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减肥手术的心理评估:当前实践

Psychological assessment for bariatric surgery: current practices.

作者信息

Flores Carolina Aita

机构信息

Instituto de Pesquisa e Gestão em Saúde, Porto Alegre, RS, Brazil.

出版信息

Arq Bras Cir Dig. 2014;27 Suppl 1(Suppl 1):59-62. doi: 10.1590/s0102-6720201400s100015.

Abstract

INTRODUCTION

The prevalence of obesity on a global scale has alarmed health institutions, the general population and professionals involved in its treatment. Bariatric surgery has emerged as an effective and lasting alternative for weight reduction and improved general health. In this context and as part of a multidisciplinary team, psychologists are responsible for the preoperative psychological assessment of bariatric candidates.

AIM

To investigate how psychological assessments are occurring, including the identification of utilized resources; factors that are addressed; the duration of the process; existing protocols; and to evaluate the importance of this practice.

METHOD

A systematic review of national and international literature, through PubMed and Scielo's databases, using "psychological assessment", "obesity" and "surgery", as keywords.

CONCLUSION

There is an agreement about the main factors that should be investigated during the preoperative assessment, as well as the main contraindications for the surgical procedure. The importance of the psychological assessment is well established in the field of bariatric surgery. However, this area needs a standard protocol to guide the mental health professionals that deal with bariatric patients.

摘要

引言

全球范围内肥胖症的流行已引起卫生机构、普通大众以及参与肥胖症治疗的专业人士的警觉。减重手术已成为一种有效且持久的减肥及改善整体健康状况的选择。在此背景下,作为多学科团队的一员,心理学家负责对减重手术候选人进行术前心理评估。

目的

调查心理评估是如何进行的,包括所使用资源的识别;所涉及的因素;评估过程的时长;现有方案;并评估这一做法的重要性。

方法

通过PubMed和Scielo数据库,以“心理评估”“肥胖症”和“手术”作为关键词,对国内外文献进行系统综述。

结论

对于术前评估期间应调查的主要因素以及手术的主要禁忌症已达成共识。心理评估在减重手术领域的重要性已得到充分确立。然而,该领域需要一个标准方案来指导处理减重手术患者的心理健康专业人员。

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