Department of Health Psychology, Faculty of Medical Sciences, University of Groningen, University Medical Center Groningen, The Netherlands.
Department of Internal Medicine, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Br J Health Psychol. 2022 Feb;27(1):96-115. doi: 10.1111/bjhp.12532. Epub 2021 May 12.
To investigate whether patients' psychological well-being (depression, quality of life, body image satisfaction) and functioning (self-efficacy for eating and exercising behaviours and food cravings) improve 12 months after bariatric surgery and whether self-compassion is associated with better psychological outcomes and lower weight after bariatric surgery.
Longitudinal, prospective observational study.
Bariatric patients (n = 126, 77.8% female, 46.4 ± 10.8 years) completed the Self-compassion Scale, Center for Epidemiology Studies Depression Scale, Impact of Weight on Quality-of-Life questionnaire, Body Image Scale, Weight Efficacy Lifestyle Questionnaire, Spinal Cord Injury Exercise Self-Efficacy Scale, and G-Food Craving Questionnaire pre-operatively and 12 months post-operatively. A medical professional measured patients' weight during each assessment. Data were analysed using repeated measures t-tests and multivariate regression analyses with Benjamini-Hochberg correction for multiple testing.
Patients' BMI, depression, and food cravings decreased significantly after surgery while quality of life, body image satisfaction, and self-efficacy to exercise improved. Higher self-compassion was associated with lower post-operative depression, greater quality of life, higher body image satisfaction, and better self-efficacy for eating behaviours (p-values <.05) but not with post-operative BMI, self-efficacy to exercise, or food cravings.
Even though pre-operative self-compassion was not directly associated with a lower 12-month post-operative BMI, it had a positive relationship with patients' post-operative well-being and self-efficacy for controlling eating behaviour. In turn, this could help patients to manage their health long after bariatric surgery. Further work regarding the role of self-compassion on long-term health outcomes would be worthwhile.
探讨减重手术后 12 个月患者的心理健康状况（抑郁、生活质量、身体形象满意度）和功能（饮食和运动行为自我效能感和食物渴望）是否改善，以及自我同情是否与减重手术后更好的心理结果和更低的体重相关。
纵向、前瞻性观察研究。
对 126 名减重患者（77.8%为女性，46.4±10.8 岁）进行了自我同情量表、流行病学研究抑郁量表、体重对生活质量影响问卷、身体形象量表、体重功效生活方式问卷、脊髓损伤运动自我效能感量表和 G-食物渴望问卷的评估，分别在术前和术后 12 个月进行。每次评估时，一名医疗专业人员测量患者的体重。使用重复测量 t 检验和多元回归分析，采用 Benjamini-Hochberg 多重检验校正进行数据分析。
患者手术后 BMI、抑郁和食物渴望明显下降，而生活质量、身体形象满意度和运动自我效能感提高。较高的自我同情与手术后较低的抑郁、更高的生活质量、更高的身体形象满意度和更好的饮食行为自我效能感相关（p 值<.05），但与手术后 BMI、运动自我效能感或食物渴望无关。
尽管术前的自我同情与 12 个月后的 BMI 没有直接关系，但它与患者术后的幸福感和控制饮食行为的自我效能感呈正相关。反过来，这可以帮助患者在减重手术后长期保持健康。进一步研究自我同情对长期健康结果的作用将是值得的。
