and compliance of patients.

Past research has shown a relationship between insecure attachment and obesity. ² The morbidly obese likely have diminished confidence and low self-esteem, therefore making them vulnerable to less secure attachment. The authors highlight how a comprehensive psychosocial evaluation, including an assessment of bariatric surgery patients' attachment style, can lead to proper mental healthcare utilization. Maximizing the social support of patients can be expected to enhance further their quality of life.