Department of Clinical, Health, and Applied Sciences, University of Houston-Clear Lake, Houston, TX, 77058, USA.
Department of Psychological Sciences, Kent State University, Kent, OH, 44242, USA.
Obes Surg. 2021 Feb;31(2):712-724. doi: 10.1007/s11695-020-05025-x. Epub 2020 Oct 11.
Mental health professionals routinely assess psychosocial risk factors prior to bariatric surgery to help identify factors that may impede surgical outcomes. Data regarding longer-term psychosocial functioning postoperatively are needed.
Assess the psychosocial functioning of patients who obtained bariatric surgery approximately 6 years ago.
A total of 161 patients consented to participate in the outcome study. Participants were compensated for their time and participation. Participants were weighed by the research/clinical staff and asked to complete a battery of self-report measures, including the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF). Other measures targeted adherence, eating behaviors/body image, alcohol use, and quality of life.
Postoperative MMPI-2-RF scores indicate psychosocial functioning is largely similar to previously published pre-surgical functioning data. Six-year weight loss outcomes were lower than previous studies reported for a similar postoperative time period (mean %total weight loss = 22.98%; standard deviation = 11.71), though quality of life scores were relatively high. Postoperative MMPI-2-RF scale scores were associated with poorer psychosocial functioning, reduced adherence, greater eating behaviors/body image concerns, greater alcohol use severity, lower quality of life, and less overall weight loss.
Psychological dysfunction 6 years after surgery is associated with various adverse outcomes. Ongoing, postoperative treatment may result in better long-term functioning for patients.
心理健康专业人员在进行减肥手术前通常会评估心理社会风险因素，以帮助确定可能阻碍手术效果的因素。需要了解术后较长时间的心理社会功能情况。
评估大约 6 年前接受减肥手术的患者的心理社会功能。
共有 161 名患者同意参加结果研究。参与者会因他们的时间和参与而获得报酬。由研究/临床工作人员对参与者进行称重，并要求他们完成一系列自我报告的测量，包括明尼苏达多相人格问卷-2 修订版（MMPI-2-RF）。其他测量方法针对依从性、饮食行为/身体形象、酒精使用和生活质量。
术后 MMPI-2-RF 评分表明，心理社会功能与之前发表的术前功能数据大致相似。6 年的减肥效果低于之前报道的类似术后时间段的研究结果（平均%总减重=22.98%；标准差=11.71%），尽管生活质量评分相对较高。术后 MMPI-2-RF 量表评分与较差的心理社会功能、较低的依从性、更大的饮食行为/身体形象问题、更严重的酒精使用、较低的生活质量和整体减重较少有关。
手术 6 年后的心理功能障碍与各种不良结果相关。持续的术后治疗可能会使患者获得更好的长期功能。
