Sarwer David B, Schroeder Krista, Fischbach Sarah R, Atwood Sophia M, Heinberg Leslie J
Center for Obesity Research and Education, College of Public Health, Temple University, Suite 175, 3223 N. Broad St, Philadelphia, PA, 19104, USA.
Department of Nursing, Temple University College of Public Health, Philadelphia, PA, USA.
Obes Surg. 2025 Jan;35(1):305-311. doi: 10.1007/s11695-024-07597-4. Epub 2024 Nov 27.
Evaluation of relevant psychosocial variables is an important aspect of comprehensive, high-quality metabolic and bariatric surgery (MBS) care. Given the high rates of adverse childhood experience (ACEs) and other forms of trauma experienced later in life reported by individuals with class III obesity, it is time to apply the principles of trauma-informed care to the multidisciplinary care of MBS patients. This narrative review begins with a summary of the literature on the psychosocial functioning of individuals who present for MBS. Emphasis is placed upon the relationship between ACEs, class III obesity, and MBS. Trauma-informed care is defined, and its principles are applied to the MBS care continuum. The paper ends with a recommendation on how the field of MBS can integrate trauma-informed care into clinical practice and future research.
评估相关的社会心理变量是全面、高质量的代谢和减重手术（MBS）护理的一个重要方面。鉴于III级肥胖个体报告的童年不良经历（ACEs）及其他形式的成年后创伤发生率很高，现在是时候将创伤知情护理原则应用于MBS患者的多学科护理了。本叙述性综述首先总结了关于接受MBS个体的社会心理功能的文献。重点放在ACEs、III级肥胖和MBS之间的关系上。定义了创伤知情护理，并将其原则应用于MBS护理连续过程。本文最后就MBS领域如何将创伤知情护理纳入临床实践和未来研究提出了建议。
