Evidence map›Paper›PMID 35811291›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2022

Weight stigma and posttraumatic stress disorder symptoms in individuals seeking bariatric surgery.

Tosca D Braun, Rebecca M Puhl, Diane M Quinn, Amy Gorin, Darren Tishler, Pavlos Papasavas

Open access · greenAbstract read
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. How Do Trauma- and Violence-Informed Care Approaches Underpin Bariatric Surgery Interventions for Type 2 Diabetes Mellitus Remission? A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
  2. Review
  3. Review
  4. Article
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

6 authors at 3 institutions in 1 country.

Tosca D BraunDepartment of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island; Centers of Preventive Medicine, The Miriam Hospital, Providence, Rhode Island; Butler Hospital, Providence, Rhode Island. Electronic address: tosca_braun@brown.edu.
Rebecca M PuhlDepartment of Human Development & Family Sciences, Rudd Center for Food Policy & Obesity, University of Connecticut, Storrs, Connecticut.
Diane M QuinnDepartment of Psychological Sciences, Institute for Collaboration on Health, Intervention, & Policy, University of Connecticut, Storrs, Connecticut.
Amy GorinDepartment of Psychological Sciences, Institute for Collaboration on Health, Intervention, & Policy, University of Connecticut, Storrs, Connecticut.
Darren TishlerSurgical Weight Loss Center, Hartford Healthcare, Hartford, Connecticut.
Pavlos PapasavasSurgical Weight Loss Center, Hartford Healthcare, Hartford, Connecticut.
University of Connecticut · USHartford Hospital · USProvidence College · US

Funding

Training in Behavioral & Preventive MedicineT32HL076134 · NHLBI · MIRIAM HOSPITAL · PI John Graham Thomas · 2006 to 2026
$5.7M
Integrative Yoga and Mindful Self-Compassion to Reduce Distress in Women Survivors of Interpersonal ViolenceK23AT011917 · NCCIH · BUTLER HOSPITAL (PROVIDENCE, RI) · PI BRAUN, TOSCA · 2022 to 2025
$884k
Optimization and multi-site feasibility of yoga for chronic pain in people in treatment for opioid use disorderU01AT010863 · NCCIH · BUTLER HOSPITAL (PROVIDENCE, RI) · PI STEIN, MICHAEL D, UEBELACKER, LISA A · 2020 to 2020
$811k
NCCIH NIH HHS K23 AT011917NCCIH NIH HHS L30 AT011637NCCIH NIH HHS U01 AT010863NHLBI NIH HHS T32 HL076134
6 · The paper itself

Abstract

backgroundAfter bariatric surgery, some patients experience adverse psychiatric outcomes, including substance use, suicidality, and self-harm. These factors are commonly associated with posttraumatic stress disorder (PTSD) and related symptoms (PTSD-S) that develop following adverse childhood experiences (ACEs) and traumatic events. However, emerging evidence suggests that chronic discrimination also may contribute to PTSD-S. Weight-based discrimination is salient for people with obesity but has received little attention in relation to PTSD-S.

objectiveOur study examined factors that may contribute to the link between experienced weight stigma (WS), which is common in individuals seeking bariatric surgery, and PTSD-S.

settingTeaching hospital and surgical weight loss center in the United States.

methodsA total of 217 participants completed self-report surveys of experienced and internalized WS, ACEs, and PTSD-S. Demographics and trauma history were obtained from patient medical records. A stepwise multiple regression examined associations between experienced WS and internalized WS with PTSD-S, co-varying demographics, ACEs, and trauma, followed by examination of whether findings held co-varying anxiety/depressive symptoms in a participant subset (n = 189).

resultsAfter accounting for covariates in step 1 and ACEs and trauma in step 2 (ΔR

conclusionsOver and above ACEs and trauma, experienced WS and internalized WS may contribute to PTSD-S. Longitudinal research is needed to better elucidate the pathways underlying these associations.

Indexed as

Bariatric SurgeryStress Disorders, Post-TraumaticSubstance-Related DisordersWeight PrejudiceHumansSurveys and QuestionnairesBariatric surgeryPosttraumatic stress disorderSymptomsTraumaWeight stigma

Identifiers

PMID35811291
PMCPMC9797255
OpenAlexW4285034374

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.