Caltabiano, Marie (2021) Translational implications of research on bariatric patients. In: [Presented as part of the APS Professional Development Webinar Series]. From: Australian Psychological Society, College of Health Psychologists Invited Webinar, 3 June 2021, Online.

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Abstract

Bariatric surgery research has focused predominantly on weight loss outcomes and complications of surgery in relation to the type of surgical procedure. The psychological impact of having bariatric surgery has received less attention. Study 1 investigated whether patients who receive psychological counselling have better physical and mental well-being post-bariatric surgery. Eighty-eight persons (81 female, 7 male, M age 43.99 years) who had undergone weight loss surgery were recruited from bariatric surgery and obesity online support groups to answer an electronic survey which included the Health Survey Short Form (SF-12) to assess mental and physical well-being. Patients who attended between one and four psychological counselling sessions had significantly higher mental well-being.

The aim of Study 2 was to examine the associations between personality, weight loss and obesity-related well-being post-bariatric surgery. It was hypothesized that persons who had undergone bariatric surgery who exhibit Extraversion, Conscientiousness, Agreeableness and Intellect/Imagination will have greater obesity related well-being, whereas those low on Emotional stability will have poorer obesity well-being. The cross-sectional sample comprised 127 females who had received bariatric surgery. The average age of participants was 45 years. Quality of life was measured using the Obesity Related Well-Being scale (ORWELL 97). Personality was assessed with the International Personality Item Pool (IPIP) 50-item measure of the Five-Factor Model. Hierarchical regression analyses found that Emotional stability (Beta=-.43, -.47, -.36) and Agreeableness (Beta=.27, .29, .25) predicted overall well-being, symptom occurrence and subjective relevance of distress respectively. BMI predicted occurrence of symptoms (Beta=.23).

The aim of the Study 3 was to examine obesity health-related quality of life and body image satisfaction in a group of individuals having undergone bariatric surgery. One hundred and forty-two persons who had undergone bariatric surgery answered an online survey which included measures of well-being and body image. The Multidimensional Body Self-Relations Questionnaire-Appearance Scales (MBSRQ-AS 34) was used to assess body image in relation to appearance evaluation (AE), appearance orientation (AO), overweight preoccupation (OP), self-classified weight (SCW), and body areas satisfaction (BASS). Obesity-related quality of life was assessed with the obesity related well-being scale (Orwell 97). Hierarchical multiple regression indicated that 50.2% of the variance in well-being post-surgery was explained by body image variables F(6,84)=18.54, p<.01), with the strongest predictor being satisfaction with body areas (B=-.360, p<.01). Regression analysis of the data for the group of patients who had received the vertical sleeve surgery was also significant, F(6,56)=10.16, p<.001) with satisfaction with different body areas being the best predictor of well-being (B=-.365, p<.05), followed by overweight preoccupation (B=.313, p<.05) and self-classified weight (B=.281, p<.05). Body image concerns are more important predictors for well-being post bariatric surgery than weight lost. Psychological factors such as the perception of body areas, continued weight preoccupation and SCW rather an objective weight were better predictors of well-being, symptoms that impacted on well-being and on the subjective relevance of the symptoms to well-being.

Item ID:	68615
Item Type:	Conference Item (Presentation)
Keywords:	translational research, bariatric patients, personality, body image, counselling
Related URLs:	https://psychology.org.au/training-and-c...
Date Deposited:	18 Jun 2024 02:50
FoR Codes:	52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology @ 100%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200199 Clinical health not elsewhere classified @ 100%
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