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Obesity Surgery
Published in: Obesity Surgery 7/2015

01-07-2015 | Original Contributions

Excessive Skin and Sexual Function: Relationship with Psychological Variables and Weight Regain in Women After Bariatric Surgery

Authors: Sofia Ramalho, Ana Pinto Bastos, Cátia Silva, Ana Rita Vaz, Isabel Brandão, Paulo P. P. Machado, Eva Conceição

Published in: Obesity Surgery | Issue 7/2015

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Abstract

Background

After bariatric surgery, the majority of patients develop a problem with excessive hanging skin. This can negatively influence the psychological benefits associated with bariatric surgery. The present study aims to explore the relationship between overall impairment related to the presence of excessive skin, body image, depressive symptomatology, sexual functioning, and weight regain in a sample of women after bariatric surgery.

Methods

Sixty-one women (body mass index (BMI) = 30.45 ± 5.35 kg/m2) with excessive skin who had undergone bariatric surgery 19.02 ± 9.98 months before were evaluated as part of a cross-sectional study using a semi-structured clinical interview and completed a set of self-report measures. A path analysis, an extension of multiple regression analysis, using IBM® SPSS® Amos™ was conducted to explore simultaneously the associations between the variables under study.

Results

The model tested with path analysis showed a good fit to the data (χ 2 = 1.241, df = 4, p = 0.871; Comparative Fit Index (CFI) = 1.000, Tucker–Lewis Index (TLI) = 1.138, Incremental Fit Index (IFI) = 1.049, Root-Mean-Square of Approximation (RMSEA) = 0.000) and suggests that sexual functioning and overall impairment caused by excessive skin were associated with concerns regarding body image and depressive symptomatology, which in turn relate to a greater percentage of total weight regain.

Conclusions

These data stress the importance of considering sexual intimacy and body image in order to optimize psychological and weight outcomes after bariatric surgery.
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Metadata
Title
Excessive Skin and Sexual Function: Relationship with Psychological Variables and Weight Regain in Women After Bariatric Surgery
Authors
Sofia Ramalho
Ana Pinto Bastos
Cátia Silva
Ana Rita Vaz
Isabel Brandão
Paulo P. P. Machado
Eva Conceição
Publication date
01-07-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-014-1514-5

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