在接受肥胖手术的个体中冲动性的纵向动态 - 一个系统的审查
Katrin Elisabeth Giel1,2, Lucia Camacho-Barcia3,4,5, Laura Schultze-Rhonhof6
1Department of Psychosomatic Medicine and Psychotherapy, Medical University Hospital Tübingen, Osianderstr. 5, 72076, Tübingen, Germany. Katrin.giel@med.uni-tuebingen.de.
Reviews in endocrine & metabolic disorders
|October 18, 2025
概括
冲动性,一个涉及奖励敏感性和自我控制的特征,在肥胖手术后减少. 手术后的冲动性水平预测体重减轻,这表明促进这种减轻的干预措施可以改善结果.
科学领域:
- 行为神经科学 行为神经科学
- 心理学 心理学 心理学
- 减肥手术研究 减肥手术研究
背景情况:
- 冲动性,以奖励敏感性和受损的抑制性控制为特征,是个性的关键特征.
- 了解冲动性在肥胖中的作用,以及通过减肥手术对其进行修改,对于治疗成功至关重要.
研究的目的:
- 系统地审查关于肥胖手术干预中的冲动性前性研究.
- 研究冲动性对手术结果的影响以及手术对冲动性的影响.
主要方法:
- 使用PRISMA指南进行系统的文献搜索 (PubMed,PsychInfo).
- 包括40项关于接受减肥手术的肥胖个体的研究.
- 通过自我报告 (例如,三因素饮食问卷) 和实验室任务来评估冲动性.
主要成果:
- 自我报告的与食物有关的冲动性并不能预测手术后的体重结果.
- 肥胖手术始终降低了冲动性的水平.
- 手术后的冲动性及其变化预测体重减轻,初步证据表明基线大脑活动模式.
结论:
- 肥胖手术后冲动性降低,并影响减肥结果.
- 建议生理变化,冲动性和体重增长之间的动态相互作用.
- 针对手术后冲动性减轻的干预措施可以提高治疗成功率,并防止重量恢复.
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