Psychological aspects of severe obesity.
Psychological aspects of severe obesity.
复制标题
严重肥胖的心理方面。
DOI：
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发表时间：
1992
影响因子：
7.1
通讯作者：
T. Wadden
中科院分区：
文献类型：
--
作者：
A. Stunkard;T. Wadden
对几个超重的人在接受减肥手术前进行的研究表明：1)没有单一的人格类型是严重肥胖的特征；2)这一人群的一般精神病理水平并不比体重正常的对照组高；3)严重肥胖特有的并发症包括身体形象贬低和暴饮暴食。手术治疗和减肥后进行的研究表明：1)自尊和积极情绪增加；2)身体形象贬低减少；3)婚姻满意度会增加，但前提是手术前存在一定程度的满意度；4)饮食习惯显著改善。手术治疗的效果优于单纯的饮食治疗。医生应该意识到，严重肥胖的人会受到偏见和歧视，应该以额外的同情和关心来治疗，以帮助减轻他们被拒绝和羞耻的感觉。
Studies of several overweight persons conducted before their undergoing antiobesity surgery have shown 1) that there is no single personality type that characterizes the severely obese; 2) that this population does not report greater levels of general psychopathology than do average-weight control subjects; and 3) that the complications specific to severe obesity include body image disparagement and binge eating. Studies conducted after surgical treatment and weight loss have shown 1) that self-esteem and positive emotions increase; 2) that body image disparagement decreases; 3) that marital satisfaction increases, but only if a measure of satisfaction existed before surgery; and 4) that eating behavior is improved dramatically. The results of surgical treatment are superior to those for dietary treatment alone. Practitioners should be aware that severely obese persons are subjected to prejudice and discrimination and should be treated with an extra measure of compassion and concern to help alleviate their feelings of rejection and shame.