Body image and quality of life in patients with and without body contouring surgery following bariatric surgery: a comparison of pre- and post-surgery groups

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Abstract

Background: Massive weight loss (MWL) following bariatric surgery frequently results in an excess of overstretched skin causing physical discomfort and negatively affecting quality of life, self-esteem, body image, and physical functioning.

Methods: In this cross-sectional study 3 groups were compared: (1) patients prior to bariatric surgery ( n = 79), (2) patients after bariatric surgery who had not undergone body contouring surgery (BCS) ( n = 252), and (3) patients after bariatric surgery who underwent subsequent BCS ( n = 62). All participants completed self-report questionnaires assessing body image (Multidimensional Body-Self Relations Questionnaire, MBSRQ), quality of life (IWQOL-Lite), symptoms of depression (PHQ-9), and anxiety (GAD-7).

Results: Overall, 62 patients (19.2%) reported having undergone a total of 90 BCS procedures. The most common were abdominoplasties (88.7%), thigh lifts (24.2%), and breast lifts (16.1%). Post-bariatric surgery patients differed significantly in most variables from pre-bariatric surgery patients. Although there were fewer differences between patients with and without BCS, patients after BCS reported better appearance evaluation (AE), body area satisfaction (BAS), and physical functioning, even after controlling for excess weight loss and time since surgery. No differences were found for symptoms of depression and anxiety, and most other quality of life and body image domains.

Discussion: Our results support the results of longitudinal studies demonstrating significant improvements in different aspects of body image, quality of life, and general psychopathology after bariatric surgery. Also, we found better AE and physical functioning in patients after BCS following bariatric surgery compared to patients with MWL after bariatric surgery who did not undergo BCS. Overall, there appears to be an effect of BCS on certain aspects of body image and quality of life but not on psychological aspects on the whole.

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Most cited references 49

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A brief measure for assessing generalized anxiety disorder: the GAD-7.

Robert L Spitzer, Kurt Kroenke, Janet B W Williams … (2006)

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Robert L Spitzer (1999)

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Author and article information

Contributors

Martina de Zwaan: URI : http://community.frontiersin.org/people/u/96093

Ekaterini Georgiadou: URI : http://community.frontiersin.org/people/u/104819

Christine E. Stroh: URI : http://community.frontiersin.org/people/u/129316

Martin Teufel: URI : http://community.frontiersin.org/people/u/179602

Hinrich Köhler: URI : http://community.frontiersin.org/people/u/104882

Maxi Tengler: URI : http://community.frontiersin.org/people/u/178179

Astrid Müller: URI : http://community.frontiersin.org/people/u/80203

Journal

Journal ID (nlm-ta): Front Psychol

Journal ID (iso-abbrev): Front Psychol

Journal ID (publisher-id): Front. Psychol.

Title: Frontiers in Psychology

Publisher: Frontiers Media S.A.

ISSN (Electronic): 1664-1078

Publication date (Electronic): 18 November 2014

Publication date Collection: 2014

Volume: 5

Electronic Location Identifier: 1310

Affiliations

[1] ¹Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School Hannover, Germany

[2] ²Department of General, Abdominal and Pediatric Surgery, SRH Wald-Klinikum Gera Gera, Germany

[3] ³Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital, University of Tuebingen Tuebingen, Germany

[4] ⁴Department of Surgery, Herzogin Elisabeth Hospital Braunschweig, Germany

Author notes

Edited by: Kelly Costello Allison, Perelman School of Medicine at the University of Pennsylvania, USA

Reviewed by: Megan E. Lavery, Cleveland Clinic, USA; David Sarwer, Perelman School of Medicine at the University of Pennsylvania, USA

*Correspondence: Astrid Müller, Department of Psychosomatic Medicine and Psychotherapy, Hannover Medical School, Carl-Neuberg-Straße 1, Hannover 30625, Germany e-mail: mueller.astrid@ 123456mh-hannover.de

This article was submitted to Eating Behavior, a section of the journal Frontiers in Psychology.

Article

DOI: 10.3389/fpsyg.2014.01310

PMC ID: 4235262

PubMed ID: 25477839

SO-VID: 2070b2d2-1a97-4b9b-9197-2983b9f6773d

License:

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) or licensor 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.

History

Date received : 15 August 2014

Date accepted : 28 October 2014

Page count

Figures: 1, Tables: 3, Equations: 0, References: 50, Pages: 10, Words: 8561

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