Evidence map›Paper›PMID 25477839›Full record

ArticleFrontiers in psychology2014

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.

Martina de Zwaan, Ekaterini Georgiadou, Christine E Stroh, Martin Teufel, Hinrich Köhler, Maxi Tengler, Astrid Müller

Open access · goldAbstract read
In one paragraph

Article in Frontiers in psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 6 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 6 syntheses or guidelines pooled it, 122 citations in OpenAlex.

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  4. The complexity of body image following bariatric surgery: a systematic review of the literature.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Martina de ZwaanDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School Hannover, Germany.
Ekaterini GeorgiadouDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School Hannover, Germany.
Christine E StrohDepartment of General, Abdominal and Pediatric Surgery, SRH Wald-Klinikum Gera Gera, Germany.
Martin TeufelDepartment of Psychosomatic Medicine and Psychotherapy, Medical University Hospital, University of Tuebingen Tuebingen, Germany.
Hinrich KöhlerDepartment of Surgery, Herzogin Elisabeth Hospital Braunschweig, Germany.
Maxi TenglerDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School Hannover, Germany.
Astrid MüllerDepartment of Psychosomatic Medicine and Psychotherapy, Hannover Medical School Hannover, Germany.
SRH Wald-Klinikum Gera · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMassive 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.

methodsIn 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).

resultsOverall, 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.

Indexed as

anxietybariatric surgerybody contouring surgerybody image quality of lifedepression

Identifiers

PMID25477839
PMCPMC4235262
OpenAlexW2093333209

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.