Department of Psychiatry, University of Patras Medical School, Rion Patras, 26504, Greece.
Obes Surg. 2011 Mar;21(3):362-6. doi: 10.1007/s11695-010-0303-z.
Bariatric surgery is an effective treatment for obesity; few studies, however, have investigated its impact on patients' sexuality. We aimed to determine bariatric surgery's effect on female patients' body mass index (BMI), anxiety and depressive symptoms, and sexual function and delineate predictors of treatment outcomes. Fifty-nine obese female bariatric candidates were administered the Hospital Anxiety and Depression Scale and the Female Sexual Function Index 1 week before surgery (T1) and 1 year after (T2). Statistical analysis revealed significant reductions in BMI (p < 0.001), depression (p < 0.001), and sexual pain levels (p = 0.014) and significant improvements in sexual desire (p = 0.005), arousal (p = 0.001), lubrication (p = 0.003), satisfaction (p = 0.012), and total sexual function (p = 0.003) postoperatively. Postoperative total sexual function was independently predicted by baseline sexual function and low baseline BMI. Bariatric surgery is an effective way to reduce weight, manage depression, and improve sexual function in female obese patients.
减肥手术是治疗肥胖症的有效方法；然而，很少有研究调查它对患者性生活的影响。我们旨在确定减肥手术对女性患者体重指数（BMI）、焦虑和抑郁症状以及性功能的影响，并描绘治疗结果的预测因素。59 名肥胖的女性减肥手术候选者在手术前 1 周（T1）和 1 年后（T2）接受了医院焦虑和抑郁量表以及女性性功能指数的评估。统计分析显示 BMI（p<0.001）、抑郁（p<0.001）和性疼痛水平（p=0.014）显著降低，性欲（p=0.005）、唤醒（p=0.001）、润滑（p=0.003）、满意度（p=0.012）和总体性功能（p=0.003）显著改善。术后总体性功能独立预测于基线性功能和低基线 BMI。减肥手术是一种有效减轻体重、治疗抑郁和改善肥胖女性性功能的方法。
