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Body Image and Body Avoidance Nine Years After Bariatric Surgery and Conventional Weight Loss Treatment
Recently, there has been an increasing focus on body image dissatisfaction (BID), both as a motivational factor for seeking bariatric surgery and as a factor influencing weight loss outcome after surgery. Although associations have been reported between BID, emotional distress and successful weight...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971062/ https://www.ncbi.nlm.nih.gov/pubmed/31992997 http://dx.doi.org/10.3389/fpsyt.2019.00945 |
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author | Legenbauer, Tanja Müller, Astrid de Zwaan, Martina Herpertz, Stephan |
author_facet | Legenbauer, Tanja Müller, Astrid de Zwaan, Martina Herpertz, Stephan |
author_sort | Legenbauer, Tanja |
collection | PubMed |
description | Recently, there has been an increasing focus on body image dissatisfaction (BID), both as a motivational factor for seeking bariatric surgery and as a factor influencing weight loss outcome after surgery. Although associations have been reported between BID, emotional distress and successful weight loss, conclusions are limited due to methodological issues such as non-weight-specific assessment tools for body image and neglect of behavioral components (e.g. body avoidance, BA). The present study seeks to report on BID and BA 9 years after bariatric surgery using a cross-sectional data set from the 9-year follow-up assessment of the Essen–Bochum Obesity Treatment Study (EBOTS). In total, N = 291 participants of the original EBOTS sample were included in the present analyses (N = 78 bariatric surgery patients, SURG; N = 124 patients of a conventional treatment program, CONV; and N = 83 individuals with obesity not seeking treatment, OC). Current body image facets (BID and BA) were captured at the 9-year follow-up assessment via silhouette scales adapted for use in samples with obesity. Moreover, BID was assessed retrospectively to obtain baseline attitudes. Possible influences of eating disorder symptoms and depression/anxiety were controlled for and assessed via standardized self-report measures. The results imply an improvement in BID in the SURG group, but not in the CONV and OC groups. The level of BA in relation to clothing was significantly higher in the CONV group compared to both the SURG and OC group. Current BID as well as BA were positively associated with current body weight as well as depression, anxiety, and levels of disinhibited eating. A positive change from baseline to current levels of BID was associated with successful weight loss, independently of treatment. The findings emphasize the role of the different components of body image after surgery for mental health features, and suggest a robust relationship between BID and weight loss (success). Thus, it might be helpful to address BID in treatment. However, further research, particularly in the form of prospective studies, is necessary to determine the direction of influence. |
format | Online Article Text |
id | pubmed-6971062 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-69710622020-01-28 Body Image and Body Avoidance Nine Years After Bariatric Surgery and Conventional Weight Loss Treatment Legenbauer, Tanja Müller, Astrid de Zwaan, Martina Herpertz, Stephan Front Psychiatry Psychiatry Recently, there has been an increasing focus on body image dissatisfaction (BID), both as a motivational factor for seeking bariatric surgery and as a factor influencing weight loss outcome after surgery. Although associations have been reported between BID, emotional distress and successful weight loss, conclusions are limited due to methodological issues such as non-weight-specific assessment tools for body image and neglect of behavioral components (e.g. body avoidance, BA). The present study seeks to report on BID and BA 9 years after bariatric surgery using a cross-sectional data set from the 9-year follow-up assessment of the Essen–Bochum Obesity Treatment Study (EBOTS). In total, N = 291 participants of the original EBOTS sample were included in the present analyses (N = 78 bariatric surgery patients, SURG; N = 124 patients of a conventional treatment program, CONV; and N = 83 individuals with obesity not seeking treatment, OC). Current body image facets (BID and BA) were captured at the 9-year follow-up assessment via silhouette scales adapted for use in samples with obesity. Moreover, BID was assessed retrospectively to obtain baseline attitudes. Possible influences of eating disorder symptoms and depression/anxiety were controlled for and assessed via standardized self-report measures. The results imply an improvement in BID in the SURG group, but not in the CONV and OC groups. The level of BA in relation to clothing was significantly higher in the CONV group compared to both the SURG and OC group. Current BID as well as BA were positively associated with current body weight as well as depression, anxiety, and levels of disinhibited eating. A positive change from baseline to current levels of BID was associated with successful weight loss, independently of treatment. The findings emphasize the role of the different components of body image after surgery for mental health features, and suggest a robust relationship between BID and weight loss (success). Thus, it might be helpful to address BID in treatment. However, further research, particularly in the form of prospective studies, is necessary to determine the direction of influence. Frontiers Media S.A. 2020-01-14 /pmc/articles/PMC6971062/ /pubmed/31992997 http://dx.doi.org/10.3389/fpsyt.2019.00945 Text en Copyright © 2020 Legenbauer, Müller, de Zwaan and Herpertz http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Legenbauer, Tanja Müller, Astrid de Zwaan, Martina Herpertz, Stephan Body Image and Body Avoidance Nine Years After Bariatric Surgery and Conventional Weight Loss Treatment |
title | Body Image and Body Avoidance Nine Years After Bariatric Surgery and Conventional Weight Loss Treatment |
title_full | Body Image and Body Avoidance Nine Years After Bariatric Surgery and Conventional Weight Loss Treatment |
title_fullStr | Body Image and Body Avoidance Nine Years After Bariatric Surgery and Conventional Weight Loss Treatment |
title_full_unstemmed | Body Image and Body Avoidance Nine Years After Bariatric Surgery and Conventional Weight Loss Treatment |
title_short | Body Image and Body Avoidance Nine Years After Bariatric Surgery and Conventional Weight Loss Treatment |
title_sort | body image and body avoidance nine years after bariatric surgery and conventional weight loss treatment |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971062/ https://www.ncbi.nlm.nih.gov/pubmed/31992997 http://dx.doi.org/10.3389/fpsyt.2019.00945 |
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