Objective: The effectiveness of post-surgical weight loss in improv-ing body image disturbance, self-esteem and psychological well-being in morbidly obese patients, remains to date unclear. The current preliminary study intends to investigate pre and post-operative changes in psychological well-being, self-esteem and body image. Methods: 125 patients (65% Female; M age = 32.68; MBMI = 43.9) scheduled for laparoscopic adjustable gastric banding (LAGB) from three Italian hospitals completed the Body Uneasiness Test (BUT), the Psychological General Well-Being Index Short Version and the Rosenberg's Self-Esteem Scale before and 12 months after surgery. Results: Irrespective of BMI reduction, LAGB has a positive impact on psychological well-being and self-esteem. Instead the improvement in the distress related to body image depends on the pre-operative degree of severity (Global Severity Index of BUT): all patients with a body image disorder in the pre-operative stage (35%, measured using the cut-off value of BUT) continue to show this even 13 months after the operation. Conclusion: The results confirm that weight reduction leads to an improvement in psychological well-being and self-esteem. Never-theless, the improvement in the distress related to body image was found only in patients without BID. This study outlines the high prevalence of BID in LAGB setting and suggests therefore the importance of a preoperative clinical evaluation.
Dakanalis, A., Zanetti, M., Madeddu, F., Clerici, M., Riva, G. (2013). The impact of laparoscopic adjustable gastric banding on body image disturbance, self-esteem and psychological well-being: An Italian follow-up study. JOURNAL OF PSYCHOSOMATIC RESEARCH, 74(6), 543-543 [10.1016/j.jpsychores.2013.03.027].
The impact of laparoscopic adjustable gastric banding on body image disturbance, self-esteem and psychological well-being: An Italian follow-up study
DAKANALIS, ANTONIOSPrimo
;MADEDDU, FABIO;CLERICI, MASSIMOPenultimo
;
2013
Abstract
Objective: The effectiveness of post-surgical weight loss in improv-ing body image disturbance, self-esteem and psychological well-being in morbidly obese patients, remains to date unclear. The current preliminary study intends to investigate pre and post-operative changes in psychological well-being, self-esteem and body image. Methods: 125 patients (65% Female; M age = 32.68; MBMI = 43.9) scheduled for laparoscopic adjustable gastric banding (LAGB) from three Italian hospitals completed the Body Uneasiness Test (BUT), the Psychological General Well-Being Index Short Version and the Rosenberg's Self-Esteem Scale before and 12 months after surgery. Results: Irrespective of BMI reduction, LAGB has a positive impact on psychological well-being and self-esteem. Instead the improvement in the distress related to body image depends on the pre-operative degree of severity (Global Severity Index of BUT): all patients with a body image disorder in the pre-operative stage (35%, measured using the cut-off value of BUT) continue to show this even 13 months after the operation. Conclusion: The results confirm that weight reduction leads to an improvement in psychological well-being and self-esteem. Never-theless, the improvement in the distress related to body image was found only in patients without BID. This study outlines the high prevalence of BID in LAGB setting and suggests therefore the importance of a preoperative clinical evaluation.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.