Psychosocial factors and 2-year outcome following bariatric surgery for weight loss
Psychosocial factors and 2-year outcome following bariatric surgery for weight loss
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DOI：
10.1381/096089203322509318
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发表时间：
2003-10-01
期刊：
影响因子：
2.9
通讯作者：
Sarr, MG
中科院分区：
文献类型：
--
作者：
Clark, MM;Balsiger, BM;Sarr, MG
背景：心理社会因素如何影响减肥手术后的体重减轻尚不清楚。这种知识的缺乏是有问题的，因为在医院项目中寻求肥胖治疗的患者中，社会心理困扰的发生率很高。本研究的目的是探讨术前心理社会因素与最终体重减轻之间的关系。方法：1987 年至 1998 年间，我们机构所有接受 Roux-en-Y 胃绕道手术减肥的个体均进行了术前心理评估。对前瞻性随访的患者进行了研究。使用 t 检验检查接受心理健康治疗与 2 年内体重过度减轻百分比的关系。结果：62 名女性和 18 名男性完成了 2 年随访。与没有此类病史的患者相比，接受过药物滥用 (n=10) 或精神共病 (n=39) 治疗的患者体重减轻更多（P
Background: How psychosocial factors may impact on weight loss after bariatric surgery is not well understood. This lack of knowledge is problematic, because there is a high prevalence of psychosocial distress in patients seeking treatment for obesity in hospital-based programs. The purpose of this study was to examine the relationship between preoperative psychosocial factors and, eventual weight loss.Method: Between 1987 and 1998, all individuals undergoing Roux-en-Y gastric bypass for weight loss in our institution had psychologic preoperative evaluations. Patients who were followed prospectively were studied. The relation of having received mental health treatment to percentage of excess weight loss at 2 years is examined using t-tests.Results: 62 women and 18 men completed a 2-year follow-up. Patients who had received treatment for either substance abuse (n=10) or psychiatric co-morbidity (n=39) lost more weight compared with those without such histories (P