Parker Katrina, O'Brien Paul, Brennan Leah
Centre for Obesity Research and Education (CORE), Monash University, Melbourne, VIC, Australia,
Obes Surg. 2014 Jun;24(6):945-53. doi: 10.1007/s11695-014-1248-4.
Disordered eating is elevated in bariatric surgery patients and is a risk factor for poor surgical outcomes. A systematic review evaluated the definitions and measurement methods used to identify and assess disordered eating in patients following bariatric surgery. One hundred articles were identified featuring 35 questionnaires and 23 interviews. There were numerous variations to diagnostic criteria and amendments to measures to account for the post-surgical eating context. Only 20% of questionnaires and 4% of interviews had reported psychometric evaluation in post-surgery samples. Results highlight the need for a consistent definition of disordered eating and for current assessment measures to be (a) adapted to account for the altered gastrointestinal system in patients following surgery and (b) psychometrically evaluated in bariatric surgery patients.
肥胖症手术患者中饮食失调情况较为严重，且是手术效果不佳的一个风险因素。一项系统评价评估了用于识别和评估肥胖症手术患者饮食失调的定义和测量方法。共识别出100篇文章，其中有35份问卷和23次访谈。诊断标准有诸多差异，测量方法也有修正，以考虑术后饮食情况。只有20%的问卷和4%的访谈报告了在术后样本中的心理测量学评估。结果凸显了对饮食失调进行一致定义的必要性，以及当前评估措施需要（a）进行调整以适应术后患者改变的胃肠系统，（b）在肥胖症手术患者中进行心理测量学评估。
