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A Qualitative Analysis of Problematic and Non-problematic Alcohol Use After Bariatric Surgery.
Danielle L Reaves1, Joanne M Dickson2,3, Jason C G Halford2
1Department of Psychological Sciences, University of Liverpool, Eleanor Rathbone Building, Bedford Street South, Liverpool, L69 7ZA, UK. Dreaves@liverpool.ac.uk.
Obesity Surgery
|April 4, 2019
Summary
Bariatric surgery patients may face increased alcohol problems. This qualitative study explored factors influencing drinking behaviors, revealing key themes like motivations, self-image, and surgical preparedness in those with and without problematic alcohol use.
Area of Science:
- Bariatric Surgery Outcomes
- Addiction Research
- Qualitative Health Research
Background:
- Bariatric surgery is a significant weight loss intervention.
- A potential, under-communicated risk is an increased propensity for alcohol problems post-surgery.
- Limited qualitative research exists on the contributors to alcohol issues following bariatric procedures.
Purpose of the Study:
- To explore factors influencing drinking behaviors in individuals who have undergone bariatric surgery.
- To compare the experiences of participants with problematic alcohol use to those without.
- To generate insights from participants' perspectives on alcohol use, food relationships, support, and surgical experiences.
Main Methods:
- Semi-structured interviews were conducted with 14 participants (9 female, 5 male).
- Interviews explored alcohol use, food relationships, support systems, and surgical experiences.
- Thematic analysis was employed to identify influential factors and motivations related to alcohol consumption.
Main Results:
- Five core themes emerged common to all participants: drinking motivations, self-image, impact of dietary restriction, support needs, and surgical preparedness.
- A sixth theme, resilience, was identified exclusively in participants without problematic alcohol use.
- Divergent sub-themes within the core themes highlighted differences between groups regarding experiences, cognitions, and behaviors.
Conclusions:
- This study is the first to qualitatively examine problematic alcohol use post-bariatric surgery using a comparative approach.
- Findings identify key contributing factors to problematic alcohol use in this population.
- The research offers insights into potentially preventative experiences and cognitions for bariatric patients.
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