Self-care model and body image in adults after a bariatric surgery

Abstract

Objective: the aim of the present article was to test a self-care model explained by the relationship between self-efficacy, body image, obsessive-compulsive disorder, and depression in people with bariatric surgery in the city of Tijuana, Baja California, Mexico. Method: this was a correlational cross-sectional study carried out between August and December 2020. Validated instruments were administered to 102 participants to measure their self-care capacity, general self-efficacy, psychopathological symptoms, and body image perception and satisfaction. The variables of interest were analyzed using descriptive statistics and the Pearson and Spearman correlation coefficients were used to develop a model using path analysis. Result: a significant model was obtained with adequate goodness-of-fit indicators (chi-square χ2 (8) = 11.451, p = .177; root mean square error of approximation (RMSEA)= 0.000; goodness-of-fit index (GFI)= 0.965; comparative fit index (CFI)= 0.985; parsimonious normed fit index (PNFI)= 0.509, and Akaike information criterion (AIC)= 37.451). Self-efficacy (Zβ=0.294) and body image dissatisfaction (So= -0.376) were shown to influence self-care abilities while psychopathological symptoms influenced body dissatisfaction: obsessive-compulsive disorder (Zβ=0.370) and depression (Zβ=0.320). Conclusion: adequate levels of self-efficacy and body satisfaction predict a high capacity for self-care.

Modelo de bienestar en salud, insatisfacción y estrés laboral en enfermería ante el COVID-19

“…Furthermore, the accelerated weight loss that these persons experience require the patient to be able to cope and adapt quickly to their new body image, without having time to reconstruct the representation of their own body (Cruzat-Mandich et al, 2019). This leads to changes in the way they relate to their environment, it has been noted that, in the early postoperative stages, patients show problems in the organization of their body image causing distress or psychological discomfort such as depression due to the constant desire to achieve an unrealistic ideal figure (Gisela Pineda-García et al, 2022).…”