Quality of Life and Psychological Changes in Bariatric Surgery: An Observational Study.

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM Annals of Nutrition and Metabolism Pub Date : 2024-07-25 DOI:10.1159/000540012

Beatriz Ramos-Bachiller, Juan J López-Gómez, Susana García-Calvo, Beatriz Torres-Torres, David Primo-Martín, Pilar Pinto-Fuentes, David Pacheco-Sánchez, Fernando Uribe Ladrón de Cegama, Daniel A De Luis

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Abstract

Introduction: Candidates for bariatric surgery may have psychiatric disorders that must be evaluated. The aim of this study was to describe the psychological state and quality of life (QoL) of patients with obesity awaiting bariatric surgery prior to surgical procedure and 1 year after surgery.

Methods: A longitudinal retrospective observational study was carried out in 71 patients awaiting bariatric surgery. Anthropometric data were collected, and the following were evaluated before and 1 year after the intervention: 44 patients were evaluated to rule out personality disorder, using the Salamanca Questionnaire of Personality Disorders; eating disorder, with the Bulimia Test of Edinburgh (BITE); depression, using the Beck Depression Inventory (BDI); and 71 patients were evaluated QoL, with the "36-Item Short Form Health Survey" (SF-36).

Results: A total of 34.1% (n = 15) of patients presented personality disorder (group B most frequent). A total of 31.8% (n = 14) obtained scores suggesting anomalous food behavior (6.8%, n = 3 severe). According to the BDI, 43.2% (n = 19) showed low mood prior to the intervention. Lower scores were obtained when evaluating QoL for physical functioning (physical function: 56.81 ± 24.9; physical problems: 66.76 ± 37.64). One year after the intervention, QoL improved in those patients who underwent the sleeve gastrectomy (SG).

Conclusions: Patients with bariatric surgery more frequently presented with type B and C personalities. One year after bariatric surgery, an improvement in QoL test was observed. Patients who underwent SG technique showed better mean scores than those after biliopancreatic diversion.

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减肥手术中的生活质量和心理变化：一项观察研究。

简介减肥手术的候选者可能患有精神疾病，必须对其进行评估。本研究旨在描述等待接受减肥手术的肥胖症患者在手术前和手术后一年的心理状态和生活质量（QoL）：方法：对 71 名等待减肥手术的患者进行了纵向回顾性观察研究。研究收集了人体测量数据，并对干预前和干预后一年的情况进行了评估：使用萨拉曼卡人格障碍问卷（Salamanca Questionnaire of Personality Disorders）对44名患者进行评估，以排除人格障碍；使用爱丁堡贪食症测试（BITE）对饮食失调进行评估；使用贝克抑郁量表（BDI）对抑郁症进行评估；使用 "简表健康调查"（SF-36）对71名患者的生活质量进行评估：共有 34.1%（15 人）的患者患有人格障碍（B 组最为常见）。31.8%的患者（人数=14）的得分表明其饮食行为异常（6.8%，人数=3，严重者）。根据 BDI，43.2% 的患者（人数=19）在干预前情绪低落。在评估身体功能的 QoL 时，得分较低（身体功能：56.81±24.9；身体问题：66.76±37.64）。干预一年后，接受袖带胃切除术（SG）的患者的QoL有所改善：结论：接受减肥手术的患者更多表现为B型和C型性格。减肥手术一年后，QoL测试结果有所改善。接受袖带胃切除术（SG）的患者比接受双胰转流术（BPD）的患者平均得分更高。

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

Annals of Nutrition and Metabolism 医学-内分泌学与代谢

CiteScore

6.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： ''Annals of Nutrition and Metabolism'' is a leading international peer-reviewed journal for sharing information on human nutrition, metabolism and related fields, covering the broad and multidisciplinary nature of science in nutrition and metabolism. As the official journal of both the International Union of Nutritional Sciences (IUNS) and the Federation of European Nutrition Societies (FENS), the journal has a high visibility among both researchers and users of research outputs, including policy makers, across Europe and around the world.