{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:37:37Z","timestamp":1786361857024,"version":"build-2736575974"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T00:00:00Z","timestamp":1694649600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>As the prevalence of obesity increases, the number of patients seeking body contouring procedures after bariatric surgery for massive weight loss is increasing. Although the positive impact of bariatric surgery on physical and emotional health is well-described, few studies have reported on the psychosocial well-being of patients undergoing body contouring procedures. Psychosocial well-being can impact patient satisfaction and maintenance of weight loss, and is an important area to study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The aim of this study was to characterize social and psychiatric factors of patients undergoing body contouring surgery, and to evaluate their impact on maintenance of weight loss.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective review was performed of patients who presented to a single institution for body contouring procedures between 2002 and 2018. Demographic details, medical history, psychosocial support, and operative details were collected. Univariate analysis and multinomial logistic regressions were performed with R statistical software (version 1.3.1093).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 1187 patients underwent at least 1 body contouring procedure during the study time frame. Mean BMI at presentation was 31.21 \u00b1 10.49 kg\/m2. Patients diagnosed with obesity at age 18 or older had significantly greater odds of suffering from generalized anxiety disorder (odds ratio [OR] 1.08 [95% CI, 1.02-1.15], P = .008). Patients with spousal support had 1.93 times higher odds of having maintained postbariatric weight loss at their 6-month follow-up (OR 1.93 [95% CI, 1.84-2.01], P = .028).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Social support and age of obesity diagnosis impact psychological well-being and maintenance of weight loss following body contouring procedures.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence: 3<\/jats:title>\n                  <jats:p\/>\n               <\/jats:sec>","DOI":"10.1093\/asj\/sjad297","type":"journal-article","created":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T14:24:59Z","timestamp":1694701499000},"page":"NP119-NP124","source":"Crossref","is-referenced-by-count":5,"title":["Analyzing the Impact of Social and Psychiatric Factors in Patients Who Undergo Body Contouring Procedures"],"prefix":"10.1093","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0421-8237","authenticated-orcid":false,"given":"Anne E","family":"Glenney","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph W","family":"Mocharnuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pooja","family":"Humar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Casey","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J Peter","family":"Rubin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A","family":"Gusenoff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,9,14]]},"reference":[{"key":"2023121507201748600_sjad297-B1","volume-title":"Overweight & Obesity Statistics\u2014NIDDK","year":"2021"},{"key":"2023121507201748600_sjad297-B2","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.ehb.2019.02.002","article-title":"Understanding recent trends in childhood obesity in the United States","volume":"34","author":"Anderson","year":"2019","journal-title":"Econ Hum Biol"},{"issue":"7","key":"2023121507201748600_sjad297-B3","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1016\/j.puhe.2007.01.006","article-title":"Increases in morbid obesity in the USA: 2000-2005","volume":"121","author":"Sturm","year":"2007","journal-title":"Public Health"},{"issue":"1","key":"2023121507201748600_sjad297-B4","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1353\/foc.2006.0001","article-title":"Childhood obesity: trends and potential causes","volume":"16","author":"Anderson","year":"2006","journal-title":"Future Child"},{"issue":"16","key":"2023121507201748600_sjad297-B5","doi-asserted-by":"publisher","first-page":"1723","DOI":"10.1001\/jama.2018.3060","article-title":"Trends in obesity and severe obesity prevalence in US youth and adults by sex and age, 2007-2008 to 2015-2016","volume":"319","author":"Hales","year":"2018","journal-title":"JAMA"},{"issue":"1","key":"2023121507201748600_sjad297-B6","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.pop.2015.10.001","article-title":"Obesity statistics","volume":"43","author":"Smith","year":"2016","journal-title":"Prim Care"},{"issue":"1","key":"2023121507201748600_sjad297-B7","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1089\/chi.2015.0055","article-title":"Childhood obesity incidence in the United States: a systematic review","volume":"12","author":"Cheung","year":"2016","journal-title":"Child Obes"},{"issue":"8","key":"2023121507201748600_sjad297-B8","doi-asserted-by":"publisher","first-page":"806","DOI":"10.1001\/jama.2014.732","article-title":"Prevalence of childhood and adult obesity in the United States, 2011-2012","volume":"311","author":"Ogden","year":"2014","journal-title":"JAMA"},{"issue":"2","key":"2023121507201748600_sjad297-B9","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1111\/obr.12334","article-title":"Predicting adult obesity from childhood obesity: a systematic review and meta-analysis","volume":"17","author":"Simmonds","year":"2016","journal-title":"Obes Rev"},{"issue":"1","key":"2023121507201748600_sjad297-B10","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1111\/j.1467-789X.2005.00165.x","article-title":"Prevalence of obesity in the United States","volume":"6","author":"Baskin","year":"2005","journal-title":"Obes Rev"},{"key":"2023121507201748600_sjad297-B11","doi-asserted-by":"publisher","first-page":"285","DOI":"10.2147\/dmsott.S7384","article-title":"The economic impact of obesity in the United States","volume":"3","author":"Hammond","year":"2010","journal-title":"Diabetes Metab Syndr Obes"},{"issue":"1","key":"2023121507201748600_sjad297-B12","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.surg.2021.02.002","article-title":"US National trends in bariatric surgery: a decade of study","volume":"170","author":"Alalwan","year":"2021","journal-title":"Surgery"},{"issue":"1","key":"2023121507201748600_sjad297-B13","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1007\/s11695-019-04145-3","article-title":"Body contouring surgery improves physical activity in patients after massive weight loss\u2014a retrospective study","volume":"30","author":"Cai","year":"2020","journal-title":"Obes Surg"},{"key":"2023121507201748600_sjad297-B14","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/asj\/sjac116","article-title":"Aesthetic plastic surgery national databank statistics 2020-2021","volume":"42","author":"Yuvi","year":"2022","journal-title":"Aesthet Surg J"},{"key":"2023121507201748600_sjad297-B15","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1159\/000090964","article-title":"Body contouring following massive weight loss resulting from bariatric surgery","volume":"27","author":"Chandawarkar","year":"2006","journal-title":"Adv Psychosom Med"},{"issue":"10","key":"2023121507201748600_sjad297-B16","doi-asserted-by":"publisher","first-page":"3675","DOI":"10.1007\/s11695-020-04726-7","article-title":"Quality of life 10 years after bariatric surgery","volume":"30","author":"Major","year":"2020","journal-title":"Obes Surg"},{"issue":"9","key":"2023121507201748600_sjad297-B17","doi-asserted-by":"publisher","first-page":"1626","DOI":"10.1038\/oby.2006.187","article-title":"Body image and quality of life in post massive weight loss body contouring patients","volume":"14","author":"Song","year":"2006","journal-title":"Obesity (Silver Spring)"},{"issue":"1","key":"2023121507201748600_sjad297-B18","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1007\/s11695-009-9909-4","article-title":"The impact of reconstructive procedures following bariatric surgery on patient well-being and quality of life","volume":"20","author":"van der Beek","year":"2010","journal-title":"Obes Surg"},{"issue":"1","key":"2023121507201748600_sjad297-B19","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1097\/PRS.0000000000004461","article-title":"Using the BODY-Q to understand impact of weight loss, excess skin, and the need for body contouring following bariatric surgery","volume":"142","author":"Klassen","year":"2018","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"2023121507201748600_sjad297-B20","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1097\/PRS.0b013e318267d51d","article-title":"Quality of life long-term after body contouring surgery following bariatric surgery: sustained improvement after 7 years","volume":"130","author":"Van der Beek","year":"2012","journal-title":"Plast Reconstr Surg"},{"key":"2023121507201748600_sjad297-B21","doi-asserted-by":"publisher","first-page":"S216","DOI":"10.1097\/SAP.0000000000000788","article-title":"Body image and quality of life: changes with gastric bypass and body contouring","volume":"76","author":"Song","year":"2016","journal-title":"Ann Plast Surg"},{"issue":"2","key":"2023121507201748600_sjad297-B22","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1097\/PRS.0b013e31821b62f0","article-title":"Changes in quality of life and functional status following abdominal contouring in the massive weight loss population","volume":"128","author":"Coriddi","year":"2011","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"2023121507201748600_sjad297-B23","doi-asserted-by":"publisher","first-page":"423e","DOI":"10.1097\/PRS.0b013e3181772aa8","article-title":"Psychological considerations of the bariatric surgery patient undergoing body contouring surgery","volume":"121","author":"Sarwer","year":"2008","journal-title":"Plast Reconstr Surg"},{"key":"2023121507201748600_sjad297-B24","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1097\/01.prs.0000388797.00114.d8","article-title":"Prospective assessment of medical and psychiatric comorbidities in the massive weight loss population prior to body contouring surgery","volume":"126","author":"Bloom","year":"2010","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"2023121507201748600_sjad297-B25","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1080\/2000656X.2022.2050251","article-title":"Depressive symptoms before and after abdominoplasty among post-bariatric patients\u2014a cohort study","volume":"56","author":"Nielsen","year":"2022","journal-title":"J Plast Surg Hand Surg"},{"issue":"9","key":"2023121507201748600_sjad297-B26","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1016\/j.bjps.2017.05.029","article-title":"Body contouring after obesity surgery is associated with a weight loss benefit among patients","volume":"70","author":"Agarwal","year":"2017","journal-title":"J Plast Reconstr Aesthet Surg"},{"issue":"9","key":"2023121507201748600_sjad297-B27","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1016\/j.soard.2015.09.009","article-title":"Weight loss is higher among patients who undergo body contouring procedures after bariatric surgery","volume":"12","author":"Froylich","year":"2016","journal-title":"Surg Obes Relat Dis"},{"issue":"4","key":"2023121507201748600_sjad297-B28","doi-asserted-by":"crossref","first-page":"e60","DOI":"10.1016\/j.jamcollsurg.2014.07.543","article-title":"Absence of an additional metabolic effect for body contour surgery in patients that undergo laparoscopic Roux-en-Y Gastric Bypass (RYGB)","volume":"219","author":"Martin-del-Campo","year":"2014","journal-title":"J Am Coll Surg"},{"issue":"3","key":"2023121507201748600_sjad297-B29","doi-asserted-by":"publisher","first-page":"924","DOI":"10.1007\/s11695-019-04298-1","article-title":"The influence of body contouring surgery on weight control and comorbidities in patients after bariatric surgery","volume":"30","author":"de Vries","year":"2020","journal-title":"Obes Surg"},{"issue":"4","key":"2023121507201748600_sjad297-B30","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1016\/j.coms.2010.07.002","article-title":"Body dysmorphic disorder in patients who seek appearance-enhancing medical treatments","volume":"22","author":"Sarwer","year":"2010","journal-title":"Oral Maxillofac Surg Clin North Am"},{"issue":"1","key":"2023121507201748600_sjad297-B31","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1007\/s00266-016-0752-4","article-title":"Psychological and psychiatric traits in post-bariatric patients asking for body-contouring surgery","volume":"41","author":"Pavan","year":"2017","journal-title":"Aesthet Plast Surg"},{"issue":"1","key":"2023121507201748600_sjad297-B32","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1111\/j.2044-8341.1988.tb02763.x","article-title":"The impact of social support on mental and physical health","volume":"61","author":"Ganster","year":"1988","journal-title":"Br J Med Psychol"},{"issue":"9","key":"2023121507201748600_sjad297-B33","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1111\/j.1467-9280.2007.01987.x","article-title":"Cultural differences in the impact of social support on psychological and biological stress responses","volume":"18","author":"Taylor","year":"2007","journal-title":"Psychol Sci"},{"key":"2023121507201748600_sjad297-B34","author":"Lakey","year":"2013"},{"issue":"6","key":"2023121507201748600_sjad297-B35","doi-asserted-by":"publisher","first-page":"e100121","DOI":"10.1371\/journal.pone.0100121","article-title":"Young adults, social networks, and addiction recovery: post treatment changes in social ties and their role as a mediator of 12-step participation","volume":"9","author":"Kelly","year":"2014","journal-title":"PLoS One"},{"issue":"4","key":"2023121507201748600_sjad297-B36","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1159\/000343827","article-title":"Social network support for individuals receiving opiate substitution treatment and its association with treatment progress","volume":"19","author":"Day","year":"2013","journal-title":"Eur Addict Res"},{"issue":"1","key":"2023121507201748600_sjad297-B37","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1016\/j.trre.2017.04.001","article-title":"Is social support associated with post-transplant medication adherence and outcomes? A systematic review and meta-analysis","volume":"32","author":"Ladin","year":"2018","journal-title":"Transplant Rev (Orlando)"},{"issue":"11","key":"2023121507201748600_sjad297-B38","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/15265161.2019.1671689","article-title":"Why it is important to consider social support when assessing organ transplant candidates?","volume":"19","author":"Maldonado","year":"2019","journal-title":"Am J Bioeth"},{"issue":"6","key":"2023121507201748600_sjad297-B39","doi-asserted-by":"publisher","first-page":"1125","DOI":"10.1016\/j.pec.2019.12.015","article-title":"Giving and receiving social support in online substance use disorder forums: how self-efficacy moderates effects on relapse","volume":"103","author":"Liu","year":"2020","journal-title":"Patient Educ Couns"},{"issue":"4","key":"2023121507201748600_sjad297-B40","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1097\/PRS.0b013e31829fe531","article-title":"Plastic surgery improves long-term weight control after bariatric surgery","volume":"132","author":"Balagu\u00e9","year":"2013","journal-title":"Plast Reconstr Surg"},{"key":"2023121507201748600_sjad297-B41","doi-asserted-by":"publisher","first-page":"459","DOI":"10.3389\/fendo.2020.00459","article-title":"The impact of post-bariatric abdominoplasty on secondary weight regain after Roux-en-Y Gastric Bypass","volume":"11","author":"Sandvik","year":"2020","journal-title":"Front Endocrinol"},{"issue":"9","key":"2023121507201748600_sjad297-B42","doi-asserted-by":"publisher","first-page":"1181","DOI":"10.1016\/j.bjps.2017.05.055","article-title":"Body contouring procedures in three or more anatomical areas are associated with long-term body mass index decrease in massive weight loss patients: a retrospective cohort study","volume":"70","author":"Wiser","year":"2017","journal-title":"J Plast Reconstr Aesthet Surg"}],"container-title":["Aesthetic Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/asj\/advance-article-pdf\/doi\/10.1093\/asj\/sjad297\/51859816\/sjad297.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/44\/1\/NP119\/54294757\/sjad297.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/44\/1\/NP119\/54294757\/sjad297.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T08:47:52Z","timestamp":1702630072000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asj\/article\/44\/1\/NP119\/7273532"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,14]]},"references-count":42,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,9,14]]},"published-print":{"date-parts":[[2023,12,14]]}},"URL":"https:\/\/doi.org\/10.1093\/asj\/sjad297","relation":{},"ISSN":["1090-820X","1527-330X"],"issn-type":[{"value":"1090-820X","type":"print"},{"value":"1527-330X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1]]},"published":{"date-parts":[[2023,9,14]]}}}