Tidsskr Nor Laegeforen. 2020 Nov 9;140(16). doi: 10.4045/tidsskr.20.0103. Print 2020 Nov 10.
The association between highly stressful life experiences and morbid obesity is well documented internationally, but this knowledge is not incorporated to any great extent in Norwegian clinical practices. We have studied the reports of previous life stresses from a sample of Norwegian patients under assessment for morbid obesity at a centre where the topic of life experiences was included during the recording of patient histories.
In the summer of 2018, an invitation to participate in the study was distributed to the last 200 patients to have been examined at the Regional Centre for Morbid Obesity in Bodø. Information on lifetime adversity was collected in clinical interviews. Data were retrieved from the patient's discharge summaries, and these texts were analysed using a qualitative approach. Stressful life experiences were divided into twelve categories.
The study recruited 70 participants (57 women) with morbid obesity. Of these, 64 (91 %) related at least one significant and stressful life experience, and 39 (56 %) reported three or more different types. The most frequent types included serious relationship ruptures, parental neglect and other negative childhood experiences.
In a sample of Norwegian patients who were undergoing examination for morbid obesity there were many who reported distressing life histories. Lack of existential security in childhood, often linked to complex traumas, was prominent. In light of international research on the association between trauma and obesity, our results indicate that the patient's life history should be included in an assessment of patients with morbid obesity.
国际上有大量文献证明高度紧张的生活经历与病态肥胖之间存在关联，但挪威的临床实践并没有充分考虑到这一点。我们研究了在对病态肥胖患者进行评估的挪威某中心的患者病史记录中包含生活经历这一主题时，从患者样本中报告的先前生活压力。
2018 年夏天，向博德地区病态肥胖中心最后 200 名接受检查的患者分发了参加研究的邀请。在临床访谈中收集了有关一生逆境的信息。从患者出院小结中检索数据，并使用定性方法对这些文本进行分析。将生活压力经历分为十二类。
该研究招募了 70 名病态肥胖参与者（57 名女性）。其中，64 名（91%）报告了至少一次重大和压力大的生活经历，39 名（56%）报告了三种或更多不同类型的经历。最常见的类型包括严重的人际关系破裂、父母忽视和其他负面的童年经历。
在接受病态肥胖检查的挪威患者样本中，有许多人报告了痛苦的生活经历。童年时期缺乏存在安全感，往往与复杂的创伤有关，这一点很突出。鉴于国际上关于创伤与肥胖之间关联的研究，我们的结果表明，患者的生活史应该包括在病态肥胖患者的评估中。
