'I Will Never Succeed': An Inductive Thematic Analysis of Psychosocial Challenges Experienced Before Sleeve Gastrectomy Among Patients in Turkey.

Abstract

Our study explored psychosocial experiences in the pre-surgery period that shaped the decision to undergo sleeve gastrectomy, with a focus on self-perception and internalised stigma. Nineteen participants from Turkey were purposively recruited. Semi-structured in-depth interviews were conducted to collect data, which were then analysed thematically with an inductive approach. Seven key themes emerged: body image, social stigma, family dynamics, emotional coping, psychological barriers to weight loss, surgical decision-making, and psychosocial impacts of weight. Participants reported feelings of shame, frustration, and social withdrawal linked to self-blame. Emotional eating was a common coping mechanism, while repeated dieting led to demotivation and exhaustion. Fear and hope influenced surgery decisions, with information seeking alleviating uncertainty. Family relationships both supported and stressed participants, affecting their emotions and health behaviours. These findings underline the complex psychosocial challenges faced before surgery and their influence on decision-making, emphasising the need for supportive and stigma-free care.