Ayşe Gökçen Gündoğmuş , Yasemin Koçyiğit, Hasan Karadağ

Clinic of Psychiatry, University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Türkiye


Objective: Considering the effects of self-esteem, eating attitudes and body satisfaction on obesity and bariatric surgery outcomes, psychiatric evaluation is important for the identification and treatment of psychopathology, improvement of self-esteem, eating attitudes and body satisfaction. In this study, it was aimed to determine the relation between eating behaviors, body dissatisfaction, self-esteem and psychological symptoms in patients seeking bariatric surgery. Our second aim was to determine whether depressive symptoms and anxiety had a mediating role in the relationship between body satisfaction and self-esteem and eating attitudes.

Material and Methods: The study included 200 patients. Patients’ data were retrospectively evaluated. Psychometric evaluation performed during the preoperative period included psychiatric examination and administration of the Beck Depression Inventory, Beck Anxiety Inventory, Rosenberg SelfEsteem Scale, Body-Cathexis Scale, and Dutch Eating Behaviors Questionnaire.

Results: There was a positive correlation between self-esteem and body satisfaction and a negative correlation between self-esteem and emotional eating (r= 0.160, p= 0.024; r= -0.261, p< 0.001 respectively). Body satisfaction had an effect on emotional eating mediated by depression and an effect on external and restrictive eating mediated by anxiety. Furthermore, anxiety mediated the relations between self-esteem and external and restrictive eating behaviors.

Conclusion: Our finding indicating that depression and anxiety have mediator effects on the relation between self-esteem, body dissatisfaction, and eating attitudes is significant since screening for these entities and their treatment is relatively more practical in clinical settings.

Keywords: Depression, anxiety, eating attitudes, self esteem, body image

Cite this article as: Gündoğmuş AG, Koçyiğit Y, Karadağ H. The relationship between self-esteem, body dissatisfaction, and eating attitudes in bariatric surgery candidates. Turk J Surg 2022; 38 (3): 275-282.


Ethics Committee Approval

This study was approved by Turkish Ministry of Health University of Health Sciences Dışkapı Yıldırım Beyazıt Training and Research Hospital Clinical Research Ethics Committee (Decision no: 69/08, Date: 05.08.2019).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept – A.G.G., Y.K., H.K.; Design – A.G.G., Y.K., H.K.; Supervision – A.G.G., H.K.; Materials – A.G.G., Y.K.; Data Collection and Processing – A.G.G., Y.K.; Analysis and/or Interpretation – A.G.G., Y.K., H.K.; Literature Search – A.G.G., Y.K., H.K.; Writing Manuscript– A.G.G., Y.K.; Critical Review – A.G.G., H.K.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.