Ribeiro Graziela Aparecida Nogueira de Almeida, Giapietro Helenice Brizolla, Belarmino Lídia Barbieri, Salgado-Junior Wilson
Service of Bariatric Surgery, Hospital das Clínicas, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, SP, Brazil.
Arq Bras Cir Dig. 2018 Jun 21;31(1):e1356. doi: 10.1590/0102-672020180001e1356.
As the number of surgeries increases and the elapsed time of the realization increases as well, the postoperative evaluations would become increasingly necessary.
To assess the psychological profile before and after surgery.
Were evaluated 281 patients from the public service of bariatric surgery. In this study, 109 patients completed the evaluations before surgery (T0) and up to 23 months after surgery (T1); 128 completed the evaluations in T0 and between 24 months and 59 months after surgery (T2); and 44 completed the evaluations in T0 and 60 months after surgery (T3). A semi-structured interview, the Beck Depression Inventory (BDI), Beck Anxiety (BAI), and the Binge Eating Scale (BES) were used.
There was a higher prevalence of female (83%), patients with less than 12 years of education (83%), and patients who have a partner (64%). Analyzing all times of evaluation, regarding anxiety, depression, and binge eating, there was a reduction in all symptoms in T1, pointing to significant improvements in the first 23 months after surgery. Already, in T2 and T3, there was an increase in all indicators of anxiety, depression, and binge eating pointing to the transient impact of weight loss or bariatric surgery on these symptoms.
This study shows the importance of the continuous psychological evaluation and needs for the appropriate interventions for these patients who have undergone bariatric surgery, even after weight loss.
随着手术数量的增加以及手术实施时间的推移，术后评估变得越来越必要。
评估手术前后的心理状况。
对281例接受减肥手术的公共服务患者进行评估。在本研究中，109例患者在手术前（T0）以及术后长达23个月（T1）完成评估；128例在T0以及术后24个月至59个月（T2）完成评估；44例在T0以及术后60个月（T3）完成评估。使用了半结构化访谈、贝克抑郁量表（BDI）、贝克焦虑量表（BAI）和暴饮暴食量表（BES）。
女性患病率较高（83%），受教育年限少于12年的患者患病率较高（83%），有伴侣的患者患病率较高（64%）。分析所有评估时间点，就焦虑、抑郁和暴饮暴食而言，T1时所有症状均有所减轻，表明术后前23个月有显著改善。而在T2和T3时，焦虑、抑郁和暴饮暴食的所有指标均有所增加，表明减肥或减肥手术对这些症状有短暂影响。
本研究表明持续进行心理评估的重要性，以及对这些接受减肥手术的患者，即使在体重减轻后也需要进行适当干预。
