Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: A brief report
Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: A brief report
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DOI：
10.1381/096089201321454088
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发表时间：
2001-02-01
期刊：
影响因子：
2.9
通讯作者：
Alverdy, J
中科院分区：
文献类型：
--
作者：
Dymek, MP;le Grange, D;Alverdy, J
背景：虽然Roux-en-Y胃分流术(RYGBP)似乎是减轻病态肥胖患者体重的最有效的方法，但缺乏关于术后生活质量和心理社会状况的客观结果数据。方法：本研究调查了32例病态肥胖者RYGBP对包括QOL和心理社会功能在内的各种结果测量的影响。在手术前、术后1至3周和6个月的随访中进行评估。结果：除了体重减轻外，结果显示与健康相关的生活质量、抑郁和自尊显著改善，手术后进食病理显著减少。研究结果还表明，暴食障碍和临床抑郁的存在都不能预示手术后较差的结果。结论：RYGBP可以显著降低体重，并显著改善与健康相关的生活质量、抑郁、自尊和饮食病理，包括短期内的暴饮暴食。这些发现需要在更大的患者队列中重复，并进行更长时间的跟踪，然后我们才能就RYGBP的心理社会结局得出更明确的结论。
Background: While Roux-en-Y gastric bypass (RYGBP) appears to be the most effective procedure for weight loss in morbidly obese patients, objective outcome data regarding quality of life (QoL) and psychosocial status following surgery are lacking.Methods: The present study examined the effects of RYGBP in 32 morbidly obese subjects on a variety of outcome measures including QoL and psychosocial functioning. Assessments were conducted before surgery, 1 to 3 weeks post-surgery, and at 6-month follow-up.Results: In addition to weight loss, results show significant improvements in health-related QoL, depression, and self-esteem, as well as a significant reduction in eating pathology following surgery. Results also show that neither the presence of binge-eating disorder nor clinical depression predicted poorer outcome post-surgery.Conclusion: RYGBP results in a dramatic reduction in weight, and marked improvements in health-related QoL, depression, self-esteem, and eating pathology, including binge-eating in the short term. These findings need to be replicated in a larger cohort of patients and followed for a longer time before we can reach more definitive conclusions regarding the psychosocial outcome in RYGBP.