This study aims to assess the impact of bariatric surgery on self-esteem, quality of life, depression, and sexual life.
Method:
This descriptive and cross-sectional study was conducted with 39 sexually active individuals (26 female and 13 male) who underwent bariatric surgery between October and December 2023. Data collection tools included the “Personal Information Form,” the “Rosenberg Self-Esteem Scale (RSES),” the “36-Item Short Form Health Survey (SF-36),” the “Beck Depression Inventory (BDI),” and the “Arizona Sexual Experiences Scale (ASEX)—Female-Male Forms.
Results:
The mean age of the participants was 38.21 ± 10.17 years. According to the BDI, the participants exhibited minimal depressive symptoms, while their self-esteem, as measured by the RSES, was high. Following bariatric surgery, the participants scored highest on the physical functioning subscale and lowest on the bodily pain subscale of the SF-36. In the multivariate analysis, it was determined that there was a significant negative correlation between the ASEX and RSES, as well as the general health, vitality, and social functioning subscales of the SF-36 quality of life scale.
Conclusion:
It was determined that the depression levels of the participants decreased after bariatric surgery, self-confidence, physical function levels, and quality of life increased, and sexual function continued to deteriorate.
SoroceanuRP, TimofteDV, DanilaR, et al.The impact of bariatric surgery on quality of life in patients with obesity. J Clin Med, 2023; 12(13):4225; doi: 10.3390/jcm12134225
DemirayG, YorulmazF. Obesity management with a public health perspective. Sağlık Bilimlerinde Değer, 2023; 13:147–155; doi: 10.33631/sabd.1101432
5.
CoulmanDK, MacKichanF, BlazebyJM, et al.Patient experiences of outcomes of bariatric surgery: A systematic review and qualitative synthesis. Obes Rev, 2017; 18(5):547–559; doi: 10.1111/obr.12518
6.
CherickF, TeV, AntyR, et al.Bariatric surgery significantly improves the quality of sexual life and self-esteem in morbidly obese women. Obes Surg, 2019; 29(5):1576–1582; doi: 10.1007/s11695-019-03733-7
7.
BuckellJ, MeiXW, ClarkeP, et al.Weight loss interventions on health‐related quality of life in those with moderate to severe obesity: Findings from an individual patient data meta‐analysis of randomized trials. Obes Rev, 2021; 22(11):e13317; doi: 10.1111/obr.13317
8.
EmamiRM, SafabakhshM, KhorshidiM, et al.Effect of bariatric surgery on endogenous sex hormones and sex hormone-binding globulin levels: A systematic review and meta-analysis. Surg Obes Relat Dis, 2021; 17(9):1621–1636; doi: 10.1016/j.soard.2021.05.003
9.
KüçükakçaAŞ, ÖktemerS. The effects of bariatric surgery on sexual life, depression and quality of life in women. Kastamonu Med J, 2023; 3:75–79; doi: 10.51271/KMJ-0102
10.
LohHH, ShaharMA, LohHS, et al.Female sexual dysfunction after bariatric surgery in women with obesity: A systematic review and meta-analysis. Scand J Surg, 2022; 111(1):14574969211072395; doi: 10.1177/14574969211072395
11.
Türkoğlu-DikmenSN, İlkayŞ, ŞafakY. Evaluation of self-esteem, emotional eating, eating attitude, depression and anxiety levels before and after bariatric surgery: A one-year follow-up study. Cyp Turk J of Psychiatry and Psychol, 2022; 4:140–147; doi: 10.35365/ctjpp.22.2.03
12.
ÇaynakS, BoyacıoğluNE, TemelM. Body perception and sexuality of bariatric surgery patients. Perspect Psychiatr Care, 2021; 57(3):1266–1272; doi: 10.1111/ppc.12683
13.
Albarrán-SánchezA, Ramírez-RenteríaC, Ferreira-HermosilloA, et al.Quality of life evaluation in Mexican patients with severe obesity before and after bariatric surgery. Gac Med Mex, 2021; 157(1):64–69; doi: 10.24875/GMM.M21000522
14.
GergerlioğluU. Assessment of the obesity taxes in terms of some OECD countries. IJESR, 2016; 12:149–166.
15.
EroğluMZ, SertçelikS, GündüzA, et al.Self-esteem and quality of life in bariatric surgery candidates. Anadolu Psikiyatri Derg, 2018; 20–8(0):1; doi: 10.5455/apd.298864
16.
SalantP, DillmanDA. How to conduct your own survey. Wiley; 1994.
17.
CohenJ. Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Routledge; 1988; doi:10.4324/9780203771587
18.
NickelF, SchmidtL, BrucknerT, et al.Influence of bariatric surgery on quality of life, body image, and general self-efficacy within 6 and 24 months—a prospective cohort study. Surg Obes Relat Dis, 2017; 13(2):313–319; doi: 10.1016/j.soard.2016.08.017
ÇuhadaroğluF. Examination of self esteem of the adolescents in respect of life satisfaction and some personal qualities. Unpublished dissertation. Hacettepe University: Turkey; 1986.
21.
WareJE, SherbourneCD. The MOS 36-item short-form health survey (SF- 36). I. Conceptual framework and item selection. Med Care, 1992; 30(6):473–483.
22.
KoçyiğitH, AydemirÖ, FişekG, et al.The validity and reliability of Turkish version of the Short Form 36 (SF-36). Turkish J Drugs Therap, 1999; 12:102–106.
23.
BeckAT, WardCH, MendelsonM, et al.An inventory for measuring depression. Arch Gen Psychiatry, 1961; 4:561–571.
24.
HisliN. A reliability and validity study of Beck Depression Inventory in a university student sample. J Psychol, 1998; 7:3–13.
25.
McGahueyCA, GelenbergAJ, LaukesCA, et al.The Arizona sexual experience scale (ASEX): Reliability and validity. J Sex Marital Ther, 2000; 26(1):25–40; doi: 10.1080/009262300278623
26.
SoykanA. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res, 2004; 16(6):531–534; doi: 10.1038/sj.ijir.3901249
27.
BehrensSC, LenhardK, JunneF, et al.Effects of bariatric surgery on depression: Role of body image. Obes Surg, 2021; 31(4):1864–1868; doi: 10.1007/s11695-020-05057-3
28.
JiretornL, EngströmM, LaursenC, et al.‘My goal was to become normal’—A qualitative investigation of coping with stigma, body image and self‐esteem long‐term after bariatric surgery. Clin Obes, 2024; 14(3):e12657; doi: 10.1111/cob.12657
29.
AtaA, VuralA, KeskinF. Body perception and obesity. Ankara Med J, 2014; 14(3); doi: 10.17098/amj.02494
30.
SarwerDB, SteffenKJ. Quality of life, body image and sexual functioning in bariatric surgery patients. Eur Eat Disord Rev, 2015; 23(6):504–508; doi: 10.17098/amj.02494
31.
GellerS, DahanS, LevyS, et al.Body image and emotional eating as predictors of psychological distress following bariatric surgery. Obes Surg, 2020; 30(4):1417–1423; doi: 10.1007/s11695-019-04309-1
32.
ErdenSC, SeyitH, YazisizV, et al.Changes in sexual functions of female patients after bariatric surgery: relationship with body image, depression, and anxiety. Bariatr Surg Pract Patient Care, 2015; 10:150; doi: 10.1089/bari.2015.0033
33.
JanikMR, BieleckaI, PaśnikK, et al.Female sexual function before and after bariatric surgery: A cross-sectional study and review of literature. Obes Surg, 2015; 25(8):1511–1517; doi: 10.1007/s11695-015-1721-8
34.
CanMŞ, ÇayF. The effect of body satisfaction on female sexual life after bariatric surgery: A follow-up study. Acmj, 2022; 4(4):401–406; doi: 10.38053/acmj.1164283
35.
David GoiteinM, Alex ZendelM, Lior SegevM, et al.Bariatric surgery improves sexual function in obese patients. Isr Med Assoc J Sat, 2015; 5:21.
36.
Ramada FariaGF, Nunes SantosJM, SimonsonDC. Quality of life after gastric sleeve and gastric bypass for morbid obesity. Porto Biomed J, 2017; 2(2):40–46; doi: 10.1016/j.pbj.2016.12.006
37.
MazerLM, AzaguryDE, MortonJM. Quality of life after bariatric surgery. Curr Obes Rep, 2017; 6(2):204–210; doi: 10.1007/s13679-017-0266-7
38.
PoelemeijerYQM, van der KnaapETW, Marang-van de MheenPJ, et al.Measuring quality of life in bariatric surgery: A multicentre study. Surg Endosc, 2020; 34(12):5522–5532; doi: 10.1007/s00464-019-07350-4
39.
ArishiAA, GosadiIM, HakamiIA, et al.Bariatric surgery reduces weight loss, comorbidities prevalence, and improves quality of life in the Southern Region of Saudi Arabia. Medicina (Kaunas), 2023; 59(10):1695; doi: 10.3390/medicina59101695
