科研之友
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摘要
Gastric bypass procedures (GBP) are becoming more commonly utilized for the treatment of morbid obesity. However, the range of sustained, long-term weight loss following the procedure varies considerably. An extraordinarily high incidence of comorbid anxiety, mood, and other psychiatric disorders exists among GBP recipients. Relatively little is known about how best to meet the postoperative psychological needs of this population, and standardized treatment protocols are lacking. GBP support groups represent one forum to improve long-term weight loss outcomes during the postoperative psychological recovery period. The purpose of this study was to report descriptive findings on factors associated with attendance of postoperative support groups and to identify variables common among group participants that influence outcomes. Using a combination of self-report measures and validated screening tools (including the Psychiatric Diagnostic Questionnaire (PDSQ) and Short Form-12 v2 (SF-12v2)), we found that approximately two-thirds of participants who underwent GBP screened positive for one or more Axis I diagnoses. Participants with no previous psychiatric treatment were significantly more likely to lose %26gt;= 30% of their preoperative weight when compared to those with a psychiatric history (OR = 3.333 [CI 1.102, 10.085], p = 0.0330). Those participants with a physical component summary score on the SF-12v2 that fell below the median of the group were significantly less likely to lose more than the median proportion of weight lost over time for the group when compared to those with a score greater than or equal to the median (OR = 0.351 [CI 0.130, 0.947], p = 0.0388).
- 出版日期2014-9
