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首页> 外文期刊>Current opinion in gastroenterology >Psychological factors and weight loss in bariatric surgery.
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Psychological factors and weight loss in bariatric surgery.

机译：减肥手术中的心理因素和减肥。

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摘要

PURPOSE OF REVIEW: Morbid obesity is associated with a high prevalence of psychopathological conditions that might have an impact on postsurgery outcomes. This review summarizes recent data about psychological disorders in obese patients before and after bariatric surgery as well as the assessment and impact of these factors on postsurgery outcomes. RECENT FINDINGS: Psychological health and quality of life were found to improve after bariatric surgery. Weight loss could not be clearly related to any specific psychological condition prior to surgery, but the presence of more than one psychiatric condition might play a role. A multi-intervention treatment, including approaches for lifestyle changes after bariatric surgery showed positive long-term results in term of weight loss and weight loss maintenance. Recent studies focused on eating behavior changes following bariatric surgery providing important information on the topic of eating disorders after bariatric surgery. SUMMARY: Psychological assessment before bariatric surgery and systematic follow-up are necessary to guarantee optimal weight loss and weight loss maintenance. The field of psychological factors in bariatric surgery is still in need of controlled randomized prospective trials to better understand relation between psychological presurgery conditions and surgical outcomes. Self-monitoring and cognitive behavioral programs could prevent weight regain.
机译：审查目的：病态肥胖与精神病理状况的高患病率有关，可能对术后结果产生影响。这篇综述总结了肥胖患者减肥手术前后的心理疾病的最新数据，以及这些因素对术后结果的评估和影响。最近的发现：减肥手术后心理健康和生活质量得到改善。体重减轻与手术前的任何特定心理状况并没有明显关系，但是存在不止一种精神状况可能会起到一定作用。多种干预治疗，包括减肥手术后改变生活方式的方法，在减轻体重和维持体重方面取得了长期的积极成果。最近的研究集中于减肥手术后的饮食行为变化，为减肥手术后的饮食失调提供了重要信息。摘要：减肥手术前的心理评估和系统的随访对于保证最佳的体重减轻和维持体重减轻是必要的。减肥手术中的心理因素领域仍需要进行对照的随机前瞻性试验，以更好地了解心理手术条件与手术结果之间的关系。自我监测和认知行为程序可以防止体重增加。

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