Stunkard A J, Wadden T A
Department of Psychiatry, University of Pennsylvania, Philadelphia.
Am J Clin Nutr. 1992 Feb;55(2 Suppl):524S-532S. doi: 10.1093/ajcn/55.2.524s.
Studies of several overweight persons conducted before their undergoing antiobesity surgery have shown 1) that there is no single personality type that characterizes the severely obese; 2) that this population does not report greater levels of general psychopathology than do average-weight control subjects; and 3) that the complications specific to severe obesity include body image disparagement and binge eating. Studies conducted after surgical treatment and weight loss have shown 1) that self-esteem and positive emotions increase; 2) that body image disparagement decreases; 3) that marital satisfaction increases, but only if a measure of satisfaction existed before surgery; and 4) that eating behavior is improved dramatically. The results of surgical treatment are superior to those for dietary treatment alone. Practitioners should be aware that severely obese persons are subjected to prejudice and discrimination and should be treated with an extra measure of compassion and concern to help alleviate their feelings of rejection and shame.
1）没有单一的人格类型能表征严重肥胖者；2）与体重正常的对照受试者相比，这一人群并未报告更高水平的一般精神病理学症状；3）严重肥胖的特定并发症包括身体形象贬低和暴饮暴食。在手术治疗和体重减轻后进行的研究表明：1）自尊和积极情绪增加；2）身体形象贬低减少；3）婚姻满意度增加，但前提是术前存在满意度衡量标准；4）饮食行为显著改善。手术治疗的结果优于单纯饮食治疗。从业者应意识到，严重肥胖者会遭受偏见和歧视，应给予他们额外的同情和关怀，以帮助减轻他们被排斥和羞耻的感觉。
