Abstract
Objective: Considering the effects of self-esteem, eating attitudes and body satisfaction on obesity and bariatric surgery outcomes, psychiatric evaluation is important for the identification and treatment of psychopathology, improvement of self-esteem, eating attitudes and body satisfaction. In this study, it was aimed to determine the relation between eating behaviors, body dissatisfaction, self-esteem and psychological symptoms in patients seeking bariatric surgery. Our second aim was to determine whether depressive symptoms and anxiety had a mediating role in the relationship between body satisfaction and self-esteem and eating attitudes.
Material and Methods: The study included 200 patients. Patients’ data were retrospectively evaluated. Psychometric evaluation performed during the preoperative period included psychiatric examination and administration of the Beck Depression Inventory, Beck Anxiety Inventory, Rosenberg SelfEsteem Scale, Body-Cathexis Scale, and Dutch Eating Behaviors Questionnaire.
Results: There was a positive correlation between self-esteem and body satisfaction and a negative correlation between self-esteem and emotional eating (r= 0.160, p= 0.024; r= -0.261, p< 0.001 respectively). Body satisfaction had an effect on emotional eating mediated by depression and an effect on external and restrictive eating mediated by anxiety. Furthermore, anxiety mediated the relations between self-esteem and external and restrictive eating behaviors.
Conclusion: Our finding indicating that depression and anxiety have mediator effects on the relation between self-esteem, body dissatisfaction, and eating attitudes is significant since screening for these entities and their treatment is relatively more practical in clinical settings.
Publisher
Turkish Journal of Surgery
Subject
General Chemical Engineering
Reference35 articles.
1. Chu DT, Minh Nguyet NT, Nga VT, Thai Lien NV, Vo DD, Lien N, et al. An update on obesity: Mental consequences and psychological interventions. Diabetes Metab Syndr 2019; 13(1): 155-60. https://doi. org/10.1016/j.dsx.2018.07.0152.
2. Ünal Ş, Sevinçer GM, Maner AF. Bariatrik cerrahi sonrasi kilo geri aliminin; gece yeme, duygusal yeme, yeme endişesi, depresyon ve demografik özellikler tarafindan yordanmasi [Prediction of weight regain after bariatric surgery by night eating, emotional eating, eating concerns, depression and demographic characteristics]. Turk Psikiyatri Derg 2019; 30(1): 31-41. Turkish.
3. Sevinçer G, Coskun H, Konuk N, Bozkurt S. Psychiatric and psychosocial aspects of bariatric surgery. Psikiyatride güncel yaklaşimlar-Current approaches in psychiatry 2014; 6(1): 32-44. https://doi.org/10.5455/ cap.20130719123555
4. Wertheim EH, Koerner J, Paxton SJ. Longitudinal predictors of restrictive eating and bulimic tendencies in three different age groups of adolescent girls. J Youth Adolesc 2001; 30(1): 69-81. https://doi. org/10.1023/A:1005224921891
5. Kakoschke N, Kemps E, Tiggemann M. External eating mediates the relationship between impulsivity and unhealthy food intake. Physiol Behav 2015; 147: 117-21. https://doi.org/10.1016/j.physbeh.2015.04.030