Effects of Bariatric Surgery on Depression: Role of Body Image

被引：15

作者：

Behrens, Simone C. ^{[1
]}

Lenhard, Konrad ^{[1
]}

Junne, Florian ^{[1
]}

Ziser, Katrin ^{[1
]}

Lange, Jessica ^{[2
]}

Zipfel, Stephan ^{[1
]}

Giel, Katrin E. ^{[1
]}

Teufel, Martin ^{[3
]}

Mack, Isabelle ^{[1
]}

机构：

[1] Med Univ Hosp Tubingen, Dept Psychosomat Med & Psychotherapy, Tubingen, Germany

[2] Med Univ Hosp Tubingen, Dept Gen Visceral & Transplantat Surg, Tubingen, Germany

[3] Univ Duisburg Essen, LVR Univ Hosp, Dept Psychosomat Med & Psychotherapy, Essen, Germany

来源：

OBESITY SURGERY | 2021年 / 31卷 / 04期

关键词：

Body image; Depression; Obesity; Bariatric surgery; QUALITY-OF-LIFE; WEIGHT-LOSS; OBESITY; PREDICTORS; PSYCHOTHERAPY; DISORDERS; BEHAVIOR; HEALTH;

D O I：

10.1007/s11695-020-05057-3

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：1864 / 1868

页数：5

共 27 条

[1]

Bahrami S, 2020, JAMA PSYCHIAT

[2]

Clement U, 1996, PSYCHOTHER PSYCH MED, V46, P254

[3]

Clement U., 1996, Body image questionnaire manual

[4] Patient motivations and expectations prior to bariatric surgery: A qualitative systematic review [J].

Cohn, Ilana ;

Raman, Jayanthi ;

Sui, Zhixian .

OBESITY REVIEWS, 2019, 20 (11) :1608-1618

[5] Cognitive behaviour therapy for eating disorders: a "transdiagnostic" theory and treatment [J].

Fairburn, CG ;

Cooper, Z ;

Shafran, R .

BEHAVIOUR RESEARCH AND THERAPY, 2003, 41 (05) :509-528

[6] Body Image and Emotional Eating as Predictors of Psychological Distress Following Bariatric Surgery [J].

Geller, Shulamit ;

Dahan, Shiran ;

Levy, Sigal ;

Goldzweig, Gil ;

Hamdan, Sami ;

Abu-Abeid, Subhi .

OBESITY SURGERY, 2020, 30 (04) :1417-1423

[7]

Hayes A. F., 2017, INTRO MEDIATION MODE, DOI DOI 10.1111/JEDM.12050

[8] The complexity of body image following bariatric surgery: a systematic review of the literature [J].

Ivezaj, V. ;

Grilo, C. M. .

OBESITY REVIEWS, 2018, 19 (08) :1116-1140

[9] The importance of body image disturbances for the outcome of outpatient psychotherapy in patients with anorexia nervosa: Results of the ANTOP-study [J].

Junne, Florian ;

Wild, Beate ;

Resmark, Gaby ;

Giel, Katrin E. ;

Teufel, Martin ;

Martus, Peter ;

Ziser, Katrin ;

Friederich, Hans-Christoph ;

de Zwaan, Martina ;

Loewe, Bernd ;

Dinkel, Andreas ;

Herpertz, Stephan ;

Burgmer, Markus ;

Tagay, Sefik ;

Rothermund, Eva ;

Zeeck, Almut ;

Herzog, Wolfgang ;

Zipfel, Stephan .

EUROPEAN EATING DISORDERS REVIEW, 2019, 27 (01) :49-58

[10] The Relationship of Body Image With Symptoms of Depression and Anxiety in Patients With Anorexia Nervosa During Outpatient Psychotherapy: Results of the ANTOP Study [J].