PMID- 32754062
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240329
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 11
DP  - 2020
TI  - The Impact of Psychological Resources on Body Mass Index in Obesity Surgery 
      Candidates.
PG  - 649
LID - 10.3389/fpsyt.2020.00649 [doi]
LID - 649
AB  - BACKGROUND: Obesity surgery is the therapy of choice for severely obese patients. 
      The results are promising, but at the same time obesity surgery represents a 
      physical and psychological challenge for patients and care givers. In order to 
      give psychosocial support adequately, more knowledge of effects of psychological 
      profiles is required. Research is often deficit and symptom oriented. 
      Psychological resources (competences) of individuals are often neglected. 
      However, after surgery patients have to cope with the altered anatomic condition 
      and therefore psychological resources are essential for a successful development 
      and my influence also the surgical outcome. The interplay of eating behavior, 
      depression, and psychological resources and their influence on weight are yet 
      undetermined. METHODS: A cross-sectional study in consecutive obesity surgery 
      candidates was performed. One hundred twenty-seven participants were included (90 
      female, 37 male; mean BMI 49.85 kg/m(2); range 36.7-84.2 kg/m(2)). After conducting 
      semi-structured clinical interviews psychological resources, depression and 
      eating behavior were assessed via three questionnaires: Essener 
      Ressourcen-Inventar (ERI), Patient Health Questionnaire depression module 
      (PHQ-d), and Eating Disorder Examination-Questionnaire (EDE-Q). To evaluate the 
      influence of psychological resources on BMI mediation models and path analyses 
      were performed. RESULTS: Psychological resources do not influence BMI directly. 
      Path analyses revealed depression as well as depression/eating behavior as 
      mediating dimension. A first path showed that higher psychological resources are 
      associated with less depressive symptoms and lower BMI. On the other side, a 
      second path showed that higher psychological resources are related to less 
      depression and by means of more conscious and controlled eating behavior to a 
      lower BMI. CONCLUSION: Psychological resources seem to be relevant in the context 
      of obesity surgery. Good psychological resources show plausible associations with 
      less depression and a more adequate eating behavior. The evaluation of 
      psychological resources in obesity surgery candidates allows the identification 
      of patients at risk. Competences of patients should be addressed in the context 
      of surgery. Our findings build a foundation for a more individualized supportive 
      treatment for obesity surgery candidates. Improving impaired psychological 
      resources may help in the coping process after surgery and is supposed to lead to 
      an even higher weight loss.
CI  - Copyright (c) 2020 Robitzsch, Schweda, Hetkamp, Niedergethmann, Dorrie, Herpertz, 
      Hasenberg, Tagay, Teufel and Skoda.
FAU - Robitzsch, Anita
AU  - Robitzsch A
AD  - Department of Psychosomatic Medicine and Psychotherapy, University of 
      Duisburg-Essen, LVR Clinic Essen, Essen, Germany.
FAU - Schweda, Adam
AU  - Schweda A
AD  - Department of Psychosomatic Medicine and Psychotherapy, University of 
      Duisburg-Essen, LVR Clinic Essen, Essen, Germany.
FAU - Hetkamp, Madeleine
AU  - Hetkamp M
AD  - Department of Psychosomatic Medicine and Psychotherapy, University of 
      Duisburg-Essen, LVR Clinic Essen, Essen, Germany.
FAU - Niedergethmann, Marco
AU  - Niedergethmann M
AD  - Department of Surgery, Alfried-Krupp Hospital, Essen, Germany.
FAU - Dorrie, Nora
AU  - Dorrie N
AD  - Department of Psychosomatic Medicine and Psychotherapy, University of 
      Duisburg-Essen, LVR Clinic Essen, Essen, Germany.
FAU - Herpertz, Stephan
AU  - Herpertz S
AD  - Department of Psychosomatic Medicine and Psychotherapy, LWL-University, 
      Ruhr-University Bochum, Bochum, Germany.
FAU - Hasenberg, Till
AU  - Hasenberg T
AD  - Helios Obestiy Center West, Helios St. Elisabeth Hospital Oberhausen, 
      Witten/Herdecke University, Helios Universitatsklinikum Wuppertal, Wuppertal, 
      Germany.
FAU - Tagay, Sefik
AU  - Tagay S
AD  - Faculty of Applied Social Sciences, Technical University of Koln, Koln, Germany.
FAU - Teufel, Martin
AU  - Teufel M
AD  - Department of Psychosomatic Medicine and Psychotherapy, University of 
      Duisburg-Essen, LVR Clinic Essen, Essen, Germany.
FAU - Skoda, Eva-Maria
AU  - Skoda EM
AD  - Department of Psychosomatic Medicine and Psychotherapy, University of 
      Duisburg-Essen, LVR Clinic Essen, Essen, Germany.
LA  - eng
PT  - Journal Article
DEP - 20200710
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC7365886
OTO - NOTNLM
OT  - Eating Disorder Examination Questionnaire
OT  - Patients Health Questionnaire-d
OT  - body mass index
OT  - obesity surgery
OT  - psychological resources
EDAT- 2020/08/06 06:00
MHDA- 2020/08/06 06:01
PMCR- 2020/07/10
CRDT- 2020/08/06 06:00
PHST- 2020/01/16 00:00 [received]
PHST- 2020/06/22 00:00 [accepted]
PHST- 2020/08/06 06:00 [entrez]
PHST- 2020/08/06 06:00 [pubmed]
PHST- 2020/08/06 06:01 [medline]
PHST- 2020/07/10 00:00 [pmc-release]
AID - 10.3389/fpsyt.2020.00649 [doi]
PST - epublish
SO  - Front Psychiatry. 2020 Jul 10;11:649. doi: 10.3389/fpsyt.2020.00649. eCollection 
      2020.