Psychological Functioning and Health Behaviors Associated with Weight Loss Patterns up to 13.7 Years After Weight Loss Surgery

被引:0
作者
Kirstie M. Herb Neff
Leslie M. Schuh
Karen K. Saules
David B. Creel
Joseph J. Stote
Kristen M. Schuh
Margaret Inman
机构
[1] Eastern Michigan University,Department of Psychology
[2] Ascension St. Vincent Carmel Hospital,St. Vincent Bariatrics
[3] Cleveland Clinic,Department of Psychology
[4] University of Michigan,Community Behavioral Health Clinic
[5] Eastern Michigan University,undefined
来源
Journal of Clinical Psychology in Medical Settings | 2021年 / 28卷
关键词
Obesity; Bariatric surgery; Gastric bypass; Weight loss;
D O I
暂无
中图分类号
学科分类号
摘要
Weight loss surgery produces dramatic health improvements immediately after surgery, including rapid declines in diabetes. However, less is known about its long-term effects. 124 St. Vincent Bariatric Center patients completed questionnaires on weight and psychological functioning a mean of 7.7 and 13.7 years post-surgery (T1 and T2, respectively). Because mean weight data may mask differing weight trajectories, participants were categorized based on weight over time. Most participants underwent Roux-En-Y gastric bypass (90.3%) and were Caucasian (96%), female (81.5%), and married (69.1%). Mean age at T2 was 64; mean %EWL was 64.9%. Most patients fit into one of three weight change patterns, reaching weight nadir, and regaining by T1 and then, by T2, experiencing (1) Weight Loss (n = 36), (2) Weight Maintenance (n = 37), or (3) Continued Weight Gain (n = 39). Groups differed significantly on body satisfaction, weighing frequency, and conscientiousness, with Weight Gainers significantly lower than other groups on conscientiousness and body satisfaction, and Weight Losers reporting higher frequency of weighing than Maintainers. Bariatric patients can maintain substantial weight loss and positive psychological functioning for many years post-surgery, although weight regain is associated with less body satisfaction. Conscientiousness may signify medical adherence, whereas frequent weighing may be a behavior that promotes ongoing weight loss.
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页码:833 / 843
页数:10
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