Evaluation of self-esteem, emotional eating, eating attitude, depression and anxiety levels before and after bariatric surgery: a one-year follow-up study

Although there is a consensus in the literature about the effect of bariatric surgery on weight and metabolic variables, its effect on psychological variables is still unclear. Purpose of the research; To examine the effects of bariatric surgery on self-esteem, emotional eating, eating attitudes, depression, situational and chronic anxiety. A single-group pre-test-post-test measurement model was used in the study. The sample group of the research; Volunteer patients who applied to Aksaray University Training and Research Hospital Obesity Clinic for bariatric surgery were formed. Research data were collected using the Sociodemographic Form, Rosenberg Self-Esteem Scale, Emotional Appetite Scale, Eating Attitude Test, Beck Depression Inventory, State-Trait Anxiety Scale I-II data collection tools before and after surgery. The data were analyzed with the SPSS 24.0 package program. As a result of this study; At the end of the first year after bariatric surgery, there was a statistically significant decrease in BMI (Body Mass Index) and positive-negative emotional eating desire. In addition, although not statistically significant, an increase in self-esteem; depression, trait and state anxiety levels were decreased. As a result of the correlation analysis, it was observed that there was a relationship between the decrease in BMI and only the depression score. A 1-year follow-up study after bariatric surgery showed significant reductions in BMI and positive and negative emotional eating. Long-term follow-up studies with larger numbers of participants are needed to better understand the change in emotional eating with bariatric surgery.Although there is a consensus in the literature about the effect of bariatric surgery on weight and metabolic variables, its effect on psychological variables is still unclear. Purpose of the research; To examine the effects of bariatric surgery on self-esteem, emotional eating, eating attitudes, depression, situational and chronic anxiety. A single-group pre-test-post-test measurement model was used in the study. The sample group of the research; Volunteer patients who applied to Aksaray University Training and Research Hospital Obesity Clinic for bariatric surgery were formed. Research data were collected using the Sociodemographic Form, Rosenberg Self-Esteem Scale, Emotional Appetite Scale, Eating Attitude Test, Beck Depression Inventory, State-Trait Anxiety Scale I-II data collection tools before and after surgery. The data were analyzed with the SPSS 24.0 package program. As a result of this study; At the end of the first year after bariatric surgery, there was a statistically significant decrease in BMI (Body Mass Index) and positive-negative emotional eating desire. In addition, although not statistically significant, an increase in self-esteem; depression, trait and state anxiety levels were decreased. As a result of the correlation analysis, it was observed that there was a relationship between the decrease in BMI and only the depression score. A 1-year follow-up study after bariatric surgery showed significant reductions in BMI and positive and negative emotional eating. Long-term follow-up studies with larger numbers of participants are needed to better understand the change in emotional eating with bariatric surgery

The effect of medication adherence on psychosocial adjustment to body weight, image, and self-esteem in patients with schizophrenia

Purpose: The present study aimed to evaluate the effect of medication adherence on psychosocial adjustment to body weight, image, and self-esteem in patients with schizophrenia. Design and methods: This cross-sectional and correlational study consisted of 154 patients with schizophrenia registered in a Community Mental Health Center. Findings: The patients had moderate psychosocial adjustment to body weight, image, and self-esteem, and 56.5% had poor medication adherence. There was a significant positive correlation between participants' medication adherence and psychosocial adjustment to body weight, image, and self-esteem. Practice implications: Psychiatric nurses should support patients regarding medication adherence, and psychosocial adjustment to body weight, image, and self-esteem. Keywords: body image; body weight; medication adherence; psychosocial adjustment; schizophrenia; self-esteem