Care or sabotage? A reflexive thematic analysis of perceived partner support throughout the bariatric surgery journey

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2024-05-23 DOI:10.1111/bjhp.12733

Sophia Quirke-McFarlane, Jane Ogden

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Abstract

Objective

Social support is mostly seen as a positive resource for many health outcomes. However, some research indicates that weight loss may disrupt the equilibrium of relationships and highlights the potential for a more negative form of social support. This qualitative study aimed to explore bariatric surgery (BS) patients' perceptions of the way in which their current or previous partner supported them throughout their BS journey.

Design

BS patients (N = 30) participated in semi-structured interviews.

Methods

The data were analysed using an inductive approach to reflexive thematic analysis.

Results

Four themes were derived from the data. While two themes reflected social support as a form of caring (Mutual Investment and Positive Reinforcements), the other two themes indicated aspects of sabotage (Feeder Behaviours and Negative Reactions to Weight Loss Attempts and Successes). Transcending these themes was the notion of Bariatric Surgery as an Opportunity or Threat to the Relationship.

Conclusions

Some patients perceived social support as a positive resource in BS success involving Mutual Investment from their partners and being offered Positive Reinforcements for changes in their weight status and wellbeing. Some, however, described more negative aspects of support which had undermined their BS goals, either unintentionally or intentionally, through acts of sabotage including Feeder Behaviours and Negative Reactions to Weight Loss Attempts and Successes. Future research should develop interventions to help prepare the partners of those undergoing BS for the changes to both their partner's weight status and the dynamics of their relationship.

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关怀还是破坏？对减肥手术整个过程中感知到的伴侣支持进行反思性专题分析。

目的：对于许多健康结果而言，社会支持大多被视为一种积极的资源。然而，一些研究表明，体重减轻可能会破坏人际关系的平衡，并凸显出一种更为消极的社会支持形式的可能性。这项定性研究旨在探讨减肥手术（BS）患者对其现任或前任伴侣在整个减肥过程中对其提供支持的方式的看法：减肥手术患者（N = 30）参加了半结构化访谈：方法：采用归纳法对数据进行反思性主题分析：结果：从数据中得出了四个主题。其中两个主题反映了作为一种关爱形式的社会支持（相互投资和积极强化），另外两个主题则反映了破坏行为的各个方面（喂食行为和对减肥尝试和成功的消极反应）。在这些主题中，"减肥手术是人际关系的机遇还是威胁 "这一概念是最重要的：一些患者认为社会支持是减肥成功的积极资源，包括其伴侣的相互投资，以及为其体重状态和健康状况的改变提供积极的鼓励。然而，有些患者则描述了社会支持的消极方面，这些方面通过破坏行为（包括喂食行为以及对减肥尝试和成功的消极反应）无意或有意地破坏了他们的减肥目标。未来的研究应开发干预措施，帮助接受 BS 者的伴侣做好准备，以应对伴侣体重状况的变化和双方关系的动态变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.