Body Image and Emotional Eating as Predictors of Psychological Distress Following Bariatric Surgery

Geller, Shulamit; Dahan, Shiran; Levy, Sigal; Goldzweig, Gil; Hamdan, Sami; Abu‐Abeid, Subhi

doi:10.1007/s11695-019-04309-1

Cited by 27 publications

(21 citation statements)

References 42 publications

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“…The present study adds on to recent work [9] suggesting that body image is a key mechanism for bariatric surgery outcomes. So far, a common interpretation of associations between disordered eating, body image, and depression was that obese people have "healthy" body dissatisfaction due to their excess weight that normalizes when they adopt healthy eating habits and normalize their weight.…”

Section: Discussionsupporting

confidence: 57%

“…a Analysis with BIQ-20 NEB as a mediator (n = 52). b Analysis with BIQ-20 PBD as a mediator (n = 49) along with other literature [8,9,20,21] suggests that a subgroup of patients with obesity presents with pathological body image in the sense of body dissatisfaction, overvaluation of weight and shape, and low self-esteem. It is known that these symptoms can even deteriorate after bariatric surgery, since most patients suffer from excess skin [22].…”

Section: Discussionmentioning

confidence: 92%

“…It has been suggested that overall psychosocial functioning improves after bariatric surgery [4,7], yet the likelihood of improvement and its mechanism remain unclear. A relevant mechanism of psychosocial functioning in obesity might be the interactions between disordered eating, depression and body image [4,8,9]. The latter is a fundamental aspect of the self-concept, because it is a constant characteristic and includes meaning of the body for self-esteem.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Bariatric Surgery on Depression: Role of Body Image

Behrens¹,

Lenhard²,

Junne³

et al. 2020

OBES SURG

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Background It has been suggested that psychosocial functioning improves after bariatric surgery, but the mechanism of this effect remains unclear. We propose that body image mediates the association between %EWL and improvement in depressive symptoms. Materials and Methods To investigate this hypothesis, we conducted a mediation analysis in longitudinal data from 52 patients after LSG. Results %EWL had no direct effect on depressive symptoms as assessed through the patient health questionnaire (PHQ-9), but a small indirect effect that was mediated through negative evaluation of the body (BIQ-20). Conclusions We interpret this observation in the context of complex individual etiologies of obesity and argue for a stronger focus on psychological interventions in aftercare regimes. This may be specifically relevant for patients with eating disorders or a desire for body contouring surgery.

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Effects of Bariatric Surgery on Depression: Role of Body Image

Behrens¹,

Lenhard²,

Junne³

et al. 2020

OBES SURG

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“…A significant proportion of patients with obesity surgery (20–30%) experience an unfavorable outcome within the first postoperative years [ 1 ], and successful weight loss is not necessarily a predictor of improvement of the psychosocial outcome [ 2 ]. A potential mechanism could be body image, which not only drives approximately 30% of individuals’ choices about food consumption [ 2 – 4 ] but also includes cognitions and attitudes about the self and how it relates to social standards. In this point of view, patients seeking contouring surgery represent an interesting population due to their exposure to body changes and the needing of specific interventions on body image [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Body Image Disturbances and Weight Bias After Obesity Surgery: Semantic and Visual Evaluation in a Controlled Study, Findings from the BodyTalk Project

et al. 2021

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Purpose Body image has a significant impact on the outcome of obesity surgery. This study aims to perform a semantic evaluation of body shapes in obesity surgery patients and a group of controls. Materials and Methods Thirty-four obesity surgery (OS) subjects, stable after weight loss (average 48.03 ± 18.60 kg), and 35 overweight/obese controls (MC), were enrolled in this study. Body dissatisfaction, self-esteem, and body perception were evaluated with self-reported tests, and semantic evaluation of body shapes was performed with three specific tasks constructed with realistic human body stimuli. Results The OS showed a more positive body image compared to HC (p < 0.001), higher levels of depression (p < 0.019), and lower self-esteem (p < 0.000). OS patients and HC showed no difference in weight bias, but OS used a higher BMI than HC in the visualization of positive adjectives (p = 0.011). Both groups showed a mental underestimation of their body shapes. Conclusion OS patients are more psychologically burdened and have more difficulties in judging their bodies than overweight/obese peers. Their mental body representations seem not to be linked to their own BMI. Our findings provide helpful insight for the design of specific interventions in body image in obese and overweight people, as well as in OS.

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“…The most obvious and studied benefits of BS refer to physical issues, specifically weight loss and improvement of obesity-related physical comorbidities; however, between 10% and 25% of patients who undergo BS show suboptimal weight loss, and it is estimated that they regain approximately 10% of their weight during the first decade after the intervention [ 12 ]. Regarding the psychological benefits of BS, limited and inconclusive results have been found [ 13 ]. Some systematic reviews have reported improvements after BS, especially in depressive symptoms, but also limited only to the first months after the intervention, and they tend to reappear after the first two years [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Clinical Usefulness of the Unified Protocol in Online Group Format for Bariatric Surgery Candidates: Study Protocol for a Multiple Baseline Experimental Design

Quilez-Orden

Ferreres-Galán²,

Osma

2020

IJERPH

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Obesity is currently becoming a serious global public health problem due to its high prevalence and continuous increase. This condition is associated with different physical and mental health problems. The presence of emotional disorders (anxiety, depression and related disorders) among candidates for bariatric surgery is very high and predicts worse physical and psychological results. The present study aims to explore the feasibility and clinical usefulness of the Unified Protocol, a transdiagnostic emotion regulation-based intervention, delivered in an online group format to patients with emotional disorder diagnosis or symptoms, who are waiting for bariatric surgery. We will conduct a pilot study with a repeated single-case experimental design (multiple baseline design) in a public mental health service. The sample will consist of 60 participants, who will be randomized to three baseline conditions: 8, 12 or 15 evaluation days before the intervention. Diagnostic criteria, symptomatology and body mass index are the primary outcome measures, and we will include affectivity, personality, quality of life, body image, eating behavior and surgical complications like secondary measures. An analysis of treatment satisfaction will be also performed. Assessment points will include pre-treatment, baseline, treatment, post-treatment, and follow-ups every three months until two years after post-treatment. The results obtained in this study may have important clinical, social and economic implications for public mental health.

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Body Image and Emotional Eating as Predictors of Psychological Distress Following Bariatric Surgery

Cited by 27 publications

References 42 publications

Effects of Bariatric Surgery on Depression: Role of Body Image

Effects of Bariatric Surgery on Depression: Role of Body Image

Body Image Disturbances and Weight Bias After Obesity Surgery: Semantic and Visual Evaluation in a Controlled Study, Findings from the BodyTalk Project

Feasibility and Clinical Usefulness of the Unified Protocol in Online Group Format for Bariatric Surgery Candidates: Study Protocol for a Multiple Baseline Experimental Design

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