Psychological Distress Among Bariatric Surgery Candidates: The Roles of Body Image and Emotional Eating
Abstract
The increased risk of psychological distress among bariatric surgery candidates may be attributed, at least in part, to body image dissatisfaction (BID). The aim of the present study was to test the hypotheses that body image could be correlated with the psychological distress variables, and that emotional eating behaviours could mediate the relationship between body image and psychological distress. A sample of consecutive participants seeking bariatric surgery (N = 169, 67% females, mean age, 41.8 years [SD = 11.46], mean body mass index 42.0 kg/m2 [SD = 11.0]) was recruited from a university‐based bariatric centre, a week prior to scheduled surgery. Results showed that BID was positively correlated with suicidality (r = 0.18, P < 0.05), depression (r = 0.39, P < 0.01) and anxiety (r = 0.20, P < 0.05). The relation between BID and depression was partially mediated by emotional eating, whereas the relation between BID and suicidality was fully mediated by emotional eating. Physicians and other health professionals who treat bariatric surgery patients should be encouraged to detect behaviours indicating emotional eating, as these could be an indicator of psychological distress resulting from poor body image.
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Emotion-based eating is associated with emotion dysregulation, poor emotion regulation skills, low distress tolerance, dietary restraint, loss of control of eating, poor awareness of hunger/fullness signals, body image dissatisfaction, internalized shame, and low self-compassion.
“In addition to depression, emotion-based eating is associated with many other factors, including emotion dysregulation, poor emotion regulation skills, low distress tolerance, dietary restraint, loss of control of eating, poor awareness of hunger/fullness signals, body image dissatisfaction, internalized shame, and low self-compassion (24–29).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [26]
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- Authors
- Geller, S., Levy, S., Goldzweig, G., Hamdan, S., Manor, A., Dahan, S., Rothschild, E., Stukalin, Y., & Abu‐Abeid, S.
- Affiliations
- Academic College of Tel Aviv-Yafo (IL)
- Tel Aviv Sourasky Medical Center (IL)
- Corresponding author
- Geller, Shulamit
- Venue
- Clinical Obesity
- Publisher
- Wiley
- Published
- 2019-02
- Volume
- 9
- Issue
- 2
- Pages
- e12298-e12298
- ISSN
- 1758-8103 (ISSN-L)
- 1758-8111
- OpenAlex
- W2912072018
- Cited by
- 45
- References
- 41
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 3 · 2023: 5 · 2022: 7 · 2021: 8 · 2020: 9 · 2019: 1
- FWCI
- 7.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Obesity (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Keywords
- bariatric surgery candidates, psychological distress, body dissatisfaction, emotional eating, depression, anxiety, suicidality, mediation, obesity
- MeSH terms
- Adolescent, Adult, Aged, Anxiety, Body Image, Cross-Sectional Studies, Depression, Emotions, Feeding Behavior, Female, Humans, Israel, Male, Mental Health, Middle Aged, Obesity, Risk Factors, Stress, Psychological, Prevalence, Bariatric Surgery, Young Adult, Suicidal Ideation
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