与减重手术相关的不良进食行为和进食障碍。
Problematic Eating Behaviors and Eating Disorders Associated with Bariatric Surgery.
机构信息
Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, 930 Chestnut Ridge Road, Morgantown, WV 26505, USA.
Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Grand Forks, ND, USA.
出版信息
Psychiatr Clin North Am. 2019 Jun;42(2):287-297. doi: 10.1016/j.psc.2019.01.014.
Abstract
Bariatric surgery candidates often report problematic and/or eating disordered behaviors. For most patients, these eating behaviors improve after surgery. A subset, however, experience a recurrence or new onset of problematic eating behaviors as early as 2 months to 18 months after surgery, which can result in compromised weight loss/excessive weight regain. Those most at risk are individuals with comorbid psychopathology (ie, loss-of-control eating or depression) after surgery. For some, such problems are present before surgery. Therefore, it is critical to monitor patients closely after surgery so that appropriate psychiatric treatments can be provided if indicated.
摘要
减重手术候选者常报告出现问题行为和/或饮食障碍。对于大多数患者，这些饮食行为会在手术后改善。然而，有一部分患者在手术后 2 个月至 18 个月内会复发或新出现问题行为，导致减重失败/体重过度反弹。风险最高的是术后合并精神病理学（即，无法控制的进食或抑郁）的个体。对于一些患者，这些问题在手术前就已经存在。因此，手术后密切监测患者至关重要，以便在需要时提供适当的精神科治疗。
相似文献
1
Problematic Eating Behaviors and Eating Disorders Associated with Bariatric Surgery.与减重手术相关的不良进食行为和进食障碍。
Psychiatr Clin North Am. 2019 Jun;42(2):287-297. doi: 10.1016/j.psc.2019.01.014.
2
Perceived social support before and after bariatric surgery: association with depression, problematic eating behaviors, and weight outcomes.减重手术后前后的感知社会支持：与抑郁、问题性进食行为和体重结果的关联。
Eat Weight Disord. 2020 Jun;25(3):679-692. doi: 10.1007/s40519-019-00671-2. Epub 2019 Mar 12.
3
To eat or not to eat; is that really the question? An evaluation of problematic eating behaviors and mental health among bariatric surgery candidates.吃还是不吃；这真的是个问题吗？对减肥手术候选人中存在问题的饮食行为和心理健康的评估。
Eat Weight Disord. 2014;19(3):377-82. doi: 10.1007/s40519-014-0118-3. Epub 2014 May 31.
4
Problematic eating behaviors in patients undergoing bariatric surgery: Studying their relationship with psychopathology.接受减肥手术患者的问题饮食行为：研究其与精神病理学的关系。
J Health Psychol. 2022 Jun;27(7):1535-1546. doi: 10.1177/1359105320986889. Epub 2021 Jan 6.
5
Problematic Eating Behaviors Predict Outcomes After Bariatric Surgery.问题性进食行为可预测减重手术后的结果。
Obes Surg. 2018 Jul;28(7):1910-1915. doi: 10.1007/s11695-018-3124-0.
6
Problematic eating behaviors among bariatric surgical candidates: a psychometric investigation and factor analytic approach.减肥手术候选者中的问题饮食行为：一项心理测量学调查及因素分析方法
Eat Behav. 2015 Jan;16:34-9. doi: 10.1016/j.eatbeh.2014.10.018. Epub 2014 Nov 3.
7
[Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample].[减肥手术后的问题饮食行为：一项针对葡萄牙样本的全国性研究]
Acta Med Port. 2018 Nov 30;31(11):633-640. doi: 10.20344/amp.9237.
8
Eating disorders among bariatric surgery patients: The chicken or the egg?减重手术患者中的饮食障碍：先有鸡还是先有蛋？
JAAPA. 2023 Nov 1;36(11):1-5. doi: 10.1097/01.JAA.0000979532.00697.1a.
9
Binge eating, binge eating disorder and loss of control eating: effects on weight outcomes after bariatric surgery.暴食、暴食障碍和失控性进食：对减重手术后体重结果的影响。
Eur Eat Disord Rev. 2014 Mar;22(2):87-91. doi: 10.1002/erv.2273.
10
Cognitive behavioral therapy and predictors of weight loss in bariatric surgery patients.认知行为疗法与减重手术患者体重减轻的预测因素。
Curr Opin Psychiatry. 2017 Nov;30(6):474-479. doi: 10.1097/YCO.0000000000000359.
引用本文的文献
1
Insomnia Symptoms and Self-Regulated Eating Behavior in Hispanic Emerging Adults: An Exploration of Acculturative Stress.西班牙裔青年成人的失眠症状与自我调节饮食行为：文化适应压力的探究
Brain Sci. 2025 Jul 22;15(8):780. doi: 10.3390/brainsci15080780.
2
Translation and Psychometric Evaluation of the Arabic Version of the Eating Disorders After Bariatric Surgery Questionnaire (EDABS‑Q‑Arabic18).减重手术后饮食失调问卷阿拉伯语版（EDABS-Q-Arabic18）的翻译及心理测量学评估
Obes Surg. 2025 Jun 17. doi: 10.1007/s11695-025-07910-9.
3
A safe path to bariatric surgery: Mental health disorders in pre-operative patients.减肥手术的安全路径：术前患者的心理健康障碍
Compr Psychoneuroendocrinol. 2025 May 15;23:100300. doi: 10.1016/j.cpnec.2025.100300. eCollection 2025 Aug.
4
Food Addiction 5 and 10 Years Following Metabolic and Bariatric Surgery: a Prospective Observational Study.代谢和减重手术后5年及10年的食物成瘾情况：一项前瞻性观察研究
Obes Surg. 2025 May;35(5):1649-1656. doi: 10.1007/s11695-025-07803-x. Epub 2025 Apr 15.
5
Eating Disorders in the Context of Metabolic and Bariatric Surgery: Current Status and Future Directions.代谢与减重手术背景下的饮食失调：现状与未来方向
Curr Obes Rep. 2025 Apr 10;14(1):31. doi: 10.1007/s13679-025-00620-4.
6
Dietary Habits, Obesity, and Bariatric Surgery: A Review of Impact and Interventions.饮食习惯、肥胖与减肥手术：影响与干预综述
Nutrients. 2025 Jan 28;17(3):474. doi: 10.3390/nu17030474.
7
Binge Eating Behaviour Before and 10 Years Following Metabolic and Bariatric Surgery.代谢与减重手术后的暴饮暴食行为：术前及术后10年情况
Eur Eat Disord Rev. 2025 May;33(3):544-550. doi: 10.1002/erv.3161. Epub 2024 Dec 13.
8
What Amount of Weight Loss Can Entail Anorexia Nervosa or Atypical Anorexia Nervosa After Bariatric Surgery?减肥手术后，体重减轻多少会导致神经性厌食症或非典型神经性厌食症？
Int J Eat Disord. 2024 Dec;57(12):2461-2468. doi: 10.1002/eat.24286. Epub 2024 Sep 5.
9
Emotional Eating and Uncontrolled Eating as Risk Predictors for Disordered Eating Attitudes in Candidates for Bariatric Surgery Treated at a Public Hospital in the Amazon.情绪性进食和失控性进食作为接受公共医院减重手术候选人中饮食失调态度的风险预测因素。
Nutrients. 2024 May 24;16(11):1600. doi: 10.3390/nu16111600.
10
Food cravings after bariatric surgery: comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass.减重手术后的食物渴望：比较腹腔镜袖状胃切除术和 Roux-en-Y 胃旁路术。
Eat Weight Disord. 2024 Jan 12;29(1):7. doi: 10.1007/s40519-023-01636-2.
本文引用的文献
1
Trends in Obesity and Severe Obesity Prevalence in US Youth and Adults by Sex and Age, 2007-2008 to 2015-2016.美国青少年和成年人按性别和年龄划分的肥胖和重度肥胖流行趋势，2007-2008 年至 2015-2016 年。
JAMA. 2018 Apr 24;319(16):1723-1725. doi: 10.1001/jama.2018.3060.
2
Hypertension with diabetes mellitus: physiology and pathology.高血压合并糖尿病：生理学和病理学。
Hypertens Res. 2018 Jun;41(6):389-393. doi: 10.1038/s41440-018-0034-4. Epub 2018 Mar 19.
3
The Global Epidemic of the Metabolic Syndrome.代谢综合征的全球流行。
Curr Hypertens Rep. 2018 Feb 26;20(2):12. doi: 10.1007/s11906-018-0812-z.
4
Diabetes and chronic kidney disease: an increasingly common multi-morbid disease in need of a paradigm shift in care.糖尿病和慢性肾脏病：一种日益常见的多病共存疾病，需要在治疗模式上进行转变。
Diabet Med. 2018 Mar;35(3):300-305. doi: 10.1111/dme.13564. Epub 2018 Jan 8.
5
Seven-Year Weight Trajectories and Health Outcomes in the Longitudinal Assessment of Bariatric Surgery (LABS) Study.七年体重轨迹与减肥手术纵向评估（LABS）研究中的健康结果。
JAMA Surg. 2018 May 1;153(5):427-434. doi: 10.1001/jamasurg.2017.5025.
6
Psychological Aspects of Bariatric Surgery as a Treatment for Obesity.减肥手术作为肥胖治疗方法的心理学方面
Curr Obes Rep. 2017 Mar;6(1):71-78. doi: 10.1007/s13679-017-0242-2.
7
Effects of bariatric surgery on night eating and depressive symptoms: a prospective study.减肥手术对夜间进食和抑郁症状的影响：一项前瞻性研究。
Surg Obes Relat Dis. 2017 Jun;13(6):1057-1062. doi: 10.1016/j.soard.2016.12.010. Epub 2016 Dec 21.
8
Stability of problematic eating behaviors and weight loss trajectories after bariatric surgery: a longitudinal observational study.减肥手术后问题性饮食行为和体重减轻轨迹的稳定性：一项纵向观察性研究。
Surg Obes Relat Dis. 2017 Jun;13(6):1063-1070. doi: 10.1016/j.soard.2016.12.006. Epub 2016 Dec 20.
9
Potential Mechanisms Mediating Sustained Weight Loss Following Roux-en-Y Gastric Bypass and Sleeve Gastrectomy.胃旁路术和袖状胃切除术减肥后持续减轻体重的潜在机制。
Endocrinol Metab Clin North Am. 2016 Sep;45(3):539-52. doi: 10.1016/j.ecl.2016.04.006.
10
The Contributing Role of Bile Acids to Metabolic Improvements After Obesity and Metabolic Surgery.胆汁酸在肥胖及代谢手术后代谢改善中的作用
Obes Surg. 2016 Oct;26(10):2492-502. doi: 10.1007/s11695-016-2272-3.
Zotero 插件