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患有腹部外科手术的儿童虐待:减肥,抑郁和饮食行为的影响
Tair Ben-Porat1,2, Simon L Bacon1,2, Robbie Woods1,3
1Montreal Behavioural Medicine Centre (MBMC), Centre Intégré Universitaire de Santé et de Services Sociaux du Nord-de-l'Île-de-Montréal (CIUSSS-NIM), Montreal, QC H4J 1C5, Canada.
Nutrients
|July 11, 2023
概括
童年虐待,特别是性虐待和情感忽视,影响了减肥手术 (BS) 后的饮食行为. 这些发现表明,对于有创伤史的患者,需要量身定制的干预措施.
科学领域:
- 精神病学是一个精神病学.
- 腹部外科 腹部外科
- 创伤研究 创伤研究
背景情况:
- 童年虐待很普遍,可能会影响长期的健康结果.
- 减肥手术 (BS) 是一种有效的减肥干预措施,但心理因素可能会影响结果.
- 了解童年创伤对BS后调整的影响至关重要.
研究的目的:
- 调查童年虐待与体重变化,抑郁症状和BS之后的饮食行为之间的关联.
- 确定可能影响术后结果的特定类型的虐待.
主要方法:
- 一组111名接受BS的患者在手术前和手术后6个月和12个月被评估.
- 用童年创伤问卷来评估童年虐待情况.
- 抑郁症状和饮食行为分别使用贝克抑郁 inventory-II和荷兰饮食行为问卷进行了测量.
主要成果:
- 在有或没有虐待病史的患者之间,没有发现体重变化或抑郁症状的显著差异.
- 有性虐待 (SA) 病史的患者在BS后12个月的情绪性饮食表现出有限的改善.
- 患有情绪疏忽史的患者 (EN) 在外部饮食方面初步表现出更大的改善,但随着时间的推移,这种差异逐渐减少.
结论:
- 性虐待和情感忽视的历史与减肥手术后改变的饮食行为变化有关.
- 这些发现强调了评估BS候选人的童年虐待的重要性.
- 需要进一步的研究来开发针对这一患者群体的有针对性的干预措施.
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