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在减肥手术后的24个月内,人与人之间的应对预测了更大的体重减轻
Emily M Bartholomay1, Stephanie Cox2, Lawrence Tabone3
1Department of Behavioral Medicine and Psychiatry, West Virginia University School of Medicine, 930 Chestnut Ridge Road, Morgantown, WV, 26505, USA. emily.m.bartholomay@gmail.com.
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概括
在减肥手术之前,人与人之间的应对策略,如解决问题,预测手术后24个月显著减肥. 不适应性应对和手术前的焦虑/抑郁没有影响减肥结果.
科学领域:
- 心理学 心理学 心理学
- 腹部外科手术的结果
- 健康 行为 健康行为
背景情况:
- 应对机制与各种健康结果有关,包括体重管理.
- 减肥手术后应对策略在减肥中的具体作用尚不清楚.
研究的目的:
- 为了研究应对,焦虑和抑郁之间的关系.
- 为了确定手术前的焦虑和抑郁是否预测体重减轻24个月的腹部外科手术后.
- 确定与减肥手术后24个月减肥相关的特定应对策略.
主要方法:
- 1203名成年人完成了手术前评估.
- 841名患者接受了减肥手术,其中396人提供了24个月的体重数据.
- 在手术前评估心理变量;从电子医疗记录中收集体重数据.
主要成果:
- 在基线的内在应对策略 (例如,解决问题,接受) 预测了24个月后的体重减轻.
- 人际关系和不适应的应对策略与减肥无关.
- 手术前的焦虑和抑郁水平没有预测减肥结果.
结论:
- 基线人内应对策略是减肥手术后24个月体重减轻的重要预测因素.
- 临床医生应在手术前评估和支持自力更生应对机制,以提高患者的结果.
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