Wood Kerry Victoria, Ogden Jane
a Department of Psychology , University of Surrey , Guildford , UK.
Psychol Health Med. 2014;19(6):641-9. doi: 10.1080/13548506.2013.869611. Epub 2013 Dec 18.
The current study aimed to examine predictors of reduced binge eating in patients undergoing laparoscopic adjustable gastric banding (LAGB) for severe obesity. Participants were 49 patients (13 males and 36 females) who completed measures of binge eating, behavioural intentions, planning and self-efficacy two weeks prior and three months after their operation. Reduced binge eating following surgery was predicted by behavioural intentions. Planning and volitional self-efficacy were unable to predict a significant amount of variance over and above intentions. The results highlight how the role of intentions must not be overlooked when investigating the prediction of health behaviour change and challenge the notion that post-intentional constructs that translate intentions into action are more important. Interventions aiming to increase preoperative levels of intention to follow the post-operative eating guidelines in patients presenting with binge eating might be a useful way of decreasing this behaviour in patients opting for LAGB surgery in order to achieve weight loss and physical well-being.
本研究旨在探讨接受腹腔镜可调节胃束带术（LAGB）治疗重度肥胖患者暴饮暴食减少的预测因素。研究参与者为49例患者（13例男性和36例女性），他们在手术前两周和术后三个月完成了暴饮暴食、行为意向、计划和自我效能的测量。行为意向可预测术后暴饮暴食的减少。计划和意志自我效能无法预测超出意向的显著差异量。研究结果凸显了在调查健康行为改变的预测因素时，意向的作用绝不能被忽视，并对将意向转化为行动的意向后构念更为重要这一观念提出了挑战。对于那些有暴饮暴食问题且选择LAGB手术以实现体重减轻和身体健康的患者，旨在提高术前遵循术后饮食指南意向水平的干预措施，可能是减少这种行为的一种有效方法。
