Ardelt-Gattinger E, Meindl M, Mangge H, Neubauer M, Ring-Dimitriou S, Spendlingwimmer J, Thun-Hohenstein L, Weghuber D, Miller K
Fachbereich Psychologie, Universität Salzburg, Hellbrunnerstr. 34, 5020, Salzburg, Österreich.
Chirurg. 2012 Jun;83(6):561-7. doi: 10.1007/s00104-011-2170-0.
Bariatric surgery is the most effective treatment to reduce weight permanently which is essential to avoid, to improve or even to cure life-threatening comorbidities. Little is known about changes of the psychological etiology and risk factors.
The present study concentrated on psychological variables which are considered to cause or promote obesity. The changes of symptoms were measured by the AD-EVA test inventory. A total of 60 patients (24 male/36 female, age 18-71 years) were tested prior to gastric bypass or gastric banding (body mass index BMI M=44.95, SD=6.91) and postoperatively (BMI M=33.92, SD=7.23).
Following surgery the variables addiction (t=11.15, p<0.01) and binge eating disorder (t=2.13, p<0.05) showed significant changes across all patients and therefore confirmed a positive effect but restrained eating and bulimia remained unmodified after surgery. There were significant differences between the two bariatric methods (p<0.01).
A precise interdisciplinary evaluation is a prerequisite for deciding between gastric banding and the bypass technique as well as to define the need for preoperative and postoperative psychotherapy.
减肥手术是永久性减轻体重的最有效治疗方法，对于避免、改善甚至治愈危及生命的合并症至关重要。关于心理病因和风险因素的变化知之甚少。
本研究集中于被认为导致或促进肥胖的心理变量。症状变化通过AD-EVA测试量表进行测量。共有60例患者（24例男性/36例女性，年龄18 - 71岁）在胃旁路手术或胃束带手术前（体重指数BMI M = 44.95，标准差SD = 6.91）及术后（BMI M = 33.92，标准差SD = 7.23）接受了测试。
术后，成瘾变量（t = 11.15，p < 0.01）和暴饮暴食症变量（t = 2.13，p < 0.05）在所有患者中均显示出显著变化，因此证实了手术的积极效果，但术后节食和贪食症未得到改善。两种减肥方法之间存在显著差异（p < 0.01）。
精确的多学科评估是决定采用胃束带手术还是旁路手术技术以及确定术前和术后心理治疗需求的先决条件。
