TY - JOUR PY - 2021// TI - Psychological functioning and well-being before and after bariatric surgery; what is the benefit of being self-compassionate? JO - British journal of health psychology A1 - Pyykkö, Johanna Eveliina A1 - Aydin, Ömrüm A1 - Gerdes, Victor E. A. A1 - Acherman, Yaïr I. Z. A1 - Groen, Albert K. A1 - van de Laar, Arnold W. A1 - Nieuwdorp, Max A1 - Sanderman, Robbert A1 - Hagedoorn, Mariët SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: To investigate whether patients' psychological well-being (depression, quality of life, body image satisfaction) and functioning (self-efficacy for eating and exercising behaviours and food cravings) improve 12 months after bariatric surgery and whether self-compassion is associated with better psychological outcomes and lower weight after bariatric surgery.

DESIGN: Longitudinal, prospective observational study.

METHODS: Bariatric patients (n = 126, 77.8% female, 46.4 ± 10.8 years) completed the Self-compassion Scale, Center for Epidemiology Studies Depression Scale, Impact of Weight on Quality-of-Life questionnaire, Body Image Scale, Weight Efficacy Lifestyle Questionnaire, Spinal Cord Injury Exercise Self-Efficacy Scale, and G-Food Craving Questionnaire pre-operatively and 12 months post-operatively. A medical professional measured patients' weight during each assessment. Data were analysed using repeated measures t-tests and multivariate regression analyses with Benjamini-Hochberg correction for multiple testing.

RESULTS: Patients' BMI, depression, and food cravings decreased significantly after surgery while quality of life, body image satisfaction, and self-efficacy to exercise improved. Higher self-compassion was associated with lower post-operative depression, greater quality of life, higher body image satisfaction, and better self-efficacy for eating behaviours (p-values <.05) but not with post-operative BMI, self-efficacy to exercise, or food cravings.

CONCLUSIONS: Even though pre-operative self-compassion was not directly associated with a lower 12-month post-operative BMI, it had a positive relationship with patients' post-operative well-being and self-efficacy for controlling eating behaviour. In turn, this could help patients to manage their health long after bariatric surgery. Further work regarding the role of self-compassion on long-term health outcomes would be worthwhile.

Language: en

LA - en SN - 1359-107X UR - http://dx.doi.org/10.1111/bjhp.12532 ID - ref1 ER -