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Understanding the life experiences of Brazilian women after bariatric surgery: a qualitative study
Ronis Magdaleno1, Elinton Adami Chaim, Egberto Ribeiro Turato
1Department of Medical Psychology and Psychiatry, Faculty of Medical Sciences, University of Campinas-UNICAMP, Rua Padre Almeida 515, Campinas, Brazil. ronism@uol.com.br
Background:
The increase in bariatric surgeries has called into question the aspects that contribute to or impair the results. Psychosocial factors directly influence the results of the surgery, but a lot of controversy exists in relation to the degree of influence of these factors. We propose a qualitative investigation to understand the significance of the surgery for women and how these factors influence the outcomes.
Methods:
This study is a clinical-qualitative method, through the semi-directed interview with open-ended questions in an intentional sample, closed by saturation, with seven women operated in a period of 1.5-3 years, following the definition of emergent categories and qualitative content analysis.
Results:
The experience of acceptance and social reinsertion is a motivating factor to keep up the challenge of weight loss; social discrimination is a risk factor leading to losing the stimulus to continue the process; the recuperation of self-esteem and personal identity is a factor that improves the quality of life and psychopathological symptoms; disillusionment is an important risk factor, linked principally to the experiences of failure.
Conclusion:
We observe the necessity of qualitative studies that serve the health team in the handling of these patients, aiming for a greater understanding of their psychological dynamics and of the meanings that weight loss has for them.
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