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减肥手术后体重反弹的经历:一项叙事现象学探索。

The experience of regaining weight following weight loss surgery: A narrative-phenomenological exploration.

作者信息

Groven Karen Synne, Glenn Nicole M

机构信息

a Institute of Health and Society , University of Oslo , Oslo , Norway.

b Institute of Physiotherapy , Oslo and Akershus University College of Applied Sciences , Oslo , Norway.

出版信息

Health Care Women Int. 2016 Nov;37(11):1185-1202. doi: 10.1080/07399332.2016.1195386. Epub 2016 Jun 1.

DOI:10.1080/07399332.2016.1195386
PMID:27249448
Abstract

Weight loss surgery (WLS) is gaining ground as the most effective treatment against obesity. In the literature, however, we see a divide among individuals who have undergone WLS based on the amount of weight lost and maintained: successful and unsuccessful patients. In this article, we focus on the notion of unsuccessful patients-exploring the accounts of three women who have regained weight following WLS. In doing so, we endeavor to better understand how weight regain has meaning, and its impact and implications for the lives of individuals who undergo WLS. The findings reveal how weight-regain stories are easily silenced, buried beneath social, cultural, and institutional/medical narratives of successful weight loss and transformation. People who have such experiences may feel reticent to reveal them and in doing so increase their own suffering, therefore leaving the popular narratives unchallenged.

摘要

减肥手术(WLS)作为治疗肥胖症最有效的方法正逐渐普及。然而,在文献中,我们发现接受过减肥手术的人根据体重减轻和维持的程度存在分歧:成功和不成功的患者。在本文中,我们关注不成功患者的概念——探究三位减肥手术后体重反弹的女性的经历。通过这样做,我们努力更好地理解体重反弹如何具有意义,以及它对接受减肥手术的个人生活的影响和含义。研究结果揭示了体重反弹的故事是如何轻易地被压制,被成功减肥和转变的社会、文化以及机构/医学叙事所掩盖。有过此类经历的人可能不愿透露这些经历,这样做反而增加了他们自己的痛苦,因此使得流行的叙事未受到质疑。

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引用本文的文献

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Obes Surg. 2025 Aug 7. doi: 10.1007/s11695-025-08148-1.
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The real-life experiences of people living with overweight and obesity: A psychosocial perspective.超重和肥胖人群的现实生活经历:社会心理视角。
Diabetes Obes Metab. 2025 Apr;27 Suppl 2(Suppl 2):35-47. doi: 10.1111/dom.16255. Epub 2025 Feb 11.
3
Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery.
行为干预以减轻减重手术后的强迫性过度进食和体重反弹。
Front Endocrinol (Lausanne). 2022 Jul 18;13:934680. doi: 10.3389/fendo.2022.934680. eCollection 2022.
4
Dietary experiences after bariatric surgery in patients with obesity: A qualitative systematic review.肥胖患者减重手术后的饮食体验:一项定性系统评价
Obes Surg. 2022 Jun;32(6):2023-2034. doi: 10.1007/s11695-022-06018-8. Epub 2022 Mar 31.
5
Patients' Experiences of Weight Regain After Bariatric Surgery.患者在减重手术后体重反弹的体验。
Obes Surg. 2022 May;32(5):1498-1507. doi: 10.1007/s11695-022-05908-1. Epub 2022 Jan 21.
6
The hamster wheel: a case study on embodied narrative identity and overcoming severe obesity.仓鼠轮:身体叙事认同与克服严重肥胖症的案例研究。
Med Health Care Philos. 2021 Jun;24(2):255-267. doi: 10.1007/s11019-021-10002-x. Epub 2021 Jan 13.
7
Patient profiling for success after weight loss surgery (GO Bypass study): An interdisciplinary study protocol.减肥手术后成功的患者特征分析(GO 旁路手术研究):一项跨学科研究方案。
Contemp Clin Trials Commun. 2018 Feb 17;10:121-130. doi: 10.1016/j.conctc.2018.02.002. eCollection 2018 Jun.