Evolving self view and body image concerns in female postoperative bariatric surgery patients

Journal of Clinical Nursing
Tamara O PerdueRobert Carels

Abstract

To explore the experience of postoperative bariatric surgery patients as they adjust to diminished weight and differentiate that adjustment from the more general concept of body image. Bariatric surgery is an effective way to reduce weight and comorbidities associated with obesity. Complete success requires that patients must adjust psychologically as they lose weight. If this does not occur, bariatric patients may experience a "mind-body lag," in which the patient's internal body image lags behind the external changes. Hermans' Dialogical Self Theory of "I-positions" is a foundation with which to understand this problem. Descriptive correlational study of postoperative bariatric patients explored the concept of "I-obese" and "I-ex-obese" in an effort to quantify previous qualitative findings and develop a survey questionnaire. Bariatric patients (N = 55) between 18-30 months postoperative completed one-hour interviews. Cluster analysis and chi-squared analysis compared mean scores and explored the prevalence of "I-positions" and body image concerns in the participants. Cluster analysis of the survey data identified participants as falling into either "I-obese," "I-ex-obese" or "mixed I-obese" categories. There were significant...Continue Reading

References

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Citations

Nov 2, 2018·Eating and Weight Disorders : EWD·Tamara O PerdueRobert Carels
Oct 16, 2019·Eating and Weight Disorders : EWD·Tamara O Perdue, Janice A Neil
Dec 12, 2019·Revista brasileira de enfermagem·Luana Barbosa Dos Santos MonteiroCintia Silva Fassarella
Jul 3, 2021·International Journal of Environmental Research and Public Health·Débora Godoy-IzquierdoFélix Arbinaga
Jul 21, 2021·Eating and Weight Disorders : EWD·Carmela MentoAntonio Bruno

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