Body image: Appearance orientation and evaluation in the severely obese. Changes with weight loss
Body image: Appearance orientation and evaluation in the severely obese. Changes with weight loss
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DOI：
10.1381/096089202321144612
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发表时间：
2002-02-01
期刊：
影响因子：
2.9
通讯作者：
O'Brien, PE
中科院分区：
文献类型：
--
作者：
Dixon, JB;Dixon, ME;O'Brien, PE
研究背景：重度肥胖者在外表上受到歧视和尴尬，造成心理社会困扰。我们评估了严重肥胖受试者（BMI指数为35 kg/m）减肥前后外表、外观和自我评价的重要性。方法：对术前患者和胃束带(R)限制性手术术后每年随访2年的患者进行多维自我身体关系问卷外观取向（AO）部分和外观评价（AE）部分的问卷调查。AO是衡量一个人对外表重视程度的标准。AE是对一个人外表的自我评价。结果：术前连续322例患者（男48例，女274例）完成调查。AO与社区标准相似（平均得分3.76 +/- SD 0.6 vs 3.84 +/- 0.6），但超级肥胖者（BMI指数>50 kg/m(2)）对其外表的重视程度明显较低（3.34 +/- 0.8,p=0.001）。术后1-4年AO无变化，但超级肥胖者的平均值上升至正常水平1年。与社区正常值相比，术前AE非常低(1.6 +/- 0.6 vs 3.4 +/- 0.8, p
Background: The severely obese experience discrimination and embarrassment regarding their appearance, causing psychosocial distress. We assessed the importance of appearance, presentation and self-evaluation of appearance before and after weight loss, in severely obese subjects (BMI >35 kg/m(2)).Methods: Appearance orientation (AO) and appearance evaluation (AE) sections of the Multi-dimentional Body Self Relations Questionnaire were completed by preoperative patients and those attending an annual follow-up after Lap-Band(R) gastric restrictive surgery over a 2-year period. AO is a measure of the importance one places in appearance. AE is a self-evaluation of one's appearance.Results: Before surgery 322 consecutive patients (48 men and 274 women) completed the survey. AO was similar to that of community norms (mean scores 3.76 +/- SD 0.6 vs 3.84 +/- 0.6), with the exception of the super obese (BMI >50 kg/m(2)) who placed significantly less importance on their appearance (3.34 +/- 0.8, p=0.001). There was no change in AO at 1-4 years after surgery, with the exception of the super obese whose mean values rose to normal by 1 year. AE was very low before surgery compared with community normal values (1.6 +/- 0.6 vs 3.4 +/- 0.8, p