Effects of Bariatric Surgery on Depression: Role of Body Image.
BACKGROUND
It has been suggested that psychosocial functioning improves after bariatric surgery, but the mechanism of this effect remains unclear. We propose that body image mediates the association between %EWL and improvement in depressive symptoms.


MATERIALS AND METHODS
To investigate this hypothesis, we conducted a mediation analysis in longitudinal data from 52 patients after LSG.


RESULTS
%EWL had no direct effect on depressive symptoms as assessed through the patient health questionnaire (PHQ-9), but a small indirect effect that was mediated through negative evaluation of the body (BIQ-20).


CONCLUSIONS
We interpret this observation in the context of complex individual etiologies of obesity and argue for a stronger focus on psychological interventions in aftercare regimes. This may be specifically relevant for patients with eating disorders or a desire for body contouring surgery.
['Behrens|Simone C|SC|0000-0002-0430-5245', 'Lenhard|Konrad|K|', 'Junne|Florian|F|', 'Ziser|Katrin|K|', 'Lange|Jessica|J|', 'Zipfel|Stephan|S|', 'Giel|Katrin E|KE|', 'Teufel|Martin|M|', 'Mack|Isabelle|I|']
D050110:Bariatric Surgery D000073880:Body Contouring D001828:Body Image D003863:Depression D006801:Humans D009767:Obesity, Morbid
Bariatric surgery Depression Body image Obesity