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术前心理因素对减重手术后体重减轻的影响:初步报告。

The influence of preoperative psychological factors on weight loss after bariatric surgery: A preliminary report.

机构信息

1 Sapienza University of Rome, Italy.

2 A. Gemelli University Hospital, Italy.

出版信息

J Health Psychol. 2019 Mar;24(4):518-525. doi: 10.1177/1359105316677750. Epub 2016 Nov 16.

Abstract

Aim of this study was to investigate relationship between preoperative psychological factors and % total weight loss after gastric bypass. 76 adult patients scheduled for bariatric surgery were preoperatively asked to complete anxiety and depression Hamilton scales and Toronto Alexithymia Scale. At 3- and 6-month follow-up, body weight was assessed. At 6-month follow-up, alexithymic patients showed a poorer % total weight loss compared with non-alexithymic patients ( p = .017), and moderately depressed patients showed a lower % total weight loss compared with non-depressed patients ( p = .011). Focused pre- and postoperative psychological support could be useful in bariatric patients in order to improve surgical outcome.

摘要

本研究旨在探讨术前心理因素与胃旁路术后总减重百分比之间的关系。76 名计划接受减重手术的成年患者在术前被要求完成焦虑和抑郁汉密尔顿量表以及多伦多述情障碍量表。在术后 3 个月和 6 个月时评估体重。在术后 6 个月时,与非述情障碍患者相比,述情障碍患者的总减重百分比较差(p=0.017),中度抑郁患者的总减重百分比也低于非抑郁患者(p=0.011)。在减重患者中进行有针对性的术前和术后心理支持可能有助于改善手术效果。

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