Rand C S, Kuldau J M, Robbins L
JAMA. 1982 Mar 12;247(10):1419-22.
Before surgery for obesity, most of 54 morbidly obese patients considered their marriage to be good, although marked problems were higher than for a comparison group. One year later, a majority still rated their marriage as good; many reported better relations with their spouses. Sexual function was enhanced. Three years postoperatively (n=30), the incidence of marital harmony had risen to the same level as for the comparison group and sexual functioning continued to be improved. The divorce rate during the three years, however, was somewhat higher, particularly in those marriages originally found to be troubled before surgery. The implications of these findings for the decision to undertake surgery for obesity are discussed.
在肥胖症手术前，54名病态肥胖患者中的大多数认为他们的婚姻状况良好，尽管与对照组相比，明显问题更多。一年后，大多数人仍然将他们的婚姻评为良好；许多人报告与配偶的关系有所改善。性功能得到增强。术后三年（n = 30），婚姻和谐的发生率已上升至与对照组相同的水平，性功能持续改善。然而，三年期间的离婚率略高，尤其是在那些手术前原本就存在问题的婚姻中。本文讨论了这些发现对决定进行肥胖症手术的影响。
