Perceived child weight status, family structure and functioning, and support for health behaviors in a sample of bariatric surgery patients

Fam Syst Health. 2020 Sep;38(3):300-309. doi: 10.1037/fsh0000317. Epub 2018 Jan 29.

Abstract

Introduction: The purpose of this study is to describe the associations between bariatric surgery patients' perspectives of their child's weight status, family support for eating and exercise behavior change, and family structure and functioning.

Method: A cross-sectional descriptive design with pre- and postsurgery (N = 224) patients was used. Demographics, perceptions of child weight status, family support for eating habits and exercise, and family functioning were assessed from patients at a University Bariatric Clinic.

Results: Patients who perceived their child to be overweight/obese reported more impaired family functioning, less family exercise participation, and more discouragement for eating habit change in the family compared to patients who did not perceive their child to be overweight/obese. Single parents more often perceived their children to be overweight/obese, and had more impaired family functioning, and less support for changing eating habits and family exercise participation. Patients with impaired family functioning reported less support for changing eating habits and family exercise participation.

Discussion: Bariatric patients who perceived their child to be overweight/obese and identified as single parents reported more impaired family functioning and less support for eating habits and family participation in exercise. Assessing pre- and postsurgery measures from parents and children will allow the further identification of relationship variables that can be targeted to promote positive family changes that benefit parents and children long-term. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

MeSH terms

  • Adult
  • Aged
  • Bariatric Surgery / methods
  • Bariatric Surgery / psychology*
  • Body Image / psychology*
  • Body Mass Index
  • Cross-Sectional Studies
  • Family Relations / psychology*
  • Female
  • Health Behavior
  • Humans
  • Male
  • Middle Aged
  • Parent-Child Relations
  • Perception*
  • Surveys and Questionnaires