ABSTRACT The purpose of this study was to investigate the role of fear of negative evaluation (FNE) in predicting psycho-social functioning (depression and quality of life (QOL)) as a function of amount of weight lost four years after weight loss surgery among women. Four years after gastric bypass surgery, female participants (N = 29) com-pleted measures of FNE, depression, and QOL via telephone. Height and weight (pre- and post-surgery) were obtained from medical charts and current primary care physicians. FNE was not related to depression or QOL among patients who lost less weight. However, FNE predicted greater depression and worse QOL among those who had lost more weight four years after surgery. Several potential explanations are explored. Regardless of why social concerns are related to mood and QOL for certain individuals post-surgery, psychosocial therapy that addresses life transitions after weight loss, with particular focus on concerns about interpersonal evaluation, might improve mental health outcomes for women after bariatric surgery.
Cite this paper
nullAdams, C. , Myers, V. , Barbera, B. & Brantley, P. (2011). The Role of Fear of Negative Evaluation in Predicting Depression and Quality of Life Four Years after Bariatric Surgery in Women. Psychology, 2, 150-154. doi: 10.4236/psych.2011.23024.
 Aiken, L. S., & West, S. G. (1991). Multiple Regression: Testing and Interpreting Interactions. Thousand Oaks: Sage.
 Bocchieri, L. E., Meana, M,. & Fisher, B. L. (2002). A review of psychosocial outcomes of surgery for morbid obesity. Journal of Psychosomatic Research, 52, 155-165.
 Beck, A.T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of Beck Depression Inventories-1A and II in psychiatric outpatients. Journal of Personality Assessment, 67, 588-597.
 Duke, D., Krishnan, M., Faith, M., & Storch, E. A. (2006). The psychometric properties of the Brief Fear of Negative Evaluation Scale. Anxiety Disorders, 20, 807-817.
 Foster, G. D., Wadden, T. A., & Vogt, R. A. (1997). Body image in obese women before, during, and after weight loss treatment. Health Psychology, 16, 226-229.
 Gilbert, N., & Meyer, C. (2005). Fear of negative evaluation and the development of eating psychopathology: A longitudinal study among nonclinical women. International Journal of Eating Disorders, 37, 307-312.
 Grilo, C. M., Wilfley, D. E., Jones, A., Brownell, K. D., & Rodin, J. (1994). The social self, body dissatisfaction, and binge eating in obese females. Obesity Research, 2, 24-27.
 Guisado, J. A., Vaz, F. J., Alarcón, J., López-Ibor, J. J., Rubio, M. A., & Gaite, L. (2002). Psychopathological status and interpersonal functioning following weight loss in morbidly obese patients undergoing bariatric surgery. Obesity Surgery, 12, 835-840.
 Herpertz, S., Kielmann, R., Wolf, A. M., Langkafel, M., Senf, W., & Hedebrand, J. (2003). Does obesity surgery improve psychosocial functioning? A systematic review. International Journal of Obesity, 27, 1300-1314.
 Karlsson, J., Taft, C., Sjostrom, L., & Sullivan, M. (2007). Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: The SOS intervention study. International Journal of Obesity, 31, 1248-1261.
 Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371-375.
 Lundgren, J. D., Anderson, D. A., & Thompson, J. K. (2004). Fear of negative appearance evaluation: Development and evaluation of a new construct for risk factor work in the field of eating disorders. Eating Behaviors, 5, 75-84.
 Mathus-Vliegen, E. M. H. (2007). Long-term health and psychosocial outcomes from surgically induced weight loss: Results obtained in patients not attending protocolled follow-up visits. International Journal of Obesity, 31, 299-307.
 McClintock, J. M., & Evans, I. M. (2001). The underlying psychopathology of eating disorders and social phobia: A structural equation analysis. Eating Behaviors, 2, 247-261.
 Myers, V. H., Adams, C. E., Barbera, B., L., & Brantley, P. J. (in press). Medical and psychosocial outcomes of laparoscopic Roux-en-Y gastric bypass: Cross-sectional findings at 4-year follow-up. Obesity Surgery.
 Petroni, M. L., Villanova, N., Avagnina, S., Fusco, M. A., Fatati, G., Compare, A., et al. (2007). Psychological distress in morbid obesity in relation to weight history. Obesity Surgery, 17, 391-399.
 Rodebaugh, T. L., Woods, C. M., Thissen, D. M., Heimberg, R. G., Chambless, D. L., & Rapee, R. M. (2004). More information from fewer questions: The factor structure and item properties of the Original and Brief Fear of Negative Evaluation Scale. Psychological Assessment, 16, 169-181.
 Sarwer, D. B., Fabricatore, A. N., Eisenberg, M. H., Sywulak, L. A., & Wadden, T. A. (2008). Self-reported stigmatization among candidates for bariatric surgery. Obesity, 16, S75-S79.
 Sogg, S., & Gorman, M. J. (2008). Interpersonal changes and challenges after weight-loss surgery. Primary Psychiatry, 15, 61-66.
 Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics, 5th Ed. Boston: Pearson.
 Ware, J.E. (1993). SF-36 Health survey: Manual and interpretation guide. Boston, MA: The Health Institute, New England Medical Center.
 Waters, G. S., Pories, W. J., Swanson, M. S., Meelheim, H. D., Flickinger, E. G., & May, H. J. (1991). Long-term studies of mental health after the Greenville gastric bypass operation for morbid obesity. American Journal of Surgery, 161, 154-157.
 Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457