The Impact of Massive Weight Loss on Psychological Comorbidities: A Large, Retrospective Database Review
| العنوان: | The Impact of Massive Weight Loss on Psychological Comorbidities: A Large, Retrospective Database Review |
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| المؤلفون: | Ian Chow, Debra A. Bourne, J. Peter Rubin, Rachel A Guest, Jeffrey A. Gusenoff |
| المصدر: | Aesthetic Plastic Surgery. 43:1570-1574 |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | Adult, Male, Pediatrics, medicine.medical_specialty, Adolescent, Databases, Factual, Population, Anxiety, 030230 surgery, Young Adult, 030207 dermatology & venereal diseases, 03 medical and health sciences, 0302 clinical medicine, Weight loss, Weight Loss, medicine, Humans, education, Depression (differential diagnoses), Aged, Retrospective Studies, Aged, 80 and over, education.field_of_study, Depression, business.industry, Incidence, Incidence (epidemiology), Middle Aged, Body Contouring, medicine.disease, Obesity, Morbid, Mood disorders, Body contouring, Female, Surgery, medicine.symptom, business, Psychosocial |
| الوصف: | The obese population has a higher incidence of mood disorders compared to individuals with normal body mass index (BMI). A better understanding of the unique psychosocial challenges faced by this patient population will allow physicians to better optimize patient psychosocial support systems perioperatively, as well as help the patient to maintain appropriate expectations. A large, retrospective database of 1135 patients with greater than 50 pounds of weight loss was reviewed. Data were analyzed using a multinomial regression model to determine the influence of psychosocial factors on the incidence of depression and anxiety. Prior to massive weight loss, patients reported an overall incidence of depression and anxiety of 42.5% and 26.3%, respectively. Following massive weight loss, the incidence of depression decreased to 32.3% and the incidence of anxiety decreased to 22.0%. Patients with spousal support and with positive self-image were more likely to experience resolution of depression. Patients with positive self-image were likely to experience resolution of anxiety. Resolution of medical comorbidities correlated with a decrease in the rate of depression. Depression and anxiety are prevalent in the massive weight loss patient population undergoing body contouring surgery. Support systems are a vital resource for patients with psychological comorbidities undergoing massive weight loss. Patients who have a positive self-image of themselves are more likely to experience resolution of psychological comorbidities. Physicians should consider recommending support groups and/or counseling in patients who have poor support and negative self-image. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. |
| تدمد: | 1432-5241 0364-216X |
| DOI: | 10.1007/s00266-019-01444-z |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c5a265cb32d1e646ff91d841df7ef9a5 https://doi.org/10.1007/s00266-019-01444-z |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....c5a265cb32d1e646ff91d841df7ef9a5 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14325241 0364216X |
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| DOI: | 10.1007/s00266-019-01444-z |