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Article

Generalized Anxiety as a Risk Factor for Dysfunctional Eating Behavior after Obesity Surgery during the COVID-19 Pandemic

1
Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, 45147 Essen, Germany
2
Department of Surgery, Alfried-Krupp Hospital Essen, 45131 Essen, Germany
*
Author to whom correspondence should be addressed.
These authors contributed equally to this study.
Academic Editors: Paolo Roma, Merylin Monaro and Cristina Mazza
Int. J. Environ. Res. Public Health 2021, 18(20), 10890; https://doi.org/10.3390/ijerph182010890
Received: 17 September 2021 / Revised: 7 October 2021 / Accepted: 11 October 2021 / Published: 16 October 2021
Purpose: The present study investigates the impact of obesity surgery on mental health (i.e., eating behavior and distress) during the COVID-19 pandemic. Methods: Two hundred fifty-four participants were recruited via social media. One hundred fourteen (44.53%) of them were surgery candidates (waiting for obesity surgery), while 142 (55.46%) had already undergone surgery. Participants who underwent surgery were compared to participants that did not yet undergo surgery in terms of mental burden (depression and anxiety), as well as safety and eating behavior. Further moderation analyses attempted to identify risk factors for increased COVID-19-related dysfunctional eating behavior after surgery. Results: Participants who underwent surgery showed generally lower levels of depression and general anxiety on a trend level. Moderation analyses suggested that people with high levels of generalized anxiety actually show more dysfunctional COVID-19-specific eating behavior after obesity surgery. Conclusion: On a trend level, obesity surgery appears to attenuate symptoms of generalized anxiety and depression. Yet, surgery patients with high levels of generalized anxiety exhibit even higher levels of dysfunctional eating during the COVID-19 pandemic. It is therefore particularly important to support people at risk. View Full-Text
Keywords: anxiety; obesity; eating disorder; obesity surgery; COVID-19; mental health anxiety; obesity; eating disorder; obesity surgery; COVID-19; mental health
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MDPI and ACS Style

Pfeiffer, C.; Schweda, A.; Schüren, L.C.; Niedergethmann, M.; Steinbach, J.; Rentrop, V.; Robitzsch, A.; Dörrie, N.; Bäuerle, A.; Teufel, M.; Skoda, E.-M.; Weismüller, B. Generalized Anxiety as a Risk Factor for Dysfunctional Eating Behavior after Obesity Surgery during the COVID-19 Pandemic. Int. J. Environ. Res. Public Health 2021, 18, 10890. https://doi.org/10.3390/ijerph182010890

AMA Style

Pfeiffer C, Schweda A, Schüren LC, Niedergethmann M, Steinbach J, Rentrop V, Robitzsch A, Dörrie N, Bäuerle A, Teufel M, Skoda E-M, Weismüller B. Generalized Anxiety as a Risk Factor for Dysfunctional Eating Behavior after Obesity Surgery during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health. 2021; 18(20):10890. https://doi.org/10.3390/ijerph182010890

Chicago/Turabian Style

Pfeiffer, Corinna, Adam Schweda, Lynik C. Schüren, Marco Niedergethmann, Jasmin Steinbach, Vanessa Rentrop, Anita Robitzsch, Nora Dörrie, Alexander Bäuerle, Martin Teufel, Eva-Maria Skoda, and Benjamin Weismüller. 2021. "Generalized Anxiety as a Risk Factor for Dysfunctional Eating Behavior after Obesity Surgery during the COVID-19 Pandemic" International Journal of Environmental Research and Public Health 18, no. 20: 10890. https://doi.org/10.3390/ijerph182010890

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