Miller-Matero Lisa R, Vanderziel Alyssa, Haley Erin N, Jackson Kristina M, Moore Roland S, Hamann Aaron, Carlin Arthur M, Genaw Jeffrey, Braciszewski Jordan M
Behavioral Health, Henry Ford Health, Detroit, MI, USA.
Center for Health Policy and Health Services Research, Henry Ford Health, Detroit, MI, USA.
Health Psychol Behav Med. 2025 Mar 13;13(1):2478029. doi: 10.1080/21642850.2025.2478029. eCollection 2025.
Individuals who undergo metabolic and bariatric surgery are at increased risk for an alcohol use disorder. Clarity on the relationships between mood, food, and alcohol use could inform interventions to reduce alcohol use and mitigate risk of alcohol use disorders after metabolic and bariatric surgery (MBS).
Twenty patients who underwent MBS at a single health care system and reported engaging in post-operative alcohol use were recruited. Participants were between 6 months and 3 years post-operative and reported consuming alcohol at least 2-3 times per month. Participants engaged in a 1-hour semi-structured interview about factors influencing post-operative mood, eating behaviors, and alcohol use. All interviews were recorded, transcribed, and coded by two independent raters.
Statements by participants were deductively coded within different themes: (1) changes in mood, (2) changes in eating patterns, and (3) unintended alcohol use and eating. Participants reported positive changes in mood and eating behaviors following MBS, but also indicated potential for negative mood states and new eating patterns. They also suggested that mood was a driver of both eating and alcohol use, including unintended (i.e. unplanned) eating and unintended alcohol use. However, most did not consume food and alcohol at the same time.
Food and alcohol may be used as a coping strategy for mood, though they are not often consumed together. There is currently a lack of post-operative interventions to reduce alcohol use and findings suggest that interventions could simultaneously target mood, unintended eating, and alcohol use.
接受代谢和减重手术的个体患酒精使用障碍的风险增加。明确情绪、食物和酒精使用之间的关系可为减少酒精使用以及降低代谢和减重手术后酒精使用障碍风险的干预措施提供依据。
招募了20名在单一医疗系统接受代谢和减重手术且报告术后有饮酒行为的患者。参与者处于术后6个月至3年之间，且报告每月至少饮酒2 - 3次。参与者就影响术后情绪、饮食行为和酒精使用的因素进行了1小时的半结构化访谈。所有访谈均进行录音、转录，并由两名独立评分者进行编码。
参与者的陈述在不同主题下进行演绎编码：（1）情绪变化，（2）饮食模式变化，以及（3）意外的酒精使用和饮食。参与者报告代谢和减重手术后情绪和饮食行为有积极变化，但也指出存在负面情绪状态和新饮食模式的可能性。他们还表明情绪是饮食和酒精使用的驱动因素，包括意外（即无计划）饮食和意外酒精使用。然而，大多数人不同时食用食物和酒精。
食物和酒精可能被用作应对情绪的策略，尽管它们并不常一起食用。目前缺乏减少酒精使用的术后干预措施，研究结果表明干预措施可以同时针对情绪、意外饮食和酒精使用。
