Hafner R J, Rogers J
Dibden Research Unit, Glenside Hospital, Eastwood, South Australia.
Int J Obes. 1990 Dec;14(12):1069-78.
This study examined the personal and marital adjustment of husbands before and one year after their wives had gastric restriction surgery for morbid obesity. Seventy-five married women and their husbands were assessed by clinical interview and self-report questionnaires before surgery. Forty-three husbands (57 per cent) returned questionnaires at the 12 month follow-up, and in 36 cases both partners did so. Four couples separated in the first year after surgery. Husbands' self-reported personal adjustment before surgery was essentially normal, but their marital dissatisfaction was significantly elevated. Twelve months after surgery, their scores improved on the measure of psychoneurotic symptoms, and on assertion discomfort, extrapunitiveness and marital dissatisfaction. However, there was a significant reduction in assertion behaviour. In contrast, wives (who had lost an average of 35.4 kg) reported significant increases in extrapunitiveness and assertion behaviour, the latter increase being associate with raised marital dissatisfaction in husbands. This finding suggested that husbands' adaptation to wives' increased assertiveness is often a problem in the first year after surgery, confirming reports in the clinical literature.
本研究调查了患有病态肥胖症的妻子进行胃限制手术之前及术后一年其丈夫的个人及婚姻适应情况。75名已婚女性及其丈夫在手术前通过临床访谈和自我报告问卷进行了评估。43名丈夫（57%）在12个月随访时返回了问卷，36对夫妻双方都返回了问卷。术后第一年有4对夫妻分居。丈夫术前自我报告的个人适应情况基本正常，但他们的婚姻不满情绪显著升高。术后12个月，他们在精神神经症状、断言不适、外罚性和婚姻不满方面的得分有所改善。然而，断言行为显著减少。相比之下，妻子（平均减重35.4千克）报告外罚性和断言行为显著增加，后者的增加与丈夫婚姻不满情绪升高有关。这一发现表明，术后第一年丈夫适应妻子增强的主见性往往是个问题，这证实了临床文献中的报道。
