Psychological factors in reducing excess body weight after bariatric surgery
BACKGROUND: The relevance of the problem of obesity today is not in doubt. One of the most effective treatments today is bariatric surgery. At the same time, the effectiveness of the surgical method is not always predictable, as it is influenced by various factors, including the psychological state...
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Endocrinology Research Centre
2019-12-01
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doaj-a0586c54dffd430c8aeafb9843c0f9612021-10-02T15:56:47ZengEndocrinology Research CentreОжирение и метаболизм2071-87132306-55242019-12-01163626810.14341/omet100438706Psychological factors in reducing excess body weight after bariatric surgeryAleksandr E. Neimark0Shushanna A. Eganian1Maxim I. Galchenko2«Almazov National Medical Research Centre» of the Ministry of Health of the Russian Federation«Almazov National Medical Research Centre» of the Ministry of Health of the Russian FederationSaint-Petersburg State Agrarian University BACKGROUND: The relevance of the problem of obesity today is not in doubt. One of the most effective treatments today is bariatric surgery. At the same time, the effectiveness of the surgical method is not always predictable, as it is influenced by various factors, including the psychological state of the patient. AIM: To study the psychological characteristics of patients with obesity before and after surgical (bariatric) treatment and to establish the relationship with weight loss. MATERIALS AND METHOD: The study involved 32 patients with morbid obesity before and a year after laparoscopic longitudinal resection of the stomach with an initial body mass index of 45.36 (+54.90; -33.00). Questionnaire used: Symptom Check List-90-R (L.R. Derogatis). Statistical data processing was carried out using the statistical programming language R. RESULTS: The presence or increase in the level of phobic anxiety (a persistent reaction of fear to certain people, situations and places) and psychotism (isolation, interpersonal isolation, avoidance) in a patient can have a negative impact on the success of weight loss in the postoperative period. CONCLUSIONS. The psychological factors affecting the prognosis of weight loss after bariatric surgery have been identified. Psychological testing and determining the patients psychotype can be predictive in improving the outcome of surgical treatment of obesity.https://omet-endojournals.ru/omet/article/viewFile/10043/9232morbid obesitybariatric surgerypsychological factorsbariatric efficacymultidisciplinary approach |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Aleksandr E. Neimark Shushanna A. Eganian Maxim I. Galchenko |
spellingShingle |
Aleksandr E. Neimark Shushanna A. Eganian Maxim I. Galchenko Psychological factors in reducing excess body weight after bariatric surgery Ожирение и метаболизм morbid obesity bariatric surgery psychological factors bariatric efficacy multidisciplinary approach |
author_facet |
Aleksandr E. Neimark Shushanna A. Eganian Maxim I. Galchenko |
author_sort |
Aleksandr E. Neimark |
title |
Psychological factors in reducing excess body weight after bariatric surgery |
title_short |
Psychological factors in reducing excess body weight after bariatric surgery |
title_full |
Psychological factors in reducing excess body weight after bariatric surgery |
title_fullStr |
Psychological factors in reducing excess body weight after bariatric surgery |
title_full_unstemmed |
Psychological factors in reducing excess body weight after bariatric surgery |
title_sort |
psychological factors in reducing excess body weight after bariatric surgery |
publisher |
Endocrinology Research Centre |
series |
Ожирение и метаболизм |
issn |
2071-8713 2306-5524 |
publishDate |
2019-12-01 |
description |
BACKGROUND: The relevance of the problem of obesity today is not in doubt. One of the most effective treatments today is bariatric surgery. At the same time, the effectiveness of the surgical method is not always predictable, as it is influenced by various factors, including the psychological state of the patient.
AIM: To study the psychological characteristics of patients with obesity before and after surgical (bariatric) treatment and to establish the relationship with weight loss.
MATERIALS AND METHOD: The study involved 32 patients with morbid obesity before and a year after laparoscopic longitudinal resection of the stomach with an initial body mass index of 45.36 (+54.90; -33.00). Questionnaire used: Symptom Check List-90-R (L.R. Derogatis). Statistical data processing was carried out using the statistical programming language R.
RESULTS: The presence or increase in the level of phobic anxiety (a persistent reaction of fear to certain people, situations and places) and psychotism (isolation, interpersonal isolation, avoidance) in a patient can have a negative impact on the success of weight loss in the postoperative period.
CONCLUSIONS. The psychological factors affecting the prognosis of weight loss after bariatric surgery have been identified. Psychological testing and determining the patients psychotype can be predictive in improving the outcome of surgical treatment of obesity. |
topic |
morbid obesity bariatric surgery psychological factors bariatric efficacy multidisciplinary approach |
url |
https://omet-endojournals.ru/omet/article/viewFile/10043/9232 |
work_keys_str_mv |
AT aleksandreneimark psychologicalfactorsinreducingexcessbodyweightafterbariatricsurgery AT shushannaaeganian psychologicalfactorsinreducingexcessbodyweightafterbariatricsurgery AT maximigalchenko psychologicalfactorsinreducingexcessbodyweightafterbariatricsurgery |
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