Relationship Between Personality Traits and Physical - Social Anxiety in Obese Women who are Applying for Bariatric Surgery: A Cross-Sectional Study

Document Type : Research/Original Article


1 Department of Clinical Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran

2 Colorectal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

3 Burn and Wound Healing Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

4 Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran

5 Laparoscopy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran


Background: Obesity is a multifactorial disease defined by excessive adiposity, posing a health risk by increasing the risk of noncommunicable diseases. We aimed to investigate the relationship between personality traits and physical-social anxiety in overweight women seeking bariatric surgery.
Methods: An applied and descriptive-correlational design was used in this cross-sectional study. The participants were overweight women who had applied for bariatric surgery and went to the hospital; a total of 110 people were selected through convenience sampling. The participants completed questionnaires on demographic characteristics, personality (neuroticism-extroversion-openness [NEO] personality inventory), and physical-social features. Data were analyzed using SPSS software via regression and correlation analysis at a significance level of P<0.05.
Results: We found a positive relationship between neuroticism and physical-social anxiety (P≤0.01). Conversely, extraversion, agreeableness, openness, and conscientiousness exhibited negative associations with physical-social anxiety (P≤0.01).
Conclusion: Our study indicates that neuroticism is a positive and significant predictor of physical-social anxiety, while extraversion, agreeableness, conscientiousness, and openness are negative predictors of physical stress. These findings highlight the importance of considering personality traits in understanding the physical-social anxiety of overweight women seeking bariatric surgery.


  1. World Health Organization. Obesity and overweight (2020) Retrieved from https://
  2. Aslam M, Siddiqui AA, Sandeep G, et al. High prevalence of obesity among nursing personnel working in tertiary care hospital. Diabetes & Metabolic Syndrome: Clinical Research & Reviews. 2018;12(3):313-6.
  3. Rajabi S, Aghamohammadi V, Moradpour G, et al. Vitamin D Status in Patients with Morbid Obesity Following Bariatric Surgery in Shiraz, Iran: A Retrospective Observational Study. Bariatric Surgical Practice and Patient Care. 2021;17(2):121-6.
  4. Hosseini SV, Sobhani Z, Al-Ganbar MH. Management of Obsessive-Compulsive Disorder before Bariatric Surgery with Cognitive Behavioral Therapy During COVID-19. Obesity surgery. 2021;31(9):4213-5.
  5. Yazdani NPC, Hosseini SM, Amini MM,et al. Relationship between Body Image and Psychological Well-being in Patients with Morbid Obesity. International journal of community based nursing and midwifery. 2018;6(2):175-84.
  6. Sobhani Z, Hosseini SV, Honarparvaran N, et al. The effectiveness of an online video-based group schema therapy in improvement of the cognitive emotion regulation strategies in women who have undergone bariatric surgery. BMC Surgery. 2023;23(1):98.
  7. Daniel Cervone LAP. Personality: Theory and Research. 50 ed: John Wiley & Sons; 2022.
  8. Sahoo S, Padhy SK, Padhee B, et al. Role of personality in cardiovascular diseases: An issue that needs to be focused too! Indian heart journal. 2018;70 Suppl 3(Suppl 3):S471-s7.
  9. Taufik Nur Hidayah LK. Impact of Personality Traits on The Investor Sentiment. nternational Journal of Business Economics (IJBE). Sept 2020;2(1).
  10. Asher M, Asnaani A, Aderka IM. Gender differences in social anxiety disorder: A review. Clinical psychology review. 2017;56:1-12.
  11. Andini SF, Hamidah H. BODY IMAGE AND SOCIAL ANXIETY OF OBESE YOUNG WOMEN. 2022. 2022;6(1):11 %J Biopsikososial: Jurnal Ilmiah Psikologi Fakultas Psikologi Universitas Mercubuana Jakarta.
  12. Amini F, Khajevand Khoshli A, Asadi J, et al. Relationship between Treatment Outcomes and Depression and Anxiety in Patients with Type 2 Diabetes Considering the Mediating Role of Physical Activity: A Structural Equation Modeling %J Journal of Mazandaran University of Medical Sciences. 2021;30(194):71-85.
  13. Arsalan A, Majid M. Human stress classification during public speaking using physiological signals. Computers in biology and medicine. 2021;133:104377.
  14. Fatemeh Abdollahzadeh, Yahya Forghani, Masood Niazi,et al. Comparing the Effectiveness of Cognitive Behavioral Therapy and Augmented Reality Technology on Physical Factors and Public Speaking Anxiety. Quarterly Journal of Health Psychology. 2023;12(2).
  15. Fardaeni Sofla H, Karsazi H, Emami Ezat A, et al. The Structural Relationship of Anxiety Sensitivity, Worry and Difficulty in Regulating Emotions with Generalized Anxiety Disorder, Social Anxiety Disorder and Panic Disorder %J Thoughts and Behavior in Clinical Psychology. 2015;10(36):77-87.
  16. Irina Lazarevich MEI-CaMdCV-A. Obesity, eating behaviour and mental health among university students in Mexico city. Nutricion Hospitalaria. 2013;28(30).
  17. McCrae RR, Costa PT, Jr., Martin TA. The NEO-PI-3: a more readable revised NEO Personality Inventory. Journal of personality assessment. 2005;84(3):261-70.
  18. Gholami S. The relationship between personality traits and self-esteem with the mental health of people with physical disabilities in Baghmelek city.: Islamic Azad University, Ahvaz branch; 2000.
  19. Hart EA, Leary MR, Rejeski WJ. The measurement of social physique anxiety. Journal of Sport & Exercise Psychology. 1989;11(1):94-104.
  20. Tabatabaiian N FS, Adel Kahraman, Shajie MR, et al. The relationship between physical and social anxiety and the stages of students’ exercise behavior change. Journal of Research in Sports Sciences. 2009;24(6):29-44.
  21. van Dammen L, Bush NR, de Rooij SR, et al. Childhood adversity and women’s cardiometabolic health in adulthood: associations with health behaviors, psychological distress, mood symptoms, and personality. BMC Women’s Health. 2019;19(1):102.
  22. Gilmartin T, Gurvich C, Sharp G. The relationship between disordered eating behaviour and the five factor model personality dimensions: A systematic review. Journal of clinical psychology. 2022;78(9):1657-70.
  23. Ferrer-Garcia M, Gutiérrez-Maldonado J, Pla-Sanjuanelo J, et al. External Eating as a Predictor of Cue-reactivity to Food-related Virtual Environments. Studies in health technology and informatics. 2015;219:117-22.
  24. Provencher V, Bégin C, Gagnon-Girouard MP, et al. Personality traits in overweight and obese women: associations with BMI and eating behaviors. Eating behaviors. 2008;9(3):294-302.
  25. Elfhag K, Morey LC. Personality traits and eating behavior in the obese: poor self-control in emotional and external eating but personality assets in restrained eating. Eating behaviors. 2008;9(3):285-93.
  26. Baskaran C, Bose A, Plessow F, Torre Flores L, Toth AT, Eddy KT, et al. Depressive and anxiety symptoms and suicidality in adolescent and young adult females with moderate to severe obesity before and after weight loss surgery. Clin Obes. 2020;10(5):123.38
  27. Riegel KD, Konecna J, Matoulek M, Rosova L. Implementation of the DSM-5 and ICD-11 Dimensional Models of Maladaptive Personality Traits Into Pre-bariatric Assessment. Front Psychol. 2021;12:(81)21.44