Association Between the Success of Bariatric Surgery and Personality Traits
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DOI:
https://doi.org/10.58600/eurjther1683Keywords:
Obesity surgery, Personality, self-transcendenceAbstract
Objective: Acceptable preoperative psychosocial indicators of weight loss after obesity surgery in morbidly obese(MO) patients are still unknown. In this study, the association between personality traits, multidimensional perceived social support, and the percentage of excess weight loss (EWL) following obesity surgery was researched in MO patients.
Methods: Participants in this prospective study were recruited from MO patients who applied to the hospital’s obesity unit between July 2021 and June 2022. The study comprised 84 MO individuals. The Temperament and Personality Inventory (TCI) was used to evaluate the personality traits of the MO. Perceived social support was measured using the multidimensional perceived social support scale. The percentage of weight loss after obesity surgery was compared with personality traits and perceived social support scores.
Results: The mean age of the patients who were MO was 36.7 ±8.7 years. There were 22 men (25.3%) and 62 women (74.7%). The mean preoperative BMI was 46.2 ±63. The perceived social support score was 68.0±16.4. A univariate analysis found a positive relationship between 6 months and one year’s EWL and Self-Transcendence, a TCI subcategory (p=0.011,p=0.023).
Conclusion: Obesity treatment is a complex situation that requires a multidisciplinary approach. Given the potential physiological and psychological consequences of obesity surgery, it is critical to uncover psychological predictive factors such as personality traits that boost the success of obesity surgery and are connected with weight loss. As a result, knowing the individuals who self-transcendence before obesity surgery may be useful in predicting the success of obesity surgery and planning treatment. This requires large-scale research.
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References
Adams TD, Davidson LE, Litwin SE, Kolotkin RL, LaMonte MJ, Pendleton RC, et al. (2012). Health benefits of gastric bypass surgery after 6 years. JAMA. 308(11):1122-1131. https://doi.org/10.1001/2012.jama.11164
Courcoulas AP, King WC, Belle SH, Berk P, Flum DR, Garcia L, et al. (2018). Seven-Year Weight Trajectories and Health Outcomes in the Longitudinal Assessment of ObesitySurgery (LABS) Study. JAMA Surg. 153(5):427-434. https://doi.org/10.1001/jamasurg.2017.5025
Kruseman M, Leimgruber A, Zumbach F, Golay A. (2010). Dietary, weight, and psychological changes among patients with obesity, 8 years after gastric bypass. J Am Diet Assoc. 110(4):527-534. https://doi.org/10.1016/j.jada.2009.12.028
de Zwaan M, Hilbert A, Swan-Kremeier L, Simonich H, Lancaster K, Howell LM, et al. (2010). Comprehensive interview assessment of eating behavior 18-35 months after gastric bypass surgery for morbid obesity. Surg ObesRelat Dis. 6(1):79-85. https://doi.org/10.1016/j.soard.2009.08.011
Wheeler E, Prettyman A, Lenhard MJ, Tran K. (2008). Adherence to outpatient program postoperative appointments after bariatric surgery. Surg ObesRelat Dis. 4(4):515-520. https://doi.org/10.1016/j.soard.2008.01.013
Gordon PC, Sallet JA, Sallet PC. (2014). The impact of TCI personality traits on long-term outcome of Roux-en-Y gastric bypass. Obes Surg. 24(10):1647-1655. https://doi.org/10.1007/s11695-014-1229-7
Generali I, De Panfilis C. (2018). Personality Traits and Weight Loss Surgery Outcome. CurrObes Rep. 7(3):227-234. https://doi.org/10.1007/s13679-018-0315-x
Stromberg SE, Gonzalez-Louis R, Engel M, Mathews A, Janicke DM. (2020). Pre-surgical stress and social support predict post-surgical percent excess weight loss in a population of bariatric surgery patients. Psychol Health Med. 25(10):1258-1265. https://doi.org/10.1080/13548506.2020.1734216
Conceição EM, Fernandes M, de Lourdes M, Pinto-Bastos A, Vaz AR, Ramalho S. (2020). Perceived social support before and after bariatric surgery: association with depression, problematic eating behaviors, and weight outcomes. Eat Weight Disord. 25(3):679-692. https://doi.org/10.1007/s40519-019-00671-2
Oria HE, Moorehead MK. (2009). Updated ObesityAnalysis and Reporting Outcome System (BAROS). Surg ObesRelat Dis. 5(1):60-66. https://doi.org/10.1016/j.soard.2008.10.004
Cloninger CR. (1987). A systematic method for clinical description and classification of personality variants. A proposal. Arch Gen Psychiatry. 44(6):573-588. https://doi.org/10.1001/archpsyc.1987.01800180093014
Kose S, Sayar K, Kalelioglu U, Aydin N, Celikel FC, Gulec H, et al. (2009). Normative data and factorial structure of the Turkish version of the TCI. Compr Psychiatry. 50(4):361-368. https://doi.org/10.1016/j.comppsych.2008.09.007
Zimet GD, DahlemNW, Zimet SG, Farley GK. (1988). The multidimensional scale of perceived social support. Journal of personality assessment. 52(1), 30-41.
Eker D, Arkar H. (1995). Factorial structure, validity, and reliability of the multidimensional scale of perceived social support. Turk PsikolojiDergisi. 10(34).
Cloninger CR, Svrakic DM, Przybeck TR. (1993). A psychobiological model of temperament and character. Arch Gen Psychiatry. 50(12):975-990. https://doi.org/10.1001/archpsyc.1993.01820240059008
Frankl VE. (1946). Self-transcendence as a human value. J. Hum. Psychol. 6, 97-106.
Claes L, Vandereycken W, Vandeputte A, Braet C (2013) Personality subtypes in female pre-obesityobese patients: do they differ in eating disorder symptoms, psychological complaints and coping behaviour?. Eur Eat Disord Rev. 21(1):72-77. https://doi.org/10.1002/erv.2188
Tayefi A, Pazouki A, Alavi K, Salehian R, Soheilipour F, GhanbariJolfaei A. (2020). Relationship of personality characteristics and eating attitude with the success of bariatric surgery. Med J Islam Repub Iran. 34:89. https://doi.org/10.34171/mjiri.34.89
Canetti L, Berry EM, Elizur Y. (2009). Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program: the mediating role of emotional eating. Int J Eat Disord. 42(2):109-117. https://doi.org/10.1002/eat.20592
van Hout GC, Hagendoren CA, Verschure SK, van Heck GL. (2009). Psychosocial predictors of success after vertical banded gastroplasty. Obes Surg. 19(6):701-707. https://doi.org/10.1007/s11695-008-9446-6
Herpertz S, Kielmann R, Wolf AM, Hebebrand J, Senf W (2004) Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obes Res. 12(10):1554-1569. https://doi.org/10.1038/oby.2004.195
Larsen JK, Geenen R, Maas C, de Wit P, van Antwerpen T, Brand N, et al. (2004). Personality as a predictor of weight loss maintenance after surgery for morbid obesity. Obes Res. 12(11):1828-1834. https://doi.org/10.1038/oby.2004.227
De Panfilis C, Cero S, Torre M, Salvatore P, Dall’Aglio E, Adorni A, et al. (2006). Utility of the TCI (TCI) in outcome prediction of laparoscopic adjustable gastric banding: preliminary report. Obes Surg. 16(7):842-847. https://doi.org/10.1381/096089206777822278
Agüera Z, García-Ruiz-de-Gordejuela A, Vilarrasa N, Sanchez I, Baño M, Camacho L, et al. (2015). Psychological and Personality Predictors of Weight Loss and Comorbid Metabolic Changes After Bariatric Surgery. Eur Eat Disord Rev. 23(6):509-516. https://doi.org/10.1002/erv.2404
Leombruni P, Pierò A, Dosio D, Novelli A, Abbate-Daga G, Morino M, et al. (2007). Psychological predictors of outcome in vertical banded gastroplasty: a 6 months prospective pilot study. Obes Surg. 17(7):941-948. https://doi.org/10.1007/s11695-007-9173-4
Ouellette AS, Rodrigue C, Lemieux S, Tchernof A, Biertho L, Bégin C. (2017). An examination of the mechanisms and personality traits underlying food addiction among individuals with severe obesity awaiting bariatric surgery. Eat Weight Disord. 22(4):633-640. https://doi.org/10.1007/s40519-017-0440-7
Marek RJ, Ben-Porath YS, Merrell J, Ashton K, Heinberg LJ. (2014). Predicting one and three month postoperative Somatic Concerns, Psychological Distress, and Maladaptive Eating Behaviors in bariatric surgery candidates with the Minnesota Multiphasic Personality Inventory-2 Restructured Form (MMPI-2-RF). Obes Surg. 24(4):631-639. https://doi.org/10.1007/s11695-013-1149-y
Beck NN, Johannsen M, Støving RK, Mehlsen M, Zachariae R. (2012). Do postoperative psychotherapeutic interventions and support groups influence weight loss following bariatric surgery? A systematic review and meta-analysis of randomized and nonrandomized trials. Obes Surg. 22(11):1790-1797. https://doi.org/10.1007/s11695-012-0739-4
Torrente-Sánchez MJ, Ferrer-Márquez M, Estébanez-Ferrero B, Jiménez-Lasserrotte MDM, Ruiz-Muelle A, Ventura-Miranda MI, et al. (2021). Social Support for People with Morbid Obesity in a Bariatric Surgery Programme: A Qualitative Descriptive Study. Int J Environ Res Public Health. 18(12):6530. https://doi.org/10.3390/ijerph18126530
Mackey ER, Olson A, Merwin S, Wang J, Nadler EP. (2018). Perceived Social Support for Exercise and Weight Loss in Adolescents Undergoing Sleeve Gastrectomy. Obes Surg. 28(2):421-426. https://doi.org/10.1007/s11695-017-2853-9
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