van Hout Gerbrand C M, Boekestein Petra, Fortuin Frederiek A M, Pelle Aline J M, van Heck Guus L
Department of Medical Psychology, Catharina Hospital, Eindhoven, The Netherlands.
Obes Surg. 2006 Jun;16(6):787-94. doi: 10.1381/096089206777346808.
Morbid obesity is associated with an increased risk of morbidity and mortality as well as psychosocial problems and poor quality of life. The ultimate goal of bariatric surgery is not only reduced weight and reduction of co-morbidities, but also improved psychosocial functioning and quality of life. However, not all patients are successful. A systematic literature search of recent articles identified relevant variables reflecting postoperative psychosocial functioning. Most studies showed that bariatric surgery does not only lead to substantial weight reduction, but also to improvement or cure of physical as well as psychological co-morbidities. Although most studies are optimistic and report broad psychosocial improvement, a significant minority of patients do not benefit psychologically from surgery. Although there are mixed results, the overall improvements in psychosocial functioning provide additional justification for surgical treatment of morbid obesity.
病态肥胖与发病和死亡风险增加以及心理社会问题和生活质量差相关。减肥手术的最终目标不仅是减轻体重和减少合并症，还包括改善心理社会功能和生活质量。然而，并非所有患者都能成功。对近期文章进行的系统文献检索确定了反映术后心理社会功能的相关变量。大多数研究表明，减肥手术不仅能显著减轻体重，还能改善或治愈身体和心理合并症。尽管大多数研究持乐观态度并报告了广泛的心理社会改善，但仍有相当一部分患者在心理上并未从手术中获益。尽管结果不一，但心理社会功能的总体改善为病态肥胖的手术治疗提供了额外的依据。
