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肥胖症患者工作能力的社会心理预测因素:减肥手术背景下的横断面研究结果。

Psychosocial Predictors of Work Ability in Morbidly Obese Patients: Results of a Cross-Sectional Study in the Context of Bariatric Surgery.

机构信息

Department of General, Visceral, and Bariatric Surgery, Herzogin Elisabeth Hospital, Braunschweig, Germany,

Department of Psychology, University of Hildesheim, Hildesheim, Germany.

出版信息

Obes Facts. 2021;14(1):56-63. doi: 10.1159/000511735. Epub 2020 Dec 22.

Abstract

BACKGROUND

Obesity is associated with a higher risk of work disability and premature early retirement.

OBJECTIVE

The aim of this study was to examine psychosocial predictors for work ability prior to surgery.

METHODS

Based on a sample of 197 surgery-seeking obese patients (preoperative body mass index [BMI] above 35 kg/m2) from a German bariatric surgery unit, the present cross-sectional study examined based on standardized self-rating measures whether depressive symptoms, dysfunctional eating behaviors, relationship satisfaction, and life satisfaction have a predictive value for work ability.

RESULTS

Considerable impairment of work ability was found in 51.8% of morbidly obese participants (n = 102). Multiple regression analyses revealed that older age, greater depressive symptoms, and lower life satisfaction were significant predictors of preoperative work ability. BMI, gender, relationship satisfaction, and dysfunctional eating behaviors did not predict work ability.

CONCLUSIONS

Our findings might indicate the use of further psychosocial measures following bariatric surgery to increase work ability.

摘要

背景

肥胖与更高的工作残疾风险和过早提前退休相关。

目的

本研究旨在探讨手术前工作能力的心理社会预测因素。

方法

基于德国减肥手术单位的 197 名寻求手术的肥胖患者(术前 BMI 超过 35kg/m2)的样本,本横断面研究基于标准化自评量表,考察抑郁症状、不良进食行为、关系满意度和生活满意度是否对工作能力具有预测价值。

结果

在患有病态肥胖的参与者中(n=102),有 51.8%的人存在明显的工作能力受损。多元回归分析显示,年龄较大、抑郁症状更严重和生活满意度较低是术前工作能力的显著预测因素。BMI、性别、关系满意度和不良进食行为不能预测工作能力。

结论

我们的研究结果可能表明,在减肥手术后,使用进一步的心理社会措施来提高工作能力。

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