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减肥手术前后的精神病理学概况
Tura Benítez1,2, Assumpta Caixàs3,4,5, Pere Rebasa6,7,8
1Institut d'Investigació i Innovació Parc Taulí (I3PT-CERCA), Parc del Taulí, 1, 08208, Sabadell, Barcelona, Spain. mtbenitez@tauli.cat.
Scientific reports
|September 27, 2023
概括
腹手术的候选人往往有轻微的精神病理和饮食障碍,在手术后明显改善. 这表明,即使是亚临床心理问题也可能受到减肥手术的积极影响.
科学领域:
- 精神病学是一个精神病学.
- 腹部外科 腹部外科
- 心理病理学 心理病理学
背景情况:
- 减肥手术的术前评估通常集中在严重的精神障碍上.
- 轻微的精神病理和饮食行为也会影响手术后的结果.
- 了解这些因素对于全面的患者评估至关重要.
研究的目的:
- 识别和比较减肥手术候选人的精神病理学和饮食行为模式,与正常人群相比.
- 评估腹手术前后这些模式的变化.
主要方法:
- 一组32名减肥手术候选人使用人格评估库存 (PAI),EDE-Q和BES进行了评估.
- 手术前和手术后一年进行了评估.
- 总共有32名手术前患者和26名手术后患者被纳入分析.
主要成果:
- 在手术前,患者表现出轻微的混合适应障碍,主要是体质投诉.
- 手术后,在体质投诉 (p < 0.001) 和抑郁症 (p = 0.04) 中观察到显著改善.
- 饮食障碍得分,包括强迫性摄入 (BES,p < 0.001) 和整体饮食障碍行为 (EDE-Q/G,p < 0.001),与手术前和规范组相比,手术后显著改善.
结论:
- 减肥手术候选人经常出现轻微的精神病理,往往会使手术后的正常化.
- 饮食行为和相关的认知症状在减肥手术后显著改善.
- 需要进一步的研究来探索轻度精神病理学对长期减肥手术结果的影响.
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