Effects of Bariatric Surgery on Depression: Role of Body Image.

Autor: Behrens, Simone C., Lenhard, Konrad, Junne, Florian, Ziser, Katrin, Lange, Jessica, Zipfel, Stephan, Giel, Katrin E., Teufel, Martin, Mack, Isabelle
Předmět:
Zdroj: Obesity Surgery; Apr2021, Vol. 31 Issue 4, p1864-1868, 5p
Abstrakt: 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. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index