Geller Shulamit, Levy Sigal, Goldzweig Gil, Hamdan Sami, Manor Anat, Dahan Shiran, Rothschild Eyal, Stukalin Yelena, Abu-Abeid Subhi
School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel-Aviv, Israel.
Statistics Education Unit, The Academic College of Tel Aviv-Yaffo, Tel-Aviv, Israel.
Clin Obes. 2019 Apr;9(2):e12298. doi: 10.1111/cob.12298. Epub 2019 Feb 1.
The increased risk of psychological distress among bariatric surgery candidates may be attributed, at least in part, to body image dissatisfaction (BID). The aim of the present study was to test the hypotheses that body image could be correlated with the psychological distress variables, and that emotional eating behaviours could mediate the relationship between body image and psychological distress. A sample of consecutive participants seeking bariatric surgery (N = 169, 67% females, mean age, 41.8 years [SD = 11.46], mean body mass index 42.0 kg/m [SD = 11.0]) was recruited from a university-based bariatric centre, a week prior to scheduled surgery. Results showed that BID was positively correlated with suicidality (r = 0.18, P < 0.05), depression (r = 0.39, P < 0.01) and anxiety (r = 0.20, P < 0.05). The relation between BID and depression was partially mediated by emotional eating, whereas the relation between BID and suicidality was fully mediated by emotional eating. Physicians and other health professionals who treat bariatric surgery patients should be encouraged to detect behaviours indicating emotional eating, as these could be an indicator of psychological distress resulting from poor body image.
减肥手术候选者心理困扰风险增加可能至少部分归因于身体形象不满（BID）。本研究的目的是检验以下假设：身体形象可能与心理困扰变量相关，并且情绪化饮食行为可能介导身体形象与心理困扰之间的关系。在预定手术前一周，从一家大学附属减肥中心招募了连续的寻求减肥手术的参与者样本（N = 169，67%为女性，平均年龄41.8岁[标准差 = 11.46]，平均体重指数42.0 kg/m[标准差 = 11.0]）。结果显示，身体形象不满与自杀倾向呈正相关（r = 0.18，P < 0.05）、与抑郁呈正相关（r = 0.39，P < 0.01）以及与焦虑呈正相关（r = 0.20，P < 0.05）。身体形象不满与抑郁之间的关系部分由情绪化饮食介导，而身体形象不满与自杀倾向之间的关系完全由情绪化饮食介导。应鼓励治疗减肥手术患者的医生和其他健康专业人员检测表明情绪化饮食的行为，因为这些行为可能是身体形象不佳导致心理困扰的一个指标。
