相关实验视频
Updated: May 2, 2026

07:37
Roux-en-Y Gastric Bypass Operation in Rats
Published on: June 11, 2012
24.5K
寻求和接受减肥手术的患者的心理健康状况:元分析
Aaron J Dawes1, Melinda Maggard-Gibbons2, Alicia R Maher3
1Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California2Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California3Veterans Affairs/Robert Wood Johnson Clinical Scholars Program, UCLA, Los Angeles, Cali.
JAMA
|January 13, 2016
概括
患有抑郁症和暴饮暴食等精神疾病的患者常见. 虽然它们对减肥的影响尚不清楚,但手术似乎可以改善手术后的抑郁率.
科学领域:
- 腹部外科手术
- 肥胖问题
- 心理健康
- 精神疾病
背景情况:
- 严重肥胖的人经常寻求减肥手术以持续减肥和改善身体健康.
- 在这种患者群体中经常发现精神健康状况,但其患病率和对手术结果的影响尚未得到充分确定.
研究的目的:
- 确定减肥手术候选人和接受者的心理健康状况.
- 评估术前心理健康状况与术后结果之间的关联.
- 评估减肥手术对心理健康状况的临床影响.
主要方法:
- 从1988年1月到2015年11月,在PubMed,MEDLINE和PsycINFO进行了系统的文献搜索.
- 通过适应偏差风险的工具来评估研究质量.
- 使用GRADE标准对证据质量进行评价.
主要成果:
- 该审查确定了68个出版物,其中59个报告了手术前精神健康状况的流行 (n=65,363) 和27个关于它们与手术后结果的联系 (n=50,182).
- 最常见的情况是抑郁症 (19%) 和暴饮暴食 (17%).
- 关于术前精神健康状况与术后减肥之间的相关证据是相互矛盾的;然而,腹部外科手术始终与术后抑郁症的发生率和严重程度的降低有关.
结论:
- 患有精神疾病,特别是抑郁症和暴饮暴食, 在接受腹部手术的人群中很普遍.
- 在手术前的心理健康和手术后的减肥之间的关系仍然不一致.
- 腹部外科手术与术后心理健康的改善有着积极的关联,特别是抑郁率降低.
相关概念视频
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
440
Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
440
Anorexia Nervosa
2.0K
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
2.0K
Bulimia Nervosa
1.1K
Bulimia nervosa is a complex and severe eating disorder characterized by a cyclical pattern of binge-and-purge eating pattern. It generally involves an episode of binge eating, followed by compensatory behaviors such as vomiting, excessive exercise, laxative use, or fasting, to prevent weight gain. Despite often maintaining a normal weight, individuals with bulimia are intensely preoccupied with their body image and harbor an overwhelming fear of gaining weight. This can contribute to the...
1.1K
Binge Eating Disorders
828
Binge eating disorder is a significant mental health condition characterized by recurrent episodes of excessive food consumption within a short period, accompanied by a perceived loss of control over eating behavior. Unlike occasional overeating, binge eating disorder is marked by distressing emotions such as guilt, shame, and anxiety following binge episodes. The disorder affects individuals across different ages and backgrounds, with profound implications for physical and psychological...
828
Psychosurgery
2.5K
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
2.5K

