School of Nursing, Duquesne University School of Nursing, 600 Forbes Avenue, Pittsburgh, PA, 15282, USA.
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Curr Obes Rep. 2019 Mar;8(1):1-9. doi: 10.1007/s13679-019-0325-3.
The purpose of this paper is to review the current status of research on psychosocial concerns following bariatric surgery.
Bariatric surgery has a positive overall impact on weight and obesity-related comorbidities, as well as a positive short-term impact on mental health and psychosocial functioning. Nonetheless, research has documented a number of different psychosocial concerns that may emerge following surgery including maladaptive eating, substance use disorders, suicide, lack of social support, and excess skin. Moreover, special populations of patients may have distinctive psychosocial concerns based on sociodemographic factors such as age or severity of obesity. Available studies suggest that psychosocial interventions have a positive impact on post-surgery outcomes, particularly maladaptive eating. However, research is limited, and long-term data are lacking. Monitoring patients after bariatric surgery for negative psychosocial outcomes is warranted. Research is needed to develop and evaluate personalized approaches to optimize long-term weight loss and psychosocial adjustment.
本文旨在回顾肥胖症患者接受减重手术后心理社会问题的研究现状。
减重手术对体重和肥胖相关合并症有积极的总体影响，对心理健康和心理社会功能也有积极的短期影响。尽管如此，研究还是记录了许多手术可能出现的不同心理社会问题，包括不良的饮食行为、物质使用障碍、自杀、缺乏社会支持和皮肤过度松弛。此外，基于年龄或肥胖严重程度等社会人口因素，特殊患者群体可能存在独特的心理社会问题。现有研究表明，心理社会干预对手术后的结果有积极影响，尤其是对不良的饮食行为。然而，研究有限，且缺乏长期数据。对接受减重手术的患者进行术后负性心理社会结局的监测是必要的。需要研究来制定和评估个性化的方法，以优化长期减重和心理社会适应。
