Ion C. Puia1,2, Mihaela Fadgyas Stanculete3*, Aida Puia1, Andrei Hopulele-Petri4, Daniel Muresan5
1Department of Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Romania;
2Octavian Fodor” Regional Institute of Gastroenterology and Hepatology, 3rd General Surgery Clinic, Croitorilor Str. 19-21, Cluj-Napoca, Romania;
3Department of Neurosciences, Discipline of Psychiatry and Pediatric Psychiatry, Iuliu Hatieganu University of Medicine and Pharmacy, Romania;
46Th Department of Neurology, Neurosurgery, Psychiatry, and Infant and Adolescent Psychiatry, Discipline of Psychiatry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
5Ist Department of Obstetrics and Gynecology, Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca, Romania
Background: The weight stigma is associated with psychological distress and a range of adverse outcomes. The present study aimed to investigate weight self-stigma and its associations with BMI, obesity type, and desire for bariatric surgery.
Materials and methods: A cross-sectional study was performed among ninety-nine participants referred to a tertiary gastroenterology center. Bivariate correlational analyses were conducted to assess the relationship between demographical variables and disease severity and between the later and stigma as evaluated by the Weight Self-Stigma Questionnaire (WSSQ) as well as the desire for bariatric surgery. Analysis of variance were conducted to measure stigma scores between the four clinically described morphotypes for obesity. Finally, a mediation model assessed BMI as predicting desire for surgery via self-stigma and fear of enacted stigma as co-mediators.
Results: Correlational analysis revealed significant relationships between age and BMI as well as significant negative correlations between age and the desire for bariatric surgery. One-way ANOVA revealed statistically significant differences between the three severity groups for stigma.
Conclusions: These findings suggest that assessment of weight-related stigma is important in clinical settings. Age of onset seems to be particularly important both, in the clinical evolution of obesity, as well as in fear of enacted stigma.
Keywords: weight-related self-stigma, obesity, bariatric surgery
Published online: 2017/09/01
Published print: 2017/09/01
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