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Updated: Aug 14, 2025
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The Motivation for Alcohol Reward: Predictors of Progressive-Ratio Intravenous Alcohol Self-Administration in Humans
Published on: April 28, 2022
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Patient perceptions regarding alcohol use after bariatric surgery.
Lisa R Miller-Matero1,2, Leah M Hecht3, Nancy P Barnett4
1Behavioral Health, Henry Ford Health, 1 Ford Place, 3A, Detroit, MI, 48202, USA. Lmatero1@hfhs.org.
Surgical Endoscopy
|January 13, 2023
Summary
Patients often drink alcohol after bariatric surgery despite understanding the risks. Understanding their reasons, like social factors and perceived addiction transfer, is key to preventing alcohol use disorders.
Area of Science:
- Bariatric surgery outcomes
- Alcohol use disorders
Background:
- Patients undergoing bariatric surgery face an elevated risk of alcohol use disorder.
- Despite awareness of risks, most patients continue post-surgical alcohol consumption, indicating education alone is insufficient.
Purpose of the Study:
- To identify factors associated with post-surgical alcohol use in bariatric patients.
- To understand patient perceptions regarding alcohol consumption after bariatric surgery.
Main Methods:
- Semi-structured interviews were conducted with 20 patients 1-3 years post-bariatric surgery who consumed alcohol at least twice monthly.
- Data were analyzed using deductive and inductive coding by two independent raters.
Main Results:
- Nearly all participants knew the risks but found lifelong abstinence unrealistic.
- Common reasons for post-surgical drinking included social events, resuming prior use, and addiction transfer.
- Key themes identified were altered alcohol consumption patterns, heightened alcohol effects, and specific beliefs about developing problematic use.
Conclusions:
- Patient perceptions suggest that recommending abstinence post-bariatric surgery may not be effective.
- Understanding these perceptions is crucial for developing targeted interventions to minimize post-surgical alcohol use.
- Adapting traditional relapse prevention strategies may better address alcohol-related issues in this population.
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