Effects of Bariatric Surgery on Depression: Role of Body Image
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 hypo...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012322/ https://www.ncbi.nlm.nih.gov/pubmed/33089383 http://dx.doi.org/10.1007/s11695-020-05057-3 |
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author | Behrens, Simone C. Lenhard, Konrad Junne, Florian Ziser, Katrin Lange, Jessica Zipfel, Stephan Giel, Katrin E. Teufel, Martin Mack, Isabelle |
author_facet | Behrens, Simone C. Lenhard, Konrad Junne, Florian Ziser, Katrin Lange, Jessica Zipfel, Stephan Giel, Katrin E. Teufel, Martin Mack, Isabelle |
author_sort | Behrens, Simone C. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8012322 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-80123222021-04-16 Effects of Bariatric Surgery on Depression: Role of Body Image Behrens, Simone C. Lenhard, Konrad Junne, Florian Ziser, Katrin Lange, Jessica Zipfel, Stephan Giel, Katrin E. Teufel, Martin Mack, Isabelle Obes Surg Brief Communication 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. Springer US 2020-10-22 2021 /pmc/articles/PMC8012322/ /pubmed/33089383 http://dx.doi.org/10.1007/s11695-020-05057-3 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Brief Communication Behrens, Simone C. Lenhard, Konrad Junne, Florian Ziser, Katrin Lange, Jessica Zipfel, Stephan Giel, Katrin E. Teufel, Martin Mack, Isabelle Effects of Bariatric Surgery on Depression: Role of Body Image |
title | Effects of Bariatric Surgery on Depression: Role of Body Image |
title_full | Effects of Bariatric Surgery on Depression: Role of Body Image |
title_fullStr | Effects of Bariatric Surgery on Depression: Role of Body Image |
title_full_unstemmed | Effects of Bariatric Surgery on Depression: Role of Body Image |
title_short | Effects of Bariatric Surgery on Depression: Role of Body Image |
title_sort | effects of bariatric surgery on depression: role of body image |
topic | Brief Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012322/ https://www.ncbi.nlm.nih.gov/pubmed/33089383 http://dx.doi.org/10.1007/s11695-020-05057-3 |
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