探索术前人格评估尺度与术后代谢手术结果之间的关联
Margarita Pipinos1, Shalmali Mirajkar1, Kaeli Samson2
1College of Medicine, University of Nebraska Medical Center, Omaha, Nebraska.
概括
通过米伦行为医学诊断 (MBMD) 测量的心理社会因素与代谢和减肥手术 (MBS) 后的体重减轻相关. 特定的MBMD尺度显示与MBS后6个月和12个月的身体质量指数 (BMI) 降低的关联.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 腹部外科 腹部外科
背景情况:
- 心理社会评估对于代谢和减肥手术至关重要,但缺乏标准化的指导方针.
- 米伦行为医学诊断 (MBMD) 是一种用于MBS的全面人格评估.
- 这项研究探讨了MBMD与术后减肥结果的关联.
研究的目的:
- 调查手术前MBMD评估的心理社会因素和MBS后的体重减轻之间的关系.
- 确定特定的性格特征,应对方式和与成功的手术后体重管理相关的精神病学指标.
主要方法:
- 对97名接受MBS和手术前MBMD评估的参与者的回顾性审查.
- 使用皮尔森相关性和线性模型,将MBMD得分与MBS后6个月和12个月的体重指数 (BMI) 降低进行比较.
主要成果:
- 在6个月后,降低的BMI与抑制/减弱的应对能力,焦虑紧张,干预脆弱性和精神病学转诊相关. 较高的BMI与自信/社交等级相关.
- 在12个月后,降低的BMI与焦虑-压力,社会隔离和精神病患者转诊相关,与自信度表相对负相关.
- 疾病的恐惧与12个月后袖子胃切除术患者的BMI改善有关.
结论:
- 几种MBMD尺度与MBS后的减肥结果有关.
- 这些发现是探索性的,需要在更大,调整的研究中进一步验证.
- MBMD可能为预测MBS成功提供有价值的见解.
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