Ramalho Sofia, Bastos Ana Pinto, Silva Cátia, Vaz Ana Rita, Brandão Isabel, Machado Paulo P P, Conceição Eva
Psychotherapy and Psychopathology Research Unit - CIPsi, School of Psychology, University of Minho, Campus Gualtar, 4710-057, Braga, Portugal.
Obes Surg. 2015 Jul;25(7):1149-54. doi: 10.1007/s11695-014-1514-5.
After bariatric surgery, the majority of patients develop a problem with excessive hanging skin. This can negatively influence the psychological benefits associated with bariatric surgery. The present study aims to explore the relationship between overall impairment related to the presence of excessive skin, body image, depressive symptomatology, sexual functioning, and weight regain in a sample of women after bariatric surgery.
Sixty-one women (body mass index (BMI) = 30.45 ± 5.35 kg/m(2)) with excessive skin who had undergone bariatric surgery 19.02 ± 9.98 months before were evaluated as part of a cross-sectional study using a semi-structured clinical interview and completed a set of self-report measures. A path analysis, an extension of multiple regression analysis, using IBM® SPSS® Amos™ was conducted to explore simultaneously the associations between the variables under study.
The model tested with path analysis showed a good fit to the data (χ (2) = 1.241, df = 4, p = 0.871; Comparative Fit Index (CFI) = 1.000, Tucker-Lewis Index (TLI) = 1.138, Incremental Fit Index (IFI) = 1.049, Root-Mean-Square of Approximation (RMSEA) = 0.000) and suggests that sexual functioning and overall impairment caused by excessive skin were associated with concerns regarding body image and depressive symptomatology, which in turn relate to a greater percentage of total weight regain.
These data stress the importance of considering sexual intimacy and body image in order to optimize psychological and weight outcomes after bariatric surgery.
减肥手术后，大多数患者会出现皮肤过度松弛的问题。这可能会对减肥手术带来的心理益处产生负面影响。本研究旨在探讨减肥手术后女性样本中，与皮肤过度松弛相关的整体功能损害、身体形象、抑郁症状、性功能和体重反弹之间的关系。
作为一项横断面研究的一部分，对61名有皮肤过度松弛问题的女性（体重指数（BMI）=30.45±5.35kg/m²）进行评估，这些女性在19.02±9.98个月前接受了减肥手术，采用半结构化临床访谈，并完成了一系列自我报告测量。使用IBM® SPSS® Amos™进行路径分析（多元回归分析的扩展），以同时探讨所研究变量之间的关联。
经路径分析测试的模型与数据拟合良好（χ²=1.241，自由度df=4，p=0.871；比较拟合指数（CFI）=1.000，塔克-刘易斯指数（TLI）=1.138，增量拟合指数（IFI）=1.049，近似均方根误差（RMSEA）=0.000），表明性功能和皮肤过度松弛导致的整体功能损害与对身体形象的担忧和抑郁症状相关，而这又与更高比例的总体重反弹有关。
这些数据强调了在减肥手术后考虑性亲密和身体形象对于优化心理和体重结果的重要性。
