{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T08:35:31Z","timestamp":1774082131208,"version":"3.50.1"},"reference-count":45,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T00:00:00Z","timestamp":1625097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Excess skin and disordered eating behaviors are referred to as some of the major negative consequences of bariatric surgery as well as body image shame. This study sought to explore how discomfort with excessive skin, body image shame, psychological distress, eating-related psychopathology, and negative urgency interact to understand uncontrolled eating among woman submitted to bariatric surgery. A cross-sectional sample of 137 women was evaluated postoperatively through self-report questionnaires assessing discomfort with excess skin, body image shame, eating-related psychopathology, negative urgency, and uncontrolled eating in a hospital center in the north of Portugal. Pearson correlations and Structural Equation Modeling (SEM) were performed. Body image shame mediated the relationship between discomfort with excess skin and eating-related psychopathology. In turn, the relationship between eating-related psychopathology and uncontrolled eating was mediated by negative urgency. This study highlights the impact of excess skin and body image shame on eating behavior post-bariatric-surgery. Considering the proven impact of uncontrolled eating on weight-loss results post-surgery, understanding the mechanisms underlying this problem is highly important. Our findings provide helpful insight for multidisciplinary teams committed to providing care to bariatric patients struggling with body image and eating difficulties.<\/jats:p>","DOI":"10.3390\/jcm10132967","type":"journal-article","created":{"date-parts":[[2021,7,1]],"date-time":"2021-07-01T12:03:27Z","timestamp":1625141007000},"page":"2967","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Understanding Uncontrolled Eating after Bariatric Surgery: The Role of Excessive Skin and Body Image Shame"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9310-9010","authenticated-orcid":false,"given":"Marta","family":"de Lourdes","sequence":"first","affiliation":[{"name":"School of Psychology, University of Minho, 4710-057 Braga, Portugal"}]},{"given":"Lu\u00edsa","family":"Cerqueira","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Minho, 4710-057 Braga, Portugal"}]},{"given":"Ana","family":"Pinto-Bastos","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Minho, 4710-057 Braga, Portugal"}]},{"given":"Jo\u00e3o","family":"Mar\u00f4co","sequence":"additional","affiliation":[{"name":"William James Centre for Research, ISPA\u2013Instituto Universit\u00e1rio, 1100-304 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7191-1002","authenticated-orcid":false,"given":"Lara","family":"Palmeira","sequence":"additional","affiliation":[{"name":"Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, 3001-802 Coimbra, Portugal"}]},{"given":"Isabel","family":"Brand\u00e3o","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal"},{"name":"University Hospital Center of S\u00e3o Jo\u00e3o, 4200-319 Porto, Portugal"}]},{"given":"Ana Rita","family":"Vaz","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Minho, 4710-057 Braga, Portugal"}]},{"given":"Eva","family":"Concei\u00e7\u00e3o","sequence":"additional","affiliation":[{"name":"School of Psychology, University of Minho, 4710-057 Braga, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1001\/jamasurg.2017.5025","article-title":"Seven-Year Weight Trajectories and Health Outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study","volume":"153","author":"Courcoulas","year":"2017","journal-title":"JAMA Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1007\/s11695-020-05025-x","article-title":"Psychosocial Functioning of Bariatric Surgery Patients 6-Years Postoperative","volume":"31","author":"Marek","year":"2021","journal-title":"Obes. 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