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Body Image as a Potential Motivator for Bariatric Surgery: a Case-Control Study.

D J S Makarawung1,2, V M Monpellier3, F van den Brink4

  • 1Department of Plastic Surgery, Sint Antonius Hospital, Nieuwegein, the Netherlands. d.makarawung@antoniusziekenhuis.nl.

Obesity Surgery
|May 27, 2020
PubMed
Summary

Individuals considering bariatric surgery often have lower body image satisfaction. This dissatisfaction, marked by a larger gap between appearance evaluation and importance, may drive their decision for surgical intervention.

Keywords:
(Morbid) obesityAppearance evaluationAppearance orientationBariatric surgeryBody imageBody image dissatisfaction

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Area of Science:

  • Psychology
  • Bariatric Surgery
  • Body Image Research

Background:

  • Body image concerns can influence decisions regarding bariatric surgery.
  • Not all eligible individuals opt for this surgical intervention, suggesting other factors are at play.

Purpose of the Study:

  • To investigate body image differences between individuals seeking bariatric surgery and a weight-matched control group.
  • To determine if a discrepancy between appearance evaluation and appearance importance is a key factor in pre-bariatric surgery patients.

Main Methods:

  • A case-control study comparing 125 pre-bariatric surgery patients with 125 weight-matched controls.
  • Utilized the Multidimensional Body-Self Relations Questionnaire-Appearance Scales (MBSRQ-AS) to measure appearance evaluation (AE) and appearance orientation (AO).
  • Compared both groups to general population norms.

Main Results:

  • Pre-bariatric surgery patients exhibited significantly lower appearance evaluation (AE) and higher appearance orientation (AO) compared to controls.
  • A larger discrepancy between AE and AO was observed in the pre-bariatric surgery group (p < 0.001).
  • Both study groups showed lower AE and AO scores compared to the general population.

Conclusions:

  • Individuals with morbid obesity seeking bariatric surgery tend to have lower body image satisfaction.
  • A combination of low appearance evaluation and high appearance importance may motivate individuals to choose bariatric surgery.
  • Understanding these motivations is crucial for setting realistic patient expectations for treatment outcomes.