Goldzweig Gil, Levy Sigal, Ohayon Shay, Hamdan Sami, Abu-Abeid Subhi, Geller Shulamit
School of Behavioural Sciences, The Academic College of Tel Aviv-Yaffo, Tel-Aviv 6818213, Israel.
Statistics Education Unit, The Academic College of Tel Aviv-Yaffo, Tel-Aviv 6818213, Israel.
Healthcare (Basel). 2024 Dec 13;12(24):2524. doi: 10.3390/healthcare12242524.
This study aimed to develop a gender-specific model to understand the causal relationship between body image dissatisfaction, emotional eating, and suicide risk among bariatric surgery patients. A secondary objective was to evaluate gender differences in the associations between these variables. It was hypothesized that, independent of objective weight loss, body dissatisfaction and emotional eating would lead to increased suicide risk.
A total of 109 participants completed self-report measures of suicidal ideation, body image dissatisfaction, and emotional eating before and after bariatric surgery.
Cross-lagged analysis indicated that pre-surgery suicide ideation significantly predicts body dissatisfaction primarily among men, independent of the extent of weight loss. High levels of pre-surgery suicide risk correlated with post-surgery body image dissatisfaction in men. The autoregressive effect of suicide ideation was stronger than that of body dissatisfaction for both genders; however, the latter was stronger among women, indicating that past dissatisfaction levels significantly influenced future dissatisfaction.
The complex interplay between gender, body dissatisfaction, emotional eating, and suicide risk warrants further research.
本研究旨在建立一个针对性别的模型，以了解减肥手术患者身体形象不满、情绪化进食与自杀风险之间的因果关系。次要目的是评估这些变量之间关联的性别差异。研究假设为，独立于客观体重减轻之外，身体不满和情绪化进食会导致自杀风险增加。
共有109名参与者在减肥手术前后完成了关于自杀意念、身体形象不满和情绪化进食的自我报告测量。
交叉滞后分析表明，术前自杀意念主要在男性中显著预测身体不满，与体重减轻程度无关。术前自杀风险水平高与男性术后身体形象不满相关。自杀意念的自回归效应在两性中均强于身体不满；然而，后者在女性中更强，表明过去的不满水平显著影响未来的不满。
性别、身体不满、情绪化进食和自杀风险之间的复杂相互作用值得进一步研究。
