Majority of female bariatric patients retain an obese identity 18–30 months after surgery
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity - Tập 25 - Trang 357-364 - 2018
Tóm tắt
When bariatric surgery is performed, a successful outcome is usually described as % total weight lost (EWL) or a change in BMI. These definitions fail to address the importance of post-operative psychosocial adjustment. Previous research has alluded to a ‘mind–body lag’ where the patient’s experienced body feels larger than their physically smaller post-operative body, perhaps as a result of amygdalae conditioning. The purpose of this study is to further investigate this psychological issue and assess its relationship to health locus of control, alexithymia, health quality of life and weight regain in bariatric surgery patients. Forty female bariatric surgery patients between 18 and 30 months post-op completed demographic data, survey instruments and anthropometric testing. Their evolving self-view, health locus of control, tendency toward alexithymic thought, and health quality of life were measured to identify significant relationships. Hermans’ Dialogical Self Theory was used to understand the conflicted self-view of the participants. The majority of participants retained an obese view of self despite weight loss. Those who retained an ‘I-obese’ viewpoint were significantly more likely to see external situations and powerful others as controlling their weight, have difficulty identifying their feelings and score significantly lower in vitality, social functioning and mental health. Despite losing weight, the majority of participants retained an obese view of self that was significantly associated with a lessened health quality of life. Use of the Evolving Self-View (ESV) exploratory tool may allow early identification of post-operative patients with a prolonged ‘I-obese’ self-view and provide an opportunity for intervention. Level III, cross-sectional case-control study.
Tài liệu tham khảo
Sarwer DB, Allison KC, Bailer B, Faulconbridge LF, Wadden TA (2013) Bariatric surgery. In: Block AR, Sarwer DB (eds) Presurgical psychological screening: understanding patients, improving outcomes, 1st edn. American Psychological Association, Washington, DC, pp 61–83. https://doi.org/10.1037/14035-004
Lazzeretti L, Rotella F, Pala L, Rotella CM (2015) Assessment of psychological predictors of weight loss: how and what for? World J Psychiatry 5(1):56–67. https://doi.org/10.5498/wjp.v5.i1.56
Faccio E, Nardin A, Cipolletta S (2016) Becoming ex-obese: narrations about identity changes before and after the experience of the bariatric surgery. J Clin Nurs 25(11–12):1713–1720. http://eastcarolina.summon.serialssolutions.com.jproxy.lib.ecu.edu/2.0.0/link/0/eLvHCXMwnV1LS8QwEA4iCF58P6orBLwJ3e02bdJ608Vl9aAXPZekmYALtrLdBb35E_yN_hLz6NbtKoLeQgmBZmaSbyYz3yBEwm7gL50JLO7ryVIrlCRAEiYoxIoQEKLPSCiXaAua-Jtji2jCb8ZO7Om9YO69cZkXXftg0OPChAfyqTmRtSqa-pLr0eKbgmssT0PfEKfVZKXtNdrX0zfM2Yaw9g4abqJ5OunYpZ58tf-a_cDt-L9f2kIbNULFF06lttEKFDtorY4q7KLyUjusT3qI4eXj7b0UUME5LvjEqVKFbaozfnQFwK_YVRZXWICGx4B5IbHtS4418sTQEC3jUtkvQvvutmsArlzB9h56GF7dD0Z-3bXBzzUWCH1FRRxDLASLAkhTFUVxGuVCAQkCFQpFqEhUwPQkBolUijKiuARJQ5Ur7Q2SfbRalAUcIszTmCtmIAuDiHIugGqAS6V5zE0hER46nQsre3bkHFnj1Og9zOweeqgzl2NWG2iV9ZmpjAkYYx46cLJtlghpSg1vpofOrHx-WTu7uRvc2tHRXyYfo3UNvKhLOeug1elkBiftbk2f-3_62g. https://doi.org/10.1111/jocn.13222
Guardia D, Metral M, Pigeyre M, Bauwens I, Cottencin O, Luyat M (2013) Body distortions after massive weight loss: lack of updating of the body schema hypothesis. Eat Weight Disord 18(3):333–336. http://search.ebscohost.com.jproxy.lib.ecu.edu/login.aspx?direct=true&db=rzh&AN=2012238259&site=ehost-live. http://jproxy.lib.ecu.edu/. https://doi.org/10.1007/s40519-013-0032-0
LePage CT (2010) The lived experience of individuals following Roux-en-Y gastric bypass surgery: a phenomenological study. Bariatric Nurs Surg Patient Care 5(1):57–64. http://search.ebscohost.com.jproxy.lib.ecu.edu/login.aspx?direct=true&db=rzh&AN=2010605015&site=ehost-live. http://jproxy.lib.ecu.edu/. https://doi.org/10.1089/bar.2009.9938
Lyons K, Meisner BA, Sockalingam S, Cassin SE (2014) Body image after bariatric surgery: a qualitative study. Bariatr Surg Pract Patient Care 9(1):41. https://doi.org/10.1089/bari.2014.0001
Warholm C, Øien AM, Råheim M (2014) The ambivalence of losing weight after bariatric surgery. Int J Qualitative Stud Health Well-Being. http://search.proquest.com.jproxy.lib.ecu.edu/docview/1629457794?accountid = 10639. https://doi.org/10.3402/qhw.v9.22876
Riva G (2012) Neuroscience and eating disorders: the allocentric lock hypothesis. Med Hypotheses 78(2):254–257. https://doi.org/10.1016/j.mehy.2011.10.039
Byrne JH (2017) Neuroscience. McGovern Medical School at University of Texas Health, Houston
Hermans HJ, Kempen HJ, Van Loon RJ (1992) The dialogical self: beyond individualism and rationalism. Am Psychol 47(1):23–33. http://jproxy.lib.ecu.edu/login?url=http://search.ebscohost.com.jproxy.lib.ecu.edu/login.aspx?direct=true&db=psyh&AN=1992-19900-001&site=ehost-live
Perdue TO, Schreier A, Swanson M, Neil J, Carels R (2018) Evolving self view and body image concerns in female postoperative bariatric surgery patients. J Clin Nurs 27(21–22):4018–4027. https://doi.org/10.1111/jocn.14527
Carr D, Jaffe K (2012) The psychological consequences of weight change trajectories: evidence from quantitative and qualitative data. Econ Hum Biol 10(4):419 –419 30. https://doi.org/10.1016/j.ehb.2012.04.007
De Panfilis C, Cero S, Torre M, Salvatore P, Dall’Aglio E, Adorni A, Maggini C (2007) Changes in body image disturbance in morbidly obese patients 1 year after laparoscopic adjustable gastric banding. Springer-Verlag, New York. https://doi.org/10.1007/s11695-007-9145-8.
Henderson KE (2008) Guest editorial. Time to think outside the box. Bariatric Nurs Surg Patient Care 3(4):233–235. http://search.ebscohost.com.jproxy.lib.ecu.edu/login.aspx?direct=true&db=rzh&AN=2010151012&site=ehost-live
Riva G, Gaudio S, Dakanalis A (2014) I’m in a virtual body: a locked allocentric memory may impair the experience of the body in both obesity and anorexia nervosa. Eat Weight Disord 19(1):133–134. http://search.ebscohost.com.jproxy.lib.ecu.edu/login.aspx?direct=true&db=rzh&AN=2012516760&site=ehost-live. http://jproxy.lib.ecu.edu/. https://doi.org/10.1007/s40519-013-0066.3
Wallston BS, Wallston KA, Kaplan GD, Maides SA (1976) Development and validation of the health locus of control (HLC) scale. J Consult Clin Psychol 44(4):580. https://doi.org/10.1037/0022-006X.44.4.580
Wallston KA, Wallston BS, DeVellis R (1978) Development of the multidimensional health locus of control (MHLC) scales. Health Educ Monogr 6(2):160–170. https://doi.org/10.1177/109019817800600107
Saltzer EB (1978) Locus of control and the intention to lose weight. Health Educ Behav 6(1):118–128
Saltzer EB (1982) The weight locus of control (WLOC) scale: a specific measure for obesity research. J Pers Assess 46(6):620–628. https://doi.org/10.1207/s15327752jpa4606_11
Bagby RM, Taylor GJ, Parker JDA (1994) The twenty-item Toronto alexithymia scale—II. convergent, discriminant, and concurrent validity. J Psychosom Res 38(1):33–40. https://doi.org/10.1016/0022-3999(94)90006-X
Leising D, Grande T, Faber R (2009) The Toronto alexithymia scale (TAS-20): a measure of general psychological distress. J Res Pers 43(4):707 –707 10. https://doi.org/10.1016/j.jrp.2009.03.009
QualityMetric (2009) Quick start guide for the SF-36-v2 health survey. QualityMetric Incorporated. http://www.qualitymetric.com
Hachem A, Brennan L (2016) Quality of life outcomes of bariatric surgery: a systematic review. Obesity Surg 26(2):395–409. https://doi.org/10.1007/s11695-015-1940-z
Lee DW, Kim S, Cho DY (2013) Obesity-related quality of life and distorted self-body image in adults. Appl Res Quality Life 8(1):87–100. https://doi.org/10.1007/s11482-012-9174-x
Muller MK, Wenger C, Schiesser M, Clavien PA, Weber M (2008) Quality of life after bariatric surgery—a comparative study of laparoscopic banding vs. bypass. Obesity Surg 12:1551–1517. https://doi.org/10.1007/s11695-008-9522-y
Nickel F, Schmidt L, Bruckner T, Büchler MW, Müller-Stich B, Fischer L (2017) Influence of bariatric surgery on quality of life, body image, and general self-efficacy within 6 and 24 months—a prospective cohort study. http://jproxy.lib.ecu.edu/. https://doi.org/10.1016/j.soard.2016.08.017
Shiri S, Gurevich T, Feintuch U, Beglaibter N (2007) Positive psychological impact of bariatric surgery. Obes Surg 5(17):663–668. https://doi.org/10.1007/s11695-007-9111-5
Courcoulas AP, Christian NJ, Belle SH, Berk PD, Flum DR, Garcia L, Horlick M, Kalarchian MA, King WC, Mitchell JE, Patterson EJ, Pender JR, Pomp A, Pories WJ, Thirlby RC, Yanovski SZ, Wolfe BM (2013) Longitudinal assessment of bariatric surgery (LABS) consortium. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA 310(22):2416–2425. https://doi.org/10.1016/j.soard.2015.01.011