Evidence map›Paper›PMID 37626349›Full record

Trial reportBMC psychology2023

Attachment style and post-bariatric surgery health behaviours: the mediating role of self-esteem and health self-efficacy.

Johanna Eveliina Pyykkö, Chris Hinnen, Ömrüm Aydin, Max Nieuwdorp, L Maurits De Brauw, Sjoerd C Bruin, Nienke van Olst, Victor E A Gerdes, Robbert Sanderman, Mariët Hagedoorn

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03330756 (The Effects of the Laparoscopic Roux-en-Y Gastric Bypass and the Laparoscopic Mini Gastric Bypass on the Remission of Type II Diabetes Mellitus and the Pathophysiological Mechanisms That Drive the Conversion of Malign to Benign Obesity), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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.

NCT03330756 naunknown statusnot on this map

The Effects of the Laparoscopic Roux-en-Y Gastric Bypass and the Laparoscopic Mini Gastric Bypass on the Remission of Type II Diabetes Mellitus and the Pathophysiological Mechanisms That Drive the Conversion of Malign to Benign Obesity

TypeinterventionalSponsorSlotervaart HospitalRan2017 to 2021Enrolled220ConditionsObesity, Morbid, Type 2 Diabetes MellitusArmslaparoscopic Roux-en-Y gastric bypass, laparoscopic Mini gastric bypass
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Bridging the Gap: Evaluating Tools for Adherence to Dietary-Related Behavioral Recommendations After Metabolic Bariatric Surgery-A Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Article
  3. Review
  4. Review
  5. Relations between trajectories of weight loss and changes in psychological health over a period of 2 years following bariatric metabolic surgery.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
    Article
  6. Article
  7. Article
  8. 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

10 authors.

Johanna Eveliina PyykköDepartment of Health Psychology, Faculty of Medical Sciences, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands. j.e.pyykko@rug.nl.
Chris HinnenLUMC Oncology Centre, Leiden University Medical Centre, Leiden, The Netherlands.
Ömrüm AydinDepartment of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Max NieuwdorpDepartment of Vascular Medicine, Amsterdam UMC, Amsterdam, The Netherlands.
L Maurits De BrauwDepartment of Metabolic and Bariatric Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Sjoerd C BruinDepartment of Metabolic and Bariatric Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Nienke van OlstDepartment of Metabolic and Bariatric Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Victor E A GerdesDepartment of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Robbert SandermanDepartment of Health Psychology, Faculty of Medical Sciences, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands.
Mariët HagedoornDepartment of Health Psychology, Faculty of Medical Sciences, University of Groningen, University Medical Center Groningen, Antonius Deusinglaan 1, Groningen, 9713 AV, The Netherlands.

Funding

ZonMw 09150182010020
6 · The paper itself

Abstract

backgroundAttachment avoidance and anxiety have been linked to overweight and poor health behaviours, yet the mechanisms that underpin the relationship between attachment and health behaviours are not fully understood. Self-esteem and self-efficacy have been found to differ between attachment styles, rendering these variables potential mediators of the relationship. This longitudinal study investigated the serial mediation between preoperative attachment and 2-year post-operative health behaviours through self-esteem and health self-efficacy.

methodsParticipants were 263 bariatric surgery patients (75.7% females, aged 47.7 ± 10.4 years, BMI 38.9 ± 3.6 kg/m

resultsHigher preoperative attachment anxiety and avoidance were associated with lower self-esteem one year after bariatric surgery and poorer health self-efficacy two years after the surgery. Self-esteem and health self-efficacy mediated the relationships between preoperative anxious and avoidant attachment and 2- year post-operative diet adherence and physical activity.

conclusionsHelping patients to feel more worthy and reinforcing their beliefs about their own competences could lead to higher engagement with healthy lifestyle and adherence to treatment protocols, ultimately helping patients to achieve their goals for bariatric surgery. CLINICAL

trial registrationBARIA: Netherlands Trial Register: NL5837 (NTR5992) https://www.trialregister.nl/trial/5837 . Diabaria: ClinicalTrials.gov identifier (NCT number): NCT03330756.

Indexed as

Bariatric SurgerySelf EfficacyAdultFemaleHealth BehaviorHumansLongitudinal StudiesMaleMiddle AgedSelf ConceptAttachment styleBariatric surgeryDiet adherenceExerciseSelf-efficacySelf-esteem

Identifiers

PMID37626349
PMCPMC10464092

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Registered trials

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.