Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Aesthet Surg J. 2022 Feb 15;42(3):275-282. doi: 10.1093/asj/sjab327.
The current study examined a range of body image concerns and associated distress and impairment in patients who have undergone bariatric surgery and are seeking subsequent body contouring surgery.
The aim of this study was to investigate the hypotheses that individuals seeking body contouring endorse a broad pattern of body image concerns and that overall body image concern is associated with greater impairment and disability.
The participants were 56 adults seeking body contouring surgery after bariatric surgery. All participants completed a self-report questionnaire designed for the present study to assess body image concerns specific to patients who have undergone bariatric surgery and a battery of established measures of disability, impairment, and eating-disorder psychopathology.
The most commonly endorsed concerns were related to loose skin (body dissatisfaction, feeling embarrassed in public, and skin rashes) whereas the least endorsed items included concerns related to scars from bariatric surgery (body dissatisfaction, avoidance of social situations, and difficulty concentrating). Participants endorsed a broad pattern of frequent distress and impairment related to physical body image changes post-bariatric surgery. Greater body image concerns were associated significantly with higher levels of disability, work-related impairment, and eating-disorder psychopathology.
Patients seeking body contouring surgery reported a range of body image concerns with significant associated distress, disability, and impairment related to physical changes post-bariatric surgery. The present findings underscore that although bariatric surgery is effective for reducing weight and metabolic disturbances, additional interventions for addressing body image concerns that are frequently distressing and impairing may be needed.
本研究调查了接受过减重手术并寻求后续身体塑形手术的患者的一系列身体意象问题以及相关的苦恼和障碍。
本研究旨在验证以下两个假设：寻求身体塑形的个体认同广泛的身体意象问题，并且整体身体意象问题与更大的障碍和残疾有关。
参与者为 56 名在接受减重手术后寻求身体塑形手术的成年人。所有参与者均完成了一份为本次研究设计的自我报告问卷，以评估针对接受过减重手术的患者的身体意象问题，以及一系列已确立的残疾、障碍和饮食障碍心理病理学的测量工具。
最常被认同的问题与松弛的皮肤有关（身体不满、在公共场合感到尴尬和皮肤皮疹），而最少被认同的项目则包括与减重手术疤痕有关的问题（身体不满、回避社交场合和难以集中注意力）。参与者认同与减重手术后身体形象变化相关的广泛的频繁苦恼和障碍模式。更高的身体意象问题与更高水平的残疾、工作相关的障碍和饮食障碍心理病理学显著相关。
寻求身体塑形手术的患者报告了一系列与减重手术后身体变化相关的身体意象问题，这些问题伴随着显著的苦恼、残疾和障碍。这些发现强调了尽管减重手术对减轻体重和代谢紊乱有效，但可能需要额外的干预措施来解决经常令人苦恼和障碍的身体意象问题。
