TY - JOUR
T1 - Psychological functioning and well-being before and after bariatric surgery; what is the benefit of being self-compassionate?
AU - Pyykkö, Johanna Eveliina
AU - Aydin, Ömrüm
AU - Gerdes, Victor E. A.
AU - Acherman, Yaïr I. Z.
AU - Groen, Albert K.
AU - van de Laar, Arnold W.
AU - Nieuwdorp, Max
AU - Sanderman, Robbert
AU - Hagedoorn, Mariët
N1 - Funding Information: The BARIA study is funded by the Novo Nordiskundation (NNF15OC0016798). Funding Information: The BARIA study is funded by the Novo Nordiskundation (NNF15OC0016798). The first author wishes to express her gratitude to her colleagues and the whole BARIA research team for help with data collection, discussions, and support. The authors thank all the patients for providing their invaluable information for the study. The BARIA study is a collaboration between research groups from the University of Copenhagen the University of Gothenburg, Chalmers University of Technology, the University of Groningen, the University of Amsterdam, and the Spaarne Gasthuis. Publisher Copyright: © 2021 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society
PY - 2022/2
Y1 - 2022/2
N2 - Objective: To investigate whether patients’ psychological well-being (depression, quality of life, body image satisfaction) and functioning (self-efficacy for eating and exercising behaviours and food cravings) improve 12 months after bariatric surgery and whether self-compassion is associated with better psychological outcomes and lower weight after bariatric surgery. Design: Longitudinal, prospective observational study. Methods: Bariatric patients (n = 126, 77.8% female, 46.4 ± 10.8 years) completed the Self-compassion Scale, Center for Epidemiology Studies Depression Scale, Impact of Weight on Quality-of-Life questionnaire, Body Image Scale, Weight Efficacy Lifestyle Questionnaire, Spinal Cord Injury Exercise Self-Efficacy Scale, and G-Food Craving Questionnaire pre-operatively and 12 months post-operatively. A medical professional measured patients’ weight during each assessment. Data were analysed using repeated measures t-tests and multivariate regression analyses with Benjamini–Hochberg correction for multiple testing. Results: Patients’ BMI, depression, and food cravings decreased significantly after surgery while quality of life, body image satisfaction, and self-efficacy to exercise improved. Higher self-compassion was associated with lower post-operative depression, greater quality of life, higher body image satisfaction, and better self-efficacy for eating behaviours (p-values <.05) but not with post-operative BMI, self-efficacy to exercise, or food cravings. Conclusions: Even though pre-operative self-compassion was not directly associated with a lower 12-month post-operative BMI, it had a positive relationship with patients’ post-operative well-being and self-efficacy for controlling eating behaviour. In turn, this could help patients to manage their health long after bariatric surgery. Further work regarding the role of self-compassion on long-term health outcomes would be worthwhile.
AB - Objective: To investigate whether patients’ psychological well-being (depression, quality of life, body image satisfaction) and functioning (self-efficacy for eating and exercising behaviours and food cravings) improve 12 months after bariatric surgery and whether self-compassion is associated with better psychological outcomes and lower weight after bariatric surgery. Design: Longitudinal, prospective observational study. Methods: Bariatric patients (n = 126, 77.8% female, 46.4 ± 10.8 years) completed the Self-compassion Scale, Center for Epidemiology Studies Depression Scale, Impact of Weight on Quality-of-Life questionnaire, Body Image Scale, Weight Efficacy Lifestyle Questionnaire, Spinal Cord Injury Exercise Self-Efficacy Scale, and G-Food Craving Questionnaire pre-operatively and 12 months post-operatively. A medical professional measured patients’ weight during each assessment. Data were analysed using repeated measures t-tests and multivariate regression analyses with Benjamini–Hochberg correction for multiple testing. Results: Patients’ BMI, depression, and food cravings decreased significantly after surgery while quality of life, body image satisfaction, and self-efficacy to exercise improved. Higher self-compassion was associated with lower post-operative depression, greater quality of life, higher body image satisfaction, and better self-efficacy for eating behaviours (p-values <.05) but not with post-operative BMI, self-efficacy to exercise, or food cravings. Conclusions: Even though pre-operative self-compassion was not directly associated with a lower 12-month post-operative BMI, it had a positive relationship with patients’ post-operative well-being and self-efficacy for controlling eating behaviour. In turn, this could help patients to manage their health long after bariatric surgery. Further work regarding the role of self-compassion on long-term health outcomes would be worthwhile.
KW - bariatric surgery
KW - obesity
KW - psychology
KW - self-compassion
KW - weight loss
UR - http://www.scopus.com/inward/record.url?scp=85105612272&partnerID=8YFLogxK
U2 - https://doi.org/10.1111/bjhp.12532
DO - https://doi.org/10.1111/bjhp.12532
M3 - Article
C2 - 33982392
SN - 1359-107X
VL - 27
SP - 96
EP - 115
JO - British Journal of Health Psychology
JF - British Journal of Health Psychology
IS - 1
ER -