The Relationship Between Childhood Trauma and Body Image, Self-Esteem and Eating Attitudes in Patients undergoing Bariatric Surgery

2024 35(2): 116-126
DOI: 10.5080/u26831
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Objective: Psychiatric evaluation of candidate patients before bariatric
surgery (BS) has an important place in the success of the treatment. In
this study, it was aimed to examine the relationship between childhood
trauma (CT) and body image, self-esteem and eating attitudes of
individuals who applied for BS.
Method: A total of 87 BS candidate patients with morbid obesity, 57
women and 30 men, were included in the study. Sociodemographic
Information Form, Childhood Trauma Questionnaire (CTQ), Body
Perception Scale (BPS), Rosenberg Self-Esteem Scale (RSES), and
Eating Attitude Test (EAT-40) were used as data collection tools in the
Results: CT was detected in 47.1% of the cases. RSES (t=3.296; p<0.01)
and BPS (t=3.267; p<0.01) scores were found to be significantly higher
in those with a history of CT. A positive and significant relationship was
found between EAT-40 and CTQ -sexual abuse (SA) sub-dimension
(r=0.570; p<0.01). A significant relationship was found between all subdimensions
of CTQ and RSES. A significant relationship was found
between CTQ physical neglect (PN), emotional neglect (EN), and
emotional abuse (EA) sub-dimensions and BPS. In addition, CTQ total
score was found to significantly and negatively predict self-esteem (β=-
4.432; p<0.001) and body image (β=-3.700; p<0.001).
Conclusion: In our study, it was found that those with CT were
dissatisfied with their bodies and had lower self-esteem. Questioning
CT in the psychological evaluation of pre-BS cases may contribute to
the understanding of the etiology of obesity and may play an important
role in planning the follow-up after BS.
Keywords: Bariatric Surgery, Body İmage, Self-esteem