Granted by Foundation for Science and Technology (SFRH/BD/37069/2007), Center for Research in Psychology, School of Psychology, University of Minho, Braga, Portugal.
Obes Surg. 2012 Nov;22(11):1714-22. doi: 10.1007/s11695-012-0716-y.
This study used a qualitative approach to comprehend how the morbid obese conceptualize and deal with obesity and obesity treatment, with the particular aim of exploring the expectations and beliefs about the exigencies and the impact of bariatric surgery.
The study population included 30 morbid obese patients (20 women and 10 men) with a mean age of 39.17 years (SD = 8.81) and a mean body mass index of 47.5 (SD = 8.2) (reviewer #2, comment #9) interviewed individually before surgery using open-ended questions. The interviews were audiotaped, transcribed, and then coded according to grounded analysis methodology.
Three main thematic areas emerged from the data: obesity, eating behavior, and treatment. Obesity is described as a stable and hereditary trait. Although participants recognize that personal eating behavior exacerbates this condition, patients see their eating behavior as difficult to change and control. Food seems to be an ever-present dimension and a coping strategy, and to follow an adequate diet plan is described as a huge sacrifice. Bariatric surgery emerges as the only treatment for obesity, and participants highlight this moment as the beginning of a new life where health professionals have the main role. Bariatric surgery candidates see their eating behavior as out of their control, and to commit to its demands is seen as a big sacrifice. For these patients, surgery is understood as a miracle moment that will change their lives without requiring an active role or their participation.
According to these results, it is necessary to validate them with qualitative and quantitative studies (reviewer #2, comment #3); it is necessary to promote a new awareness of the weight loss process and to empower patients before and after bariatric surgery.
本研究采用定性方法来理解病态肥胖患者如何概念化和处理肥胖以及肥胖治疗，特别旨在探讨对减重手术的需求和影响的期望和信念。
研究人群包括 30 名病态肥胖患者（20 名女性和 10 名男性），平均年龄为 39.17 岁（SD=8.81），平均体重指数为 47.5（SD=8.2）（评论员#2，评论#9），在手术前使用开放式问题进行单独访谈。访谈进行录音、转录，然后根据扎根分析方法进行编码。
数据中出现了三个主要主题领域：肥胖、饮食行为和治疗。肥胖被描述为一种稳定的遗传性特征。尽管参与者认识到个人的饮食行为加剧了这种情况，但患者认为他们的饮食行为难以改变和控制。食物似乎是一个始终存在的维度和应对策略，遵循适当的饮食计划被描述为巨大的牺牲。减重手术作为肥胖的唯一治疗方法出现，参与者强调这是新生活的开始，在新生活中，健康专业人员扮演着主要角色。减重手术的候选者认为他们的饮食行为不受控制，承诺满足其要求被视为巨大的牺牲。对这些患者来说，手术被理解为一个奇迹时刻，无需积极参与或他们的参与就可以改变他们的生活。
根据这些结果，有必要通过定性和定量研究来验证它们（评论员#2，评论#3）；有必要在减重手术前后增强对减肥过程的新认识，并赋予患者权力。
