Psychological and social aspects of the surgical treatment of obesity.
Psychological and social aspects of the surgical treatment of obesity.
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肥胖症手术治疗的心理和社会方面。
DOI：
10.1176/ajp.143.4.417
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发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Smoller,JW
中科院分区：
文献类型：
--
作者：
Stunkard,AJ;Stinnett,JL;Smoller,JW
新的外科手术彻底改变了病态肥胖（超重超过 100%）的治疗方法，这种疾病与严重的医疗并发症有关，保守治疗基本上无效。这些手术出人意料地安全，可以大幅减轻体重，并显着改善高血压、糖尿病和其他受肥胖影响的疾病。职业和社会心理功能也发生了惊人的变化，包括婚姻和性关系、饮食行为、食物偏好和身体形象。手术后减肥期间患者的情绪状态远远优于尝试其他方法减肥时的情绪状态。外科手术似乎会产生重大的生物学变化，也许会降低体重设定点。
New surgical procedures have revolutionized the treatment of morbid obesity (more than 100% overweight), a condition associated with serious medical complications and for which conservative treatment has been largely ineffective. These procedures, which are surprisingly safe, produce large weight losses and marked improvement in hypertension, diabetes, and other disorders influenced by obesity. Striking changes also occur in vocational and psychosocial functioning, including marital and sexual relations, in eating behavior, in food preferences, and in body image. The emotional state of patients during weight loss following surgery is far superior to that during attempts at weight reduction by other methods. The surgical procedures appear to produce a major biological change, perhaps lowering a body weight set point.