Self-Efficacy, Happiness and Psychological Well-Being After Sleeve Gastrectomy

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SURGERY IN LOW AND MIDDLE INCOME COUNTRIES

Self-Efficacy, Happiness and Psychological Well-Being After Sleeve Gastrectomy Zahra Sobhani1 • Masood Amini1 • Seyed Vahid Hosseini2 • Samaneh Khazraei3 • Hajar Khazraei2

Accepted: 16 August 2020 Ó Socie´te´ Internationale de Chirurgie 2020

Abstract Purpose Sleeve gastrectomy (SG) is an effective treatment for patients with severe obesity and it leads to significant weight loss and promotes the quality of life. The aim of this study was evaluating the relationship between selfefficacy, happiness and psychological well-being after sleeve gastrectomy. Methods One hundred patients that underwent SG were participated in this study. They were asked to fill questionnaires 12 months after surgery. To assess self-efficacy, Sherer and et al. scale, for happiness, oxford happiness scale and for psychological well-being, Ryff scale were used. Regression analysis was used on psychological wellbeing and happiness for evaluating the prediction of self-efficacy. Results The results showed that 44% of happiness and 4% of psychological well-being were determined by selfefficacy after surgery. Conclusion Based on these findings, self-efficacy is a significant predictor of psychological well-being and happiness.

Introduction Obesity is an epidemic disease that is a major problem in public health. It affects over 1.5 billion people globally; sleeve gastrectomy (SG) is an effective invasive treatment for patients with severe obesity as it leads to significant weight loss and promotes the quality of life [1–3]. The psychological and clinical postoperative evaluation is very important due to increases surgery and the realization elapsed time if symptoms are changing as a result of weight & Hajar Khazraei [email protected] 1

Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

2

Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

3

Department of Psychiatry, Shiraz University of Medical Sciences, Shiraz, Iran

loss [4]. Improvements in eating self-efficacy are predictably associated with greater weight loss. Moreover, self-efficacy is an important predictor of the initiation and performance of weight control behaviors such as adherence to an eating plan and calorie monitoring [5]. With regard to long-term change, self-efficacy is a predictor of maintenance of lost weight years after treatment with very low calorie diets and weight loss surgery [6], and self-efficacy has an important role in weight control and physical activity [7]. Happiness is believed to be a stable position that person finds between desire and satisfaction. Also, happiness is used in emotional or mental behavior including positive and pleasant emotions. Happiness has been used in wellbeing and life satisfaction as well and enhances psychological well-being and body image satisfaction [8]. Happiness, positive affect and optimism, can have beneficial effects on cardiovascular and immune systems, influence hormones and inflammation, and maintaining good

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