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

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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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Acknowledgments

This research was partially supported by a Fundação para a Ciência e a Tecnologia/Foundation for Science and Technology, Portugal grant (PTDC/MHC-PCL/4974/2012), post-doctoral grant (SFRH/BPD/78896/2011) to Eva Conceição, post-doctoral grant (SFRH/BPD/94490/2013) to Ana Rita Vaz and doctoral grant (SFRH / BD / 80468 / 2011) to Cátia Silva. FCT had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or in the decision to submit the paper for publication.

Statement of Informed Consent

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

Conflict of Interest

Dr. Ramalho, Dr. Silva, Dr. Vaz, and Dr. Conceição report grants from the Foundation for Science and Technology, during the conduct of the study. Dr. Pinto Bastos, Dr. Machado, and Dr. Brandão have nothing to disclose.

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Authors and Affiliations

  1. Psychotherapy and Psychopathology Research Unit – CIPsi, School of Psychology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal

    Sofia Ramalho, Ana Pinto Bastos, Cátia Silva, Ana Rita Vaz, Paulo P. P. Machado & Eva Conceição

  2. Faculty of Medicine, Hospital de São João, University of Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal

    Isabel Brandão

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  1. Sofia Ramalho
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Correspondence to Eva Conceição.

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Ramalho, S., Bastos, A.P., Silva, C. et al. Excessive Skin and Sexual Function: Relationship with Psychological Variables and Weight Regain in Women After Bariatric Surgery. OBES SURG 25, 1149–1154 (2015). https://doi.org/10.1007/s11695-014-1514-5

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