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减肥手术:术前阶段的行为模式与人格障碍

Bariatric surgery: behavioral patterns and personality disorders in the preoperative period.

作者信息

Diniz da Mata Michelle, Barroso Rodrigues Samuel, Souza de Almeida Camila, Duarte Sebastiáo Júnior Henrique, Bezerra Cavalcante Ricardo, Miranda Machado Richardson

机构信息

Universidade Federal de Sáo Joáo del-Rei. Divinópolis, Brasil.

Universidade de Itaúna. Itaúna, Brasil.

出版信息

Rev Cuid. 2024 May 20;15(1):e2921. doi: 10.15649/cuidarte.2921. eCollection 2024 Jan-Apr.

Abstract

INTRODUCTION

Bariatric surgery has become an increasingly common procedure, especially for patients with morbid obesity who have obtained unsatisfactory results from conventional treatments.

OBJECTIVE

To evaluate the occurrence of behavioral patterns and personality disorders in patients in the preoperative period of bariatric surgery.

MATERIALS AND METHODS

Cross-sectional study carried out with 146 patients from a medium-sized clinic, a reference in the execution of bariatric surgeries in the Midwest region of Minas Gerais, Brazil. Data collection was performed using the psychological instrument entitled Factorial Personality Battery. Descriptive analysis and data association were performed.

RESULTS

Half of the participants presented high or very high scores for greater propensity to develop depression and anxiety, showing a close relationship with personality disorders, especially with behavioral patterns of effort and dedication.

DISCUSSION

The patterns of effort and dedication behavior are protective factors in the postoperative period, taking into account the adaptations and new habits necessary for a good recovery and maintenance of weight loss.

CONCLUSIONS

The dysfunctional patterns of behavior that stood out most are related to greater difficulty in perceiving the positive side and ease in perceiving the negative side, leading to a more intense experience of suffering, in addition to difficulty in making decisions and facing routine challenges. Screening behavioral patterns and personality disorders preoperatively is necessary for adequate patient monitoring and successful bariatric surgery.

摘要

引言

减肥手术已成为一种越来越常见的手术,尤其是对于那些传统治疗效果不佳的病态肥胖患者。

目的

评估减肥手术术前患者行为模式和人格障碍的发生率。

材料与方法

对巴西米纳斯吉拉斯州中西部地区一家中型诊所的146名患者进行横断面研究,该诊所是减肥手术实施方面的参考机构。使用名为“因子人格量表”的心理工具进行数据收集。进行描述性分析和数据关联分析。

结果

一半的参与者在患抑郁症和焦虑症的倾向较高或非常高,这与人格障碍密切相关,尤其是与努力和奉献的行为模式有关。

讨论

考虑到良好康复和维持体重减轻所需的适应和新习惯,努力和奉献行为模式在术后是保护因素。

结论

最突出的功能失调行为模式与更难看到积极面、更容易看到消极面有关,这除了导致更强烈的痛苦体验外,还会导致决策困难和面对日常挑战困难。术前筛查行为模式和人格障碍对于充分监测患者和减肥手术成功至关重要。

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