Obesity Surgery: Quality of Life and Psychological Variables before and after Surgical Treatment

Article Sidebar

PDF (Português (Brasil))
Published: Jul 1, 2009
Keywords:
obesity quality of life anxiety depression surgical treatment

Main Article Content

Isabel Silva
Universidade Fernando Pessoa
José Pais-Ribeiro
Universidade do Porto
Helena Cardoso
Universidade do Porto

Abstract

It is urgent to understand if obesity surgery (gastrobandoplasty and gastric bypass) has repercussion in psychological domain, eating behaviour and quality of life of patients submitted to it. The objective answered to compare quality of life, anxiety and depression, social support, type of motivation and perceived competence to engage in weight loss programs, relationship with the health care team and eating behaviour before and after obesity surgery (gastrobandoplasty or gastric bypass). A convenience group of 24 women answered to a set of psychological instruments before being submitted to obesity surgery and after the surgery (gastrobandoplasty or gastric bypass). Participants answered to the questionnaires, after their informed consent, in the context of a personal interview, when they went to the hospital for consultations. Results revealed that after obesity surgery occurs an improvement on quality of life, anxiety and depression. Through out treatment process (before and after the surgery), patients revealed to have a good perception of social support, to present intrinsic motivation to enrol in weight loss treatment, to perceived themselves as competent to do the treatment, to feel the health care as supportive and they did not reported non-normative eating patterns. Data analysis reveals that there are no significant differences between the two assessment moments concerning social support, motivation and perceived competence for weight loss treatment, relationship with the health care team and concerning eating behaviour. Obesity surgery (gastrobandoplasty and gastric bypass) have important repercussion in quality of life (generic and specific) and in psychological domain, namely in what concerns to anxiety and depression symptoms. It will be important to explore more deeply the other psychological variables targeted by the present research, studying a larger group of participants.

Downloads

Download data is not yet available.

Article Details

Issue
Vol. 11 No. 2 (2009)
Section
Artigos

Copyright to articles published in The Journal Of Psychology: Theory and Practice belongs to the authors, who grant Mackenzie Presbyterian University the not exclusive rights to publish the content. 

 

References

ALMEIDA, G. A. N.; LOUREIRO, S. R.; SANTOS, J. E. A imagem corporal de mulheres morbidamente obesas avaliada através do Desenho da Figura Humana. Psicologia: Reflexão e Crítica, v. 15, n. 2, 2002.

BANDURA, A. The primacy of self-regulation in health promotion. Applied Psycholo-gy, v. 54, n.2, 2005.

BERENGUER, A. et al. Gastrobandoplastia por via laparoscópica: follow up de 24 meses. Psicologia, Saúde & Doenças, v. 8, n. 1, 2007.

CARMO, I. do et al. Overweight and obesity in Portugal: National prevalence in 2003-2005. Obesity Reviews, v. 9, 2007.

DECI, E. L. Self-determination theory: an approach to human motivation & personali-ty. Disponível em: <http://www.psych.rochester.edu/SDT/measures/selfreg.html>. Acesso em: 23 nov. 2008.

ENGEL, S. G. et al. Psychometric and cross-national evaluation of a Portuguese version of the Impact of Weight on Quality of Life – Lite (IWQOL-Lite) Questionnaire. Europe-an Eating Disorders Review, v. 13, 2005.

FINKELSTEIN, E. A.; RUHM, C. J.; KOSA, K. M. Economic causes and consequences of obesity. Annual Reviews of Public Health, v. 26, 2005.

FONTAINE, K. R.; BARTLETT, S. J.; BAROFSKY, I. Health-related quality of life among obese persons seeking and not currently seeking treatment. International Journal of Eating Disorders, v. 27, 2000.

GUEDEA, M. et al. Results of biliopancreatic diversion after five years. Obesity Surgery, v. 14, 2004.

KEISH, J. F. A phenomenological analysis of the lived experiences of adult females undergoing rapid weight loss due to Roux-En-Y, weight loss surgery. 2005. Dissertation (Master’s Degree) – St. Mary’s University, San Antonio, Texas, 2005.

MAES, S.; KAROLY, P. Self-regulation assessment and intervention in physical health and illness: a review. Applied Psychology, v. 54, n. 2, 2005.

MARTINS, M. V. D. C. Why Roux-em-Y Gastric bypass is nowadays the best surgery to treat obesity. Revista Brasileira de Videocirurgia, v. 3, n. 2, 2005.

PAIS-RIBEIRO, J. et al. Validation study of a Portuguese version of the Hospital Anxiety and Depression Scale. Psychology, Health & Medicine, v. 12, n. 2, 2007.

RIBEIRO, J. L. P. Escala de Satisfação com o Suporte Social (ESSS). Análise Psicológica, v. 3, n. 17, 1999.

RIBEIRO, J. L. P. O importante é a saúde. Estudo de adaptação de uma técnica de avaliação do estado de saúde – SF-36. Portugal: Fundação Merck Sharp & Dohme, 2005.

SCHAEFFER, D. F.; RUSNAK, C. H.; AMSON, B. J. Laparoscopic Roux-en Y gastric bypass surgery: initial results of 120 consecutive patients at a single British Columbia surgical center. The American Journal of Surgery, v. 195, 2008.

SEARS, D. et al. Evaluation of gastric bypass patients 1 year after surgery: changes in quality of life and obesity-related conditions. No prelo.

SILVA, I.; PAIS-RIBEIRO, J.; CARDOSO, H. Quality of life and general health perception in women with obesity: Do eating patterns make a difference? Applied Research in Quality of Life, v. 3, n. 2, 2008.

SIMÕES, D.; MENESES, R. F. Auto-conceito em crianças com e sem obesidade. Psicologia: Reflexão e Crítica, v. 20, n. 2, 2007.

SOCIEDADE PORTUGUESA DE CIRURGIA DE OBESIDADE. Tipos de cirurgias: bandas. Disponível em: . Acesso em: 1º jul. 2009.

TOLONEN, P.; VICTORZON, M.; MÄKELÄ, J. Impact of laparoscopic adjustable gastric banding for morbid obesity on disease-specific and health-related quality of life. Obesity Surgery, v. 14, 2004.

VALLIS, T. M.; ROSS, M. A. The role of psychological factors in bariatric surgery for morbid obesity: identification of psychological predictors of success. Obesity Surgery, v. 3, 1993.

WILLIAMS, G. C. et al. Motivational predictors of weight loss and weight-loss maintenance. Journal of Personality and Social Psychology, v. 70, n. 1, 1996.