Burgmer Ramona, Petersen Inga, Burgmer Markus, de Zwaan Martina, Wolf Anna Maria, Herpertz Stephan
Department of Psychosomatic Medicine and Psychotherapy, Westfälische Klinik Dortmund, Ruhr-University Bochum, Germany.
Obes Surg. 2007 Jun;17(6):785-91. doi: 10.1007/s11695-007-9144-9.
An essential outcome criterion of obesity surgery besides weight loss is the improvement of medical and psychological health status. Both dimensions influence quality of life. This study evaluates depressive symptoms, self-esteem and health-related quality of life 2 years after bariatric surgery.
149 patients (47 males (32%), 102 females (68%), mean age 38.8 +/- 10.3 years) were assessed by standardized questionnaires before and 1 and 2 years after gastric restrictive surgery.
Mean BMI pre-surgery was 51.3 +/- 8.4 kg/m2. BMI decreased significantly to 38.6 +/- 6.8 kg/m2 at 1 year and to 37.9 +/- 7.4 kg/m2 at 2 years after surgery. Statistical analyses revealed a significant decrease in depressive symptoms and a significant improvement in self-esteem and the physical dimension of health-related quality of life. Pre-surgery, 40.5% (n=62) of the patients suffered from depressive symptoms of clinical relevance. These depressive symptoms persisted in 17.7% (n = 27) 1 year and in 16.4% (n = 25) 2 years after surgery.
Parallel with a considerable weight loss after bariatric surgery, important aspects of mental health such as depressive symptoms and self-esteem improved significantly. These effects appear 1 year after surgery, but do not seem to change considerably afterwards.
除体重减轻外，肥胖症手术的一项重要结果标准是医学和心理健康状况的改善。这两个方面都会影响生活质量。本研究评估了减肥手术后2年的抑郁症状、自尊和健康相关生活质量。
149例患者（47例男性（32%），102例女性（68%），平均年龄38.8±10.3岁）在胃限制性手术前、术后1年和2年通过标准化问卷进行评估。
术前平均BMI为51.3±8.4kg/m²。术后1年BMI显著降至38.6±6.8kg/m²，术后2年降至37.9±7.4kg/m²。统计分析显示，抑郁症状显著减少，自尊和健康相关生活质量的身体维度显著改善。术前，40.5%（n = 62）的患者有临床相关的抑郁症状。这些抑郁症状在术后1年持续存在的比例为17.7%（n = 27），术后2年为16.4%（n = 25）。
与减肥手术后体重显著减轻同时，心理健康的重要方面如抑郁症状和自尊得到显著改善。这些影响在术后1年出现，但之后似乎没有太大变化。
