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Psycho-behavioral Factors Related to Weight Regain After Bariatric Surgery

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Abstract

Objective

The purpose of this study was to examine the connection between weight regain 2 to 5 years after bariatric surgery and three psycho-behavioral factors: mental health, general health efficacy, and emotional regulation.

Method

A convenience sample of 120 participants was recruited, 80 of whom had already had bariatric surgery 2 to 5 years earlier, whereas 40 were candidates for such procedure but did not undergo it yet. Each participant filled a consent form, a socio-demographic one, and extra three questionnaires related to socio-behavioral characteristics: Mental Health Inventory (MHI), General Self-efficacy (GSE), and Difficulty in Emotional Regulation Scale (DERS). SPSS version 25 was used to analyze the data, and a one-sample Kolmogorov–Smirnov test was conducted to examine the distribution of the continuous variables.

Results

Those in the non-reducers group experienced (2.19 ± 0.63) greater difficulties than the reducers group (1.82 ± 0.39) when it came to their emotional regulation, whereas the candidate group (1.96 ± 0.47) were situated in-between the groups already operated in terms of their DERS scores (p = 0.008). The reducers group had higher GSE scores (2.75 ± 0.35) than the non-reducers group (2.59 ± 0.39) (p = 0.03).

Conclusions

Effective emotional regulation is linked to weight loss maintenance after bariatric surgery. Difficulties in emotional regulation are negatively correlated with maintaining weight loss among bariatric patients who undergo surgery. General self-efficacy is positively correlated with weight loss maintenance after bariatric surgery.

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Acknowledgements

The authors wish to thank Grigory Mashkit who recruited participants, conducted the interviews, weighed the participants, and assisted in gathering the data without which this research would not have been possible.

Author information

Authors and Affiliations

  1. School of Public Health, University of Haifa, 199 Aba Khoushy Ave., Mount Carmel, ZIP Code 3498838, Haifa, Israel

    Moshe Mishali

  2. A. Mishali Counselling Services, Remez St. 47, ZIP Code 3604447, Kiryat Tivon, Israel

    Mirit Kisner

Authors
  1. Moshe Mishali
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Contributions

Moshe Mishali designed the study, wrote the literature review, interpreted the results, commented on the final draft, and approved it. Mirit Kisner drafted the entire paper, revised it, and modified the literature review while updating it and tweaking the “Conclusions” section. Both authors approved the final version of this manuscript as presented. The manuscript has never been published, submitted to another journal, or been under consideration elsewhere.

Corresponding author

Correspondence to Mirit Kisner.

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Ethics Approval

The Ethics Committee at the University of Haifa approved this research in accordance with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The article was not plagiarized and had not previously been published elsewhere. Moshe Mishali and Mirit Kisner attest to this manuscript as presented.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Conflict of Interest

The authors declare no competing interests.

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Key Points

• Effective emotional regulation is linked to successful bariatric surgery.

• DERS is negatively correlated with weight loss maintenance among bariatric patients.

• General self-efficacy is positively correlated with successful bariatric surgery.

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Mishali, M., Kisner, M. Psycho-behavioral Factors Related to Weight Regain After Bariatric Surgery. OBES SURG 32, 3041–3046 (2022). https://doi.org/10.1007/s11695-022-06195-6

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  • DOI: https://doi.org/10.1007/s11695-022-06195-6

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