Madan Atul K, Beech Bettina M, Tichansky David S
Division of Laparoendoscopic and Bariatric Surgery, Department of Surgery, University of Miami Mills of Science, Miami, Florida 33136, USA.
Surg Innov. 2008 Mar;15(1):32-7. doi: 10.1177/1553350608316135. Epub 2008 Apr 2.
Body esteem is an issue for the morbidly obese. Although the primary goal of bariatric surgery is to improve, cure, and prevent medical comorbidities, the psychological aspect of bariatric surgery is just as important. Few studies have investigated the body esteem of patients after laparoscopic gastric bypass. This investigation tested the hypothesis that body esteem improves after bariatric surgery. Preoperative and postoperative patients were asked to fill out an institutional review board-exempted survey that included the Body-Esteem Scale for Adolescents and Adults (BESAA). The subscales include Appearance, Weight, and Attribution. Postoperative patients were told to fill the BESAA as they felt currently and as they felt before surgery. They felt that they had better scores currently than before surgery. Preoperative patients had worse scores than postoperative patients. As in many medical issues, body esteem improves after bariatric surgery. When discussing its benefits, psychological aspects of body esteem should be touted as well.
身体自尊是病态肥胖者面临的一个问题。虽然减肥手术的主要目标是改善、治愈和预防合并症,但减肥手术的心理层面同样重要。很少有研究调查过腹腔镜胃旁路手术后患者的身体自尊情况。本研究检验了减肥手术后身体自尊会改善这一假设。术前和术后患者都被要求填写一份机构审查委员会豁免的调查问卷,其中包括青少年及成人身体自尊量表(BESAA)。该量表的子量表包括外貌、体重和归因。术后患者被要求按照他们目前的感受以及手术前的感受来填写BESAA。他们觉得自己目前的得分比手术前更高。术前患者的得分比术后患者更低。和许多医学问题一样,减肥手术后身体自尊会得到改善。在讨论减肥手术的益处时,也应该强调身体自尊的心理层面。