scholarly journals Effects of Bariatric Surgery on Depression: Role of Body Image

2020 ◽  
Author(s):  
Simone C. Behrens ◽  
Konrad Lenhard ◽  
Florian Junne ◽  
Katrin Ziser ◽  
Jessica Lange ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Body Image ◽  
Depressive Symptoms ◽  
Psychosocial Functioning ◽  
Body Contouring ◽  
The Body ◽  
Negative Evaluation ◽  
Psychological Interventions ◽  
Patient Health

Abstract 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.

Body contouring following bariatric surgery: emotional meanings for patients of a public outpatient service in the Southeast Brazil

2011 ◽  
Vol 26 (S2) ◽  
pp. 734-734 ◽  
Author(s):  
R. Magdaleno ◽  
E.A. Chaim ◽  
E.R. Turato
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Body Image ◽  
Plastic Surgery ◽  
Psychosocial Functioning ◽  
Body Contouring ◽  
Outpatient Service ◽  
Self Esteem ◽  
The Body ◽  
Excess Skin

IntroductionMorbid obesity is accompanied by impairment of the body image. Bariatric surgery is seen like a solution for the problems concerning body image. An element that contributes to disillusions with the results is when patients realize that their bodies, even though thinner, still maintain the sequel of obesity, flaccidity and excess skin. Once weight loss has been achieved, the body image is not infrequently cosmetically unacceptable. To complete treatment, body contouring procedures are performed.Aim of this studyTo understand the emotional meaning of body contouring after bariatric surgery.MethodClinical-qualitative method, semi-directed interviews with open-ended questions.ResultsShame that had previously been attributed to obesity is attributed to the sequel of obesity that contributes to the frustrated expectations of having a beautiful and healthy body. The risk of isolation and lose interest to fulfil the objectives of surgery is great. Plastic surgery takes the place occupied by bariatric surgery, that is, the hope of achieving acceptance.ConclusionBody contouring following significant weight loss can re-establish a good psychosocial functioning because of the perception of improved body image. The plastic surgery is accompanied by a substantial normalization of the self esteem. It could gradually lead to the cessation of distressing and pathological body-related behaviour. The psychosocial benefits of plastic surgery are: increase self-esteem, improved self-confidence, more intense social activities, better interpersonal relationships, relief from depression and anxiety, improvement in emotional stability, better relationship with colleagues and partner, less stigmatization, better sexual performance and fewer physical limitations during sexual intercourse.

scholarly journals Predictors of Psychological Distress in Women with Endometriosis: The Role of Multimorbidity, Body Image, and Self-Criticism

2021 ◽  
Vol 18 (7) ◽  
pp. 3453
Author(s):  
Shulamit Geller ◽  
Sigal Levy ◽  
Sapir Ashkeloni ◽  
Bar Roeh ◽  
Ensherah Sbiet ◽  
...  
Keyword(s):  
Body Image ◽  
Psychological Distress ◽  
Pain Intensity ◽  
The Body ◽  
Depression And Anxiety ◽  
Body Appreciation ◽  
Large Numbers ◽  
Patient Health ◽  
Chronical Illness

While large numbers of women report high levels of psychological distress associated with endometriosis, others report levels of distress that are comparable to those of healthy women. Thus, the aim of the current study was to develop an explanatory model for the effect of endometriosis on women’s psychological distress. Furthermore, it sought to further investigate the role of body image, self-criticism, and pain intensity on the psychological distress associated with endometriosis and establish the effect of chronic illness load on the development of this distress. This study comprised a total of 247 women aged 20–49 (M = 31.3, SD = 6.4)—73 suffering from endometriosis only, 62 suffering from endometriosis and an additional chronical illness (ACI), and 112 healthy peers (HP)—who completed the Patient Health Questionnaire, the Generalized Anxiety Disorder-Item Scale, the Body Appreciation Scale-2, and the Self-Criticism Sub-Scale. When comparing each endometriosis group to their HP’s, we found that the differences between HP and endometriosis ACI in depression and anxiety were mediated by body image (Betas = 0.17 and 0.09, respectively, p’s < 0.05) and self-criticism (Betas = 0.23 and 0.26, respectively, p’s < 0.05). When comparing endometriosis participants to endometriosis ACI participants, differences in depression were mediated by body image, self-criticism, and pain intensity (Betas = 0.12, 0.13, 0.13 respectively, p’s < 0.05), and the differences in anxiety were mediated by self-criticism and pain intensity (Betas = 0.19, 0.08, respectively, p’s < 0.05). Physicians and other health professionals are advised to detect women with endometriosis ACI who are distressed, and to offer them appropriate intervention.

The Role of Hand Size in the Fake-Hand Illusion Paradigm

Perception ◽  
10.1068/p5853 ◽  
2007 ◽  
Vol 36 (10) ◽  
pp. 1547-1554 ◽  
Author(s):  
Francesco Pavani ◽  
Massimiliano Zampini
Keyword(s):  
Body Image ◽  
Body Schema ◽  
Body Representation ◽  
The Body ◽  
Video Image ◽  
Body Parts ◽  
Statistical Correlations ◽  
Hand Size ◽  
Visible Hand

When a hand (either real or fake) is stimulated in synchrony with our own hand concealed from view, the felt position of our own hand can be biased toward the location of the seen hand. This intriguing phenomenon relies on the brain's ability to detect statistical correlations in the multisensory inputs (ie visual, tactile, and proprioceptive), but it is also modulated by the pre-existing representation of one's own body. Nonetheless, researchers appear to have accepted the assumption that the size of the seen hand does not matter for this illusion to occur. Here we used a real-time video image of the participant's own hand to elicit the illusion, but we varied the hand size in the video image so that the seen hand was either reduced, veridical, or enlarged in comparison to the participant's own hand. The results showed that visible-hand size modulated the illusion, which was present for veridical and enlarged images of the hand, but absent when the visible hand was reduced. These findings indicate that very specific aspects of our own body image (ie hand size) can constrain the multisensory modulation of the body schema highlighted by the fake-hand illusion paradigm. In addition, they suggest an asymmetric tendency to acknowledge enlarged (but not reduced) images of body parts within our body representation.

Body Schema and Body Image

2021 ◽  
Keyword(s):  
Body Image ◽  
Body Dysmorphic Disorder ◽  
Body Schema ◽  
The Body ◽  
Body Parts ◽  
Neural Activities ◽  
Body Shapes ◽  
Influential Book ◽  
Social And Cultural Factors

Body schema refers to the system of sensory-motor functions that enables control of the position of body parts in space, without conscious awareness of those parts. Body image refers to a conscious representation of the way the body appears—a set of conscious perceptions, affective attitudes, and beliefs pertaining to one’s own bodily image. In 2005, Shaun Gallagher published an influential book entitled ‘How the Body Shapes the Mind’. This book not only defined both body schema (BS) and body image (BI), but also explored the complicated relationship between the two. The book also established the idea that there is a double dissociation, whereby body schema and body image refer to two different, but closely related, systems. Given that many kinds of pathological cases can be described in terms of body schema and body image (phantom limbs, asomatognosia, apraxia, schizophrenia, anorexia, depersonalization, and body dysmorphic disorder, among others), we might expect to find a growing consensus about these concepts and the relevant neural activities connected to these systems. Instead, an examination of the scientific literature reveals continued ambiguity and disagreement. This volume brings together leading experts from the fields of philosophy, neuroscience, psychology, and psychiatry in a lively and productive dialogue. It explores fundamental questions about the relationship between body schema and body image, and addresses ongoing debates about the role of the brain and the role of social and cultural factors in our understanding of embodiment.

Body Image and Acceptance of Plastic Surgery Among College Students in South Korea

2021 ◽  
Vol 10 (2) ◽  
pp. 104-115
Author(s):  
Kathy L. Lin ◽  
Vaishali V. Raval ◽  
Ji-Yeon Lee
Keyword(s):  
College Students ◽  
Body Image ◽  
South Korea ◽  
Plastic Surgery ◽  
Cultural Context ◽  
Filial Piety ◽  
The Body ◽  
Negative Evaluation ◽  
Self Report ◽  
Sociocultural Factors

Abstract. Studied more extensively in Western societies, body image in other cultures is less researched. South Korea provides a unique context to examine body image given its flourishing plastic surgery industry, which is indicative of negative body image and plastic surgery acceptance. The current study examined whether relevant sociocultural factors in South Korea (i.e., fear of negative evaluation [FNE] and filial piety [FP]) play a role in the association between body image and acceptance of plastic surgery. College students in South Korea ( n = 227) completed self-report measures of body image, FNE, FP, and acceptance of plastic surgery. Students with plastic surgery experience reported greater FNE and acceptance of plastic surgery than those without. Significant negative indirect effects of body image on acceptance of plastic surgery through FNE were found in the full sample. FP was found to moderate the body image-acceptance of plastic surgery link such that for individuals low in FP, lower body areas satisfaction was associated with greater acceptance of plastic surgery. The findings highlight the importance of understanding body image within a cultural context and provide implications for body image concerns in South Korean individuals.

scholarly journals Workplace bullying and depressive symptoms among employees in Germany: prospective associations regarding severity and the role of the perpetrator

2019 ◽  
Vol 93 (4) ◽  
pp. 433-443 ◽  
Author(s):  
Stefanie Lange ◽  
Hermann Burr ◽  
Uwe Rose ◽  
Paul Maurice Conway
Keyword(s):  
Depressive Symptoms ◽  
Workplace Bullying ◽  
Longitudinal Design ◽  
Panel Study ◽  
Patient Health ◽  
A Prospective Study ◽  
Nonsignificant Effect ◽  
Degree Of Severity

Abstract Objectives The aim of this study was to investigate the effect of self-reported workplace bullying on depressive symptoms in a prospective study among a representative sample of employees from Germany. We focused specifically on the role of the perpetrator (co-workers and superiors), which was never done before in a longitudinal design. Methods We used data from a nation-wide representative panel study with a 5-year follow-up (N = 2172). Data on bullying exposure were obtained separately for different perpetrators (co-workers and superiors) and degree of severity (severe bullying, i.e., at least weekly). Depressive symptoms were assessed with the Patient Health Questionnaire (PHQ). We used logistic regression analyses to examine the effect of workplace bullying at baseline on depressive symptoms at follow-up. Results After adjusting for baseline depressive symptoms, severe bullying by co-workers significantly increased the 5-year risk of depressive symptoms (OR = 2.50). Severe bullying by superiors had a nonsignificant effect. Conclusions Workplace bullying is a risk factor for depressive symptoms among employees in Germany. The type of perpetrator seems to be an important factor to consider, as indicated by the elevated risk of depressive symptoms when bullying is perpetrated by co-workers.

Sign in / Sign up

Export Citation Format

Share Document