Page 93 - When surgery alone won’t cut it - Valerie Maureen Monpellier

gories, ranging from mild to severe depressive symptoms. In the D-group 26.9% had moderate to severe depressive symptoms compared to only 10.4% in the ND-group and 28.3% in the BCS-group (p<0.001).
Table 3:
Body image and depressive symptoms of the three groups, presented as mean scores ± standard deviation.
BCS-group (n=65)
D-group (n=368)
40.2 ±18.4 α
49.5 ±16.9 β
Body Shape Questionnaire*
Multidimensional Body-Self Relations Questionnaire-Appearance Scales
appearance evaluation** appearance orientation** body-area satisfaction scale** overweight preoccupation* self-classified weight*
Beck Depression Inventory II*
ND-group (n=157)
30.1 ±12.8 δ
3.26 ±0.58 3.27 ±0.61 δ 3.22 ±0.57 2.41 ±0.79 δ 3.76 ±0.73 δ 9.1 ±11.0
3.23 ±0.67 α 3.58 ±0.53 3.14 ±0.68 α 2.89 ±0.76 3.24 ±0.64 α
2.58 ±0.72 β 3.74 ±0.56 β 2.68 ±0.56 β 2.98 ±0.83 β 3.86 ±0.74
12.1 ±11.0
14.6 ±11.8 β
α significant difference compared to D-group, p≤0.005; β significant difference compared to ND-group, p≤0.001; δ significant difference compared to BCS-group, p ≤ 0.001.
Correlations
In the patients with a desire for BCS %TWL correlated negatively with depressive symptoms (r=-0.196, p<0.001) and positively with appearance evaluation (r=0.159, p=0.003) and body area satisfaction (r=0.223, p<0.001). This means that more weight loss is associated with less depression and a more positive body image. Appearance evaluation and body area satisfaction both correlated negatively with BDI (r=-0.361, p<0.001 and r=-0.439, p<0.001, respectively), meaning that a more negative body evaluation is associated with more depressed symptoms.
In the ND-group, %TWL was significantly (positively) related to appearance evalua- tion (r=0.227, p=0.006), meaning that more weight loss was significantly associated with a more positive appearance evaluation. There were no significant correlations of %TWL with BDI and body area satisfaction, meaning that weight loss was not asso- ciated with depressive symptoms and body area satisfaction. There was a negative correlation between appearance evaluation and BDI (r=-0.398, p<0.001) and body area satisfaction and BDI (r=-0.432, p<0.001); lower appearance evaluation and lower body area satisfaction were related to more depressive symptoms.
In the BCS-group, there was a significant correlation of %TWL with body area satis- faction (r=0.302, p=0.019), meaning that more weight loss is associated with higher body area satisfaction. No significant correlation of %TWL with appearance evalua- tion or BDI was found, so the weight loss was not related to appearance evaluation or depression in this group. Again, there was a significant, negative correlation between
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