ArticleEating and weight disorders : EWD2021
Preoperative body-related emotional distress and culture as predictors of outcomes of bariatric surgery.
Article in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Investigating the effect of psycho-educational intervention on preoperative anxiety in bariatric surgery candidates: a randomized controlled trial.BMC psychology · 2026Trial
- Psychosocial Functionality and Predictors in Bariatric Surgery Candidates.Alpha psychiatry · 2025Article
- Intentions in reconstructive plastic surgery among post-bariatric patients in Brazil's public health service.Acta cirurgica brasileira · 2025Article
- Gender Differences in the Relation Between Suicidal Risk and Body Dissatisfaction Among Bariatric Surgery Patients: A Cross-Lagged Analysis.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Predictive Role of Body Image in Bulimic Behaviors Among Obese Patients Qualified for Bariatric Surgery.Frontiers in psychiatry · 2021Article
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Authors and funding
6 authors.
Funding
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Abstract
purposeFindings concerning the impact of bariatric surgical intervention on both psychological variables and weight loss are often controversial and misconstrued the world over. The aim of this study was to classify bariatric surgery patients according to patterns of preoperative measures that may predict postoperative psychological and physiological outcomes and to compare these patterns between two distinct cultures.
methodsOf 169 consecutive bariatric surgery candidates from Israel and 81 candidates from the United States, 73 and 35 patients, respectively consented to be included in a follow-up phase. Body image dissatisfaction, emotional eating behaviors, risk of suicide, depressive symptoms, anxious symptoms, and percent excess weight loss were measured. K-means clustering procedure was used to classify bariatric surgery patients according to their preoperative body-related emotional distress, which was composed of body image dissatisfaction and emotional eating. The joint effect of culture and body-related emotional distress cluster on psychological distress was tested.
resultsThe cluster analysis revealed two preoperative body-related emotional distress patterns: high body-related emotional distress and low body-related emotional distress. Following surgery, US patients showed a higher risk of suicide and lower excess weight loss than Israeli patients within only the high body-related emotional distress cluster (a significant interaction effect).
conclusionPreoperative assessment of body-related emotional distress patterns among bariatric surgery candidates may enable professionals to identify potential postoperative risks of suicide, anxiety, and decreased weight loss. The relationship between the body-related emotional distress cluster and outcome measures is culture dependent. LEVEL III: Case-control analytic study.
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