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- Title
Effects of Bariatric Surgery on Depression: Role of Body Image.
- Authors
Behrens, Simone C.; Lenhard, Konrad; Junne, Florian; Ziser, Katrin; Lange, Jessica; Zipfel, Stephan; Giel, Katrin E.; Teufel, Martin; Mack, Isabelle
- Abstract
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.
- Subjects
BODY image; BARIATRIC surgery; PSYCHOTHERAPY; EATING disorders; MENTAL depression; GASTRIC banding
- Publication
Obesity Surgery, 2021, Vol 31, Issue 4, p1864
- ISSN
0960-8923
- Publication type
Article
- DOI
10.1007/s11695-020-05057-3