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创伤性生活事件,暴力和肥胖:对408名患者进行横截面研究,这些患者参加了腹部外科手术计划
Alhassane Diallo1, Nadine Minier2, Jean-Baptiste Bonnet2,3
1Clinical Investigation Center (CIC) 1411, INSERM, CHU of Montpellier, University of Montpellier, Montpellier, France.
Obesity facts
|April 3, 2024
概括
显著的大多数减肥手术患者报告了创伤性生活事件,超过三分之一的患者经历过性暴力. 女性性别和更高的BMI增加了这一群体的性暴力风险.
科学领域:
- 心理学 心理学 心理学
- 腹部外科 腹部外科
- 公共卫生 公共卫生
背景情况:
- 肥胖是一种具有重大健康和经济影响的慢性疾病.
- 虽然已知生活方式因素有助于肥胖,但创伤性生活事件的作用仍然不清楚.
- 了解肥胖的创伤对于全面的患者护理至关重要.
研究的目的:
- 为了调查寻求减肥手术的患者中创伤性生活事件的患病率.
- 专门研究这一群体中发生的性暴力 (SV) 和相关的情况.
- 在严重肥胖的人群中确定与SV相关的风险因素.
主要方法:
- 一项涉及408名患有二级或三级肥胖症的患者进行的横截面研究,这些患者正在接受减肥手术.
- 由心理学家进行的结构化采访,以收集有关创伤性生活事件的数据.
- 多变量后勤回归分析以确定SV的独立风险因素.
主要成果:
- 87.1%的患者报告至少发生过一次创伤性生活事件.
- 33.1%的患者报告了性暴力 (SV) 的历史.
- 女性性别 (aOR=7.44) 和更高的BMI (aOR=1.05) 与增加的SV风险显著相关.
- 男性患者报告说,与运动停止,抑郁和工作相关的痛苦更高.
结论:
- 心理创伤在接受减肥手术的肥胖患者中非常普遍.
- 在创伤经历及其相关方面存在显著的性别差异.
- 这些发现强调了需要将创伤知情护理纳入肥胖管理的必要性.
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