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减重手术后一年的生活质量:灵性的调节作用。

Quality of Life One Year After Bariatric Surgery: the Moderator Role of Spirituality.

机构信息

School of Psychology, Department of Applied Psychology, University of Minho, Campus de Gualtar, 4710-057, Braga, Portugal.

出版信息

Obes Surg. 2019 Apr;29(4):1207-1215. doi: 10.1007/s11695-018-03669-4.

DOI:10.1007/s11695-018-03669-4
PMID:30666545
Abstract

BACKGROUND

This study aimed to assess quality of life in obese patients 1 year after bariatric surgery taking into consideration the influence of socio-demographic, clinical, and psychological variables.

METHODS

A sample of 90 patients undergoing bariatric surgery was assessed in two moments: before surgery and 1 year after surgery.

RESULTS

Social support, problem-focused coping strategies, and quality of life increased after surgery, while eating disorder behaviour and impulsiveness decreased. The presence of eating disorder behaviour predicted worse physical and mental quality of life and higher satisfaction with social support predicted better physical and mental quality of life. In addition, higher impulsiveness predicted worse mental quality of life. Spirituality moderated the relationship between impulsiveness and mental/physical quality of life.

CONCLUSIONS

Interventions should focus on promoting social support and coping strategies particularly spirituality since it played an important role in quality of life.

摘要

背景

本研究旨在评估肥胖患者在接受减重手术后 1 年的生活质量,并考虑到社会人口统计学、临床和心理变量的影响。

方法

对 90 名接受减重手术的患者进行了两次评估:手术前和手术后 1 年。

结果

手术后社会支持、问题焦点应对策略和生活质量增加,而饮食障碍行为和冲动性降低。饮食障碍行为的存在预测了更差的身体和心理健康,而更高的社会支持满意度预测了更好的身体和心理健康。此外,更高的冲动性预测了更差的心理健康。灵性调节了冲动性与心理/身体生活质量之间的关系。

结论

干预措施应重点关注促进社会支持和应对策略,特别是灵性,因为它在生活质量中起着重要作用。

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本文引用的文献

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Impact of weight change on quality of life in adults with overweight/obesity in the United States: a systematic review.体重变化对美国超重/肥胖成年人生活质量的影响:一项系统综述
Curr Med Res Opin. 2016;32(3):485-508. doi: 10.1185/03007995.2015.1128403. Epub 2016 Jan 1.
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Quality of Life Outcomes of Bariatric Surgery: A Systematic Review.减肥手术的生活质量结果:一项系统综述。
Obes Surg. 2016 Feb;26(2):395-409. doi: 10.1007/s11695-015-1940-z.
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Psychometric evaluation of disordered eating measures in bariatric surgery patients.
肥胖症手术患者饮食失调测量方法的心理测量评估
Eat Behav. 2015 Dec;19:39-48. doi: 10.1016/j.eatbeh.2015.05.007. Epub 2015 Jun 6.
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JAMA. 2014 Sep 3;312(9):953-4. doi: 10.1001/jama.2014.3836.
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Qual Life Res. 2015 Feb;24(2):493-501. doi: 10.1007/s11136-014-0775-8. Epub 2014 Aug 12.
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Diabetes Metab. 2013 Apr;39(2):148-54. doi: 10.1016/j.diabet.2012.10.008. Epub 2013 Jan 10.
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