Hafner R J, Rogers J, Watts J M
Dibden Research Unit, Glenside Hospital, Eastwood, South Australia.
J Psychosom Res. 1990;34(3):295-302. doi: 10.1016/0022-3999(90)90085-i.
Before gastric restriction, 118 morbidly obese women were psychiatrically assessed by clinical interview and self-report questionnaire. One year after surgery, 71 repeated the questionnaires. Weight was assessed at yearly intervals until the four year follow-up (n = 91). The maximum mean weight loss of 35 kg occurred at one year follow-up, when questionnaire respondents reported a slight overall improvement in personal and marital adjustment, and 72% rated themselves as very pleased with the results of surgery. Subsequently, 70% of patients regained weight, although the mean annual increase was only 1.9 kg. Marital dissatisfaction was a significant positive predictor of weight at one year, and generalized anxiety was a significant negative predictor of weight at four years. An increase in phobia scores at one year predicted subsequent maintenance of weight loss, whereas an increase in extrapunitiveness (mainly irritability and criticism of others) predicted subsequent weight gain.
在进行胃部限制手术前，通过临床访谈和自我报告问卷对118名病态肥胖女性进行了精神评估。术后一年，71人再次填写了问卷。每年评估体重，直至四年随访期（n = 91）。在一年随访时，最大平均体重减轻了35千克，此时问卷受访者报告个人和婚姻适应方面总体略有改善，72%的人对手术结果非常满意。随后，70%的患者体重反弹，尽管年均增加仅1.9千克。婚姻不满是一年时体重的显著正向预测因素，广泛性焦虑是四年时体重的显著负向预测因素。一年时恐惧得分增加预示着随后体重减轻得以维持，而外罚性增加（主要是易怒和对他人的批评）则预示着随后体重增加。
