A test of the stress-buffering hypothesis of social support among bariatric surgery patients
A test of the stress-buffering hypothesis of social support among bariatric surgery patients
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DOI：
10.1016/j.soard.2019.10.020
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发表时间：
2020-01-01
影响因子：
3.1
通讯作者：
Rancourt, Diana
中科院分区：
文献类型：
--
作者：
Ahlich, Erica;Herr, Jordana B.;Rancourt, Diana
背景资料：社会支持对一系列与压力相关的健康结果的缓冲作用已经得到了很好的证明;然而，以前没有研究过这种模型对减肥手术结果的适用性。目的：本研究试图解决社会支持是否与压力相互作用，以预测手术后的结果，以及这些协会是否可能因性别而异。使用回顾性病历审查收集数据（n = 548）。压力，病人的性别，社会支持进行了探讨，作为预测的曲线减肥轨迹在手术后的第一年使用growth curve modeling.Results：在随访预约出勤率差，250例患者在6个月和187在12个月。平均而言，这些患者在基线和12个月随访之间减轻了27%的总体重。总体而言，体重相关的情感支持似乎是最相关的减肥/维护在这个人群中，与配偶或其他重要的同居和出席支持小组会议并没有预测体重减轻或显示任何显着的相互作用与stress.Conclusions：本研究发现只有部分支持的压力缓冲模型的社会支持减肥手术患者。这些发现对减肥手术后的评估和后续护理以及该领域的未来研究具有重要意义。(C)2019年美国肥胖外科学会。爱思唯尔公司出版All rights reserved.
Background: The buffering effect of social support against a range of stress-related health outcomes has been well-documented; however, no previous work has examined the applicability of this model to bariatric surgery outcomes.Objectives: The present study sought to address whether social support interacts with stress in predicting postsurgical outcomes, as well as whether these associations may vary by sex.Setting: Teaching hospital, United States.Methods: Data were collected using retrospective chart review (n = 548). Stress, patient sex, and social support were explored as predictors of curvilinear weight loss trajectories during the first year after surgery using growth curve modeling.Results: Attendance at follow-up appointments was poor, with 250 patients at 6 months and 187 at 12 months. On average, these patients lost 27% of their total weight between baseline and the 12-month follow-up. Overall, weight-related emotional support appeared to be most relevant to weight loss/maintenance in this population; cohabitating with a spouse or significant other and attendance at support group meetings did not predict weight loss or show any significant interactions with stress.Conclusions: The present study found only partial support for the stress-buffering model of social support among bariatric surgery patients. Such findings have important implications for assessment and follow-up care after bariatric surgery, as well as for future research in this area. (C) 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.