PurposeAccording to the current state of research, mental health improves due to bariatric surgery. However, improvements in weight and psychosocial aspects often show a gradual decline with time. As emotion regulation (ER) appears to be a key variable in the successful outcome of weight loss treatments, the present study aimed at investigating ER-strategies applied by bariatric surgery candidates pre- and post-surgery and examining interactions between ER, depressive symptoms, health-related quality of life (HrQoL), and post-surgical weight loss.MethodsPrior to and 6 months after bariatric surgery, 45 patients (76% women) completed self-report questionnaires assessing depressive symptoms (Beck Depression Inventory-II), HrQoL (Short Form-36 Health Survey), and ER-strategies (Emotion Regulation Inventory for Negative Emotions).ResultsSix months post-surgery, the patients reported significant improvements in depressive symptomatology, HrQoL, and satisfaction with ER compared to pre-surgery. Groups differing in their course of ER-satisfaction also differed in psychosocial dimensions pre- to post-surgery, increased satisfaction being related to less impairment and enhanced communication of negative emotions as a form of an adaptive regulation. Patients with higher weight loss applied the strategy of controlled expression more frequently post-surgery than pre-surgery and compared to patients with lower weight loss.ConclusionsPostoperative weight loss leads to improvements in ER-satisfaction and mental well-being. As satisfaction with ER seems to be associated with less impaired mental well-being among bariatric surgery candidates, presumably even more positive psychosocial outcomes could be obtained post-surgery by implementing trainings explicitly encouraging the use of adaptive ER-strategies.
We were not able to demonstrate any influence of the serotonin transporter 5-HTTLPR polymorphism on migraine phenomenology (attack frequency or comorbid depression), thereby excluding this variant to be a common genetic denominator for chronic migraine and depression.
Zusammenfassung. Die Furcht vor negativer sozialer Evaluation durch andere Menschen ist ein zentrales Diagnosekriterium der sozialen Phobie. Die Skala Brief Fear of Negative Evaluation–Revised (BFNE-R) ist in der englischen Literatur ein sehr häufig verwendetes, valides und reliables Instrument. Ziel dieser Studie ist die Validierung der deutschen Übersetzung der BFNE-R anhand 4 verschiedener Studien. Neben einem einfaktoriellen Messmodell konnte eine exzellente interne Konsistenz gezeigt werden. Zudem demonstrierte die Skala eine angemessene Test-Retest-Reliabilität, konvergente und divergente Validität, Kriteriumsvalidität sowie eine sehr gute Sensitivität bei sozial phobischen Patientinnen und Patienten. Zusammenfassend verfügt die deutsche Version Furcht vor negativer Evaluation–Kurzskala (FNE-K) über gute psychometrische Eigenschaften zur Erfassung der Angst vor negativer sozialer Evaluation und wird für die Anwendung im Forschungsbereich genauso wie für den Klinikalltag empfohlen.
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