Body Image, Emotional Eating and Psychological Distress among Bariatric Surgery Candidates in Israel and the United States

Nutrients

Subhi Abu-Abeid¹  Paul L. Jenkins²  Ofra Hyman³  Gil Goldzweig⁴  Shulamit Geller⁴  Sigal Levy⁵ 

[1] Bariatric Surgery Unit, General Surgery Division, the Tel Aviv Sourasky Medical Center, Tel Aviv-Yaffo 6423906, Israel;Bassett Healthcare Research Institute, Bassett Medical Center, Cooperstown, NY 13326-1394, USA;Outpatient Psychiatry, Bassett Medical Center, Cooperstown, NY 13326-1394 USA;School of Behavioral Sciences, the Academic College of Tel Aviv-Yaffo, 14, Rabenu Yeruham St, Tel Aviv-Yaffo 6818543, Israel;Statistics Education Unit, the Academic College of Tel Aviv, Tel Aviv-Yaffo 6818543, Israel;

关键词: bariatric surgery;    psychological distress;    body image dissatisfaction;    emotional eating;    cross cultural differences;   

DOI  :  10.3390/nu12020490

来源: DOAJ

【 摘 要 】

Background: The present study aimed to examine the relations between body image dissatisfaction (BID) and psychological distress variables among bariatric surgery candidates from two distinct cultures in Israel and in the United States. Methods: A sample of consecutive pre-surgical bariatric candidates was recruited from a Bariatric Center in Israel (N = 114) and a Bariatric Center in the Unites States (N = 81). Body image dissatisfaction (BID-BSQ8), suicidal ideation (SBQ-R), depressive symptoms (PHQ-9), anxious symptoms (PHQ-7), and emotional eating behaviors (EES), were measured. Mediation models were assessed using path analysis. Results: BID was positively correlated with suicidality, depression, and anxiety in both samples. The relations between BID depression and anxiety were mediated by emotional eating in both cultures. However, the relation between BID and suicidality that was mediated by emotional eating in the Israeli sample, was reflected in a direct link between BID and suicidality in the US sample. Conclusion: Our findings confirm the adverse effect of BID on psychological distress among surgery candidates in both cultures, emphasizing the intercultural similarities related to emotional eating behavior. Physicians and other health professionals are encouraged to be more attentive to this specific behavior.

【 授权许可】

Unknown