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SO342

The role of attachment and psychological resilience in weight loss outcomes after bariatric surgery

THE ROLE OF ATTACHMENT AND PSYCHOLOGICAL RESILIENCE IN WEIGHT LOSS OUTCOMES AFTER BARIATRIC SURGERY

Secure attachment significantly predicts early and short-term postoperative weight loss, while older age negatively predicts weight loss at 3 and 6 months.

The study aimed to examine the associations of adult attachment styles and psychological resilience with early (1 month), short-term (3 months), and medium-term (6 months) weight loss after bariatric surgery. This cross-sectional study included 60 adults who had undergone bariatric surgery at least six months before assessment; 70% of the sample were women, the mean age was 33.45 ± 8.29 years, the mean baseline body mass index (BMI) was 42.38 ± 5.96 kg/m2, and 98.3% of participants had undergone sleeve gastrectomy. The Resilience Scale for Adults and the Adult Attachment Style Scale were administered, percentage weight loss (%WL) was calculated at 1, 3, and 6 months postoperatively, and hierarchical regression models were constructed to identify predictors. Mean percentage weight loss was 11.38 ± 3.83% at month 1 and 31.28 ± 5.3% at month 6. Secure attachment was a significant positive predictor of weight loss at month 1 (beta = 0.27; p = 0.046) and month 3 (beta = 0.37; p = 0.016), but did not reach statistical significance at month 6 (beta = 0.23; p = 0.125). Age was a significant negative predictor at month 3 (beta = -0.36; p = 0.012) and month 6 (beta = -0.31; p = 0.025). Sex, avoidant attachment, anxious attachment, and psychological resilience were not identified as consistent predictors at any time point. The authors interpret the findings as pointing to a time-dependent psychosocial model of postoperative adjustment and suggest that early psychosocial assessment focusing on attachment patterns may improve postoperative adjustment.

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