Paone Emanuela, Pierro Laura, Damico Angela, Aceto Paola, Campanile Fabio Cesare, Silecchia Gianfranco, Lai Carlo
Department of Medical Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine, Polo Pontino, Bariatric Center of Excellence IFSO-EU, Sapienza University, Rome, Italy.
Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Rome, Italy.
Eat Weight Disord. 2019 Feb;24(1):129-134. doi: 10.1007/s40519-017-0381-1. Epub 2017 Mar 28.
Obesity is a multifactorial disease characterized by genetic, social, cultural and psychological factors. Currently, bariatric surgery represents the gold-standard intervention to treat morbid obesity in order to counteract associated disabling comorbidities. Several studies showed correlation between post-surgery weight loss and psychological factors. Also, the alexithymia may have a role in affecting post-surgery outcomes in bariatric patients, even if there are no studies investigating its role at 12-month follow-up. The purpose of the present study was to investigate the association between alexithymia and the postoperative weight loss 12 months after laparoscopic sleeve gastrectomy.
Seventy-five patients undergoing laparoscopic sleeve gastrectomy were enrolled. The Toronto Alexithymia Scale (TAS-20) was administered to patients. A postoperative weight loss check was performed at 3 and then 12 months after surgery.
The TAS-20 total score was negatively correlated with the percent of excess weight loss (%EWL) at the 12-month follow-up (r = -0.24; p = 0.040). The analysis showed that non-alexithymic patients had a greater weight loss at 12 months after surgery compared to both probably alexithymics (71.88 ± 18.21 vs. 60.7 ± 12.5; p = 0.047) and probably alexithymic patients (71.88 ± 18.21 vs. 56 ± 22.8; p = 0.007). The preoperative BMI was a significant covariate [F(1,70) = 6.13 (p = 0.016)].
In the present study, the patients with higher preoperative BMI and identified as alexithymic showed lower %EWL at 12 months after laparoscopic sleeve gastrectomy. Findings point out the importance to take into consideration possible psychological treatments focused on improving emotional regulations of patients who are seeking bariatric surgery.
肥胖是一种由遗传、社会、文化和心理因素所导致的多因素疾病。目前，减肥手术是治疗病态肥胖的金标准干预手段，以对抗相关的致残性合并症。多项研究表明，术后体重减轻与心理因素之间存在关联。此外，述情障碍可能在影响减肥患者的术后结局方面发挥作用，尽管尚无研究在12个月随访期调查其作用。本研究的目的是调查述情障碍与腹腔镜袖状胃切除术后12个月的体重减轻之间的关联。
纳入75例行腹腔镜袖状胃切除术的患者。对患者进行多伦多述情障碍量表（TAS-20）测试。术后3个月及12个月进行体重减轻检查。
TAS-20总分与12个月随访时的超重减轻百分比（%EWL）呈负相关（r = -0.24；p = 0.040）。分析表明，非述情障碍患者在术后12个月的体重减轻幅度大于可能存在述情障碍的患者（71.88±18.21 vs. 60.7±12.5；p = 0.047）以及可能患有述情障碍的患者（71.88±18.21 vs. 56±22.8；p = 0.007）。术前BMI是一个显著的协变量[F(1,70) = 6.13（p = 0.016）]。
在本研究中，术前BMI较高且被认定为述情障碍的患者在腹腔镜袖状胃切除术后12个月时的%EWL较低。研究结果指出，对于寻求减肥手术的患者，考虑采取可能专注于改善情绪调节的心理治疗具有重要意义。
