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跨性别患者接受减肥手术的心理社会风险因素综述。

A Review of Psychosocial Risk Factors Among Transgender Patients Seeking Bariatric Surgery.

机构信息

Bariatric Surgery, Henry Ford Health System, 1 Ford Place, 1C-46, Detroit, MI, 48202, USA.

University of Michigan-Dearborn, Dearborn, MI, USA.

出版信息

Obes Surg. 2019 Oct;29(10):3365-3370. doi: 10.1007/s11695-019-04076-z.

DOI:10.1007/s11695-019-04076-z
PMID:31317461
Abstract

As nearly one third of transgender individuals in the USA are obese, more transgender patients may pursue bariatric surgery as a means of sustaining weight loss. Transgender individuals, like bariatric surgery patients, have high rates of mood pathology, substance use, abuse, and self-harm behaviors. However, there is no research on transgender bariatric surgery candidates. The aim of this review is to elucidate potential psychosocial risk factors, including sex hormone management, which may impact surgical clearance, presurgical psychosocial assessment, and treatment recommendations.

摘要

在美国,几乎有三分之一的跨性别者肥胖,因此可能会有更多的跨性别者选择接受减重手术来维持减肥效果。与减重手术患者一样,跨性别者也存在较高的情绪病理、物质使用、滥用和自残行为。然而,目前还没有针对跨性别减重手术候选人的研究。本综述旨在阐明潜在的社会心理风险因素,包括性激素管理,这些因素可能会影响手术资格、术前社会心理评估和治疗建议。

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本文引用的文献

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Association of Surgical Risk With Exogenous Hormone Use in Transgender Patients: A Systematic Review.外科手术风险与跨性别患者外源性激素使用的关联:系统评价。
JAMA Surg. 2019 Feb 1;154(2):159-169. doi: 10.1001/jamasurg.2018.4598.
2
Evaluation and Treatment of Gender Dysphoria to Prepare for Gender Confirmation Surgery.性别焦虑的评估和治疗,以准备进行性别确认手术。
Sex Med Rev. 2018 Oct;6(4):607-617. doi: 10.1016/j.sxmr.2018.03.006. Epub 2018 Jun 8.
3
Prevalence of Depression in the Community from 30 Countries between 1994 and 2014.
一名 transgender 患者的单吻合口胃旁路手术:病例报告
Obes Surg. 2020 Mar;30(3):1145-1146. doi: 10.1007/s11695-019-04355-9.
1994 年至 2014 年 30 个国家社区人群抑郁症患病率。
Sci Rep. 2018 Feb 12;8(1):2861. doi: 10.1038/s41598-018-21243-x.
4
Alcohol and other substance use after bariatric surgery: prospective evidence from a U.S. multicenter cohort study.减重手术后的酒精和其他物质使用:来自美国多中心队列研究的前瞻性证据。
Surg Obes Relat Dis. 2017 Aug;13(8):1392-1402. doi: 10.1016/j.soard.2017.03.021. Epub 2017 Mar 31.
5
Oral Contraceptives after Bariatric Surgery.减肥手术后的口服避孕药
Obes Facts. 2017;10(2):118-126. doi: 10.1159/000449508. Epub 2017 Apr 22.
6
Demographic Characteristics and Health Status of Transgender Adults in Select US Regions: Behavioral Risk Factor Surveillance System, 2014.美国特定地区跨性别成年人的人口统计学特征与健康状况:2014年行为危险因素监测系统
Am J Public Health. 2017 Apr;107(4):582-589. doi: 10.2105/AJPH.2016.303648. Epub 2017 Feb 16.
7
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LGBT Health. 2016 Dec;3(6):434-442. doi: 10.1089/lgbt.2015.0124. Epub 2016 Oct 11.
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