Features of eating behavior and satisfaction with the quality of life in patients with morbid obesity after bariatric surgery
Abstract
The aim of the study was to assess the characteristics of eating behavior and satisfaction with the quality of life in patients with morbid obesity before and after bariatric surgery, to identify patterns of re-gaining weight in the postoperative period. The study included 35 patients (22 women and 13 men) with morbid obesity who underwent bariatric intervention at the age from 27 to 70 years. The patients were observed at the Department of Faculty Therapy and Faculty Surgery of Pavlov First Saint Petersburg State Medical University for three years after the surgery. The study used psychodiagnostic techniques and clinical scales to identify the clinical and psychological characteristics of patients: satisfaction with the quality of life (SF-36, BQL), eating behavior (DEBQ, FEQ), depression and anxiety levels (BDI).The results of the study show that the patients have persistent eating disorders. Before surgical treatment, the external (dependent on external factors) component of eating behavior prevailed; in the postoperative period, the dominance of restrictive eating behavior is observed. The results of the postoperative survey indicate an unsatisfactory perception of the quality of life, while according to the results of the preoperative survey on the psychological component of health, in comparison with the average statistical values, the subjects showed increased indicators.A close relationship was revealed between physiological and emotional hunger in patients with morbid obesity. A tendency was revealed in the absence of a desire to limit oneself in food consumption in patients differentiating hunger as physiological.
About the Authors
I. L. Gureeva
Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
Irina Lazarevna Gureeva – PhD. Psychol. Sci., associate Prof. of the Department of General and clinical psychology
Tolstogo str., 6–8, St. Petersburg, 197022
A. R. Volkova
Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
Anna Ralfovna Volkova – Dr. Med. Sci., Prof. of the Department of faculty therapy with the course of endocrinology
Tolstogo Str., 6–8, St. Petersburg, 197022
G. V. Semikova
Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
Galina Vladimirovna Semikova – assistant of the Department of faculty therapy with the course of endocrinology
Tolstogo Str., 6–8, St. Petersburg, 197022
E. L. Smurova
Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
Elizaveta Leonidovna Smurova – Student
Tolstogo Str., 6–8, St. Petersburg, 197022
E. R. Isaeva
Pavlov First Saint-Petersburg State Medical University
Russian Federation
Russian Federation
Elena Rudolfovna Isaeva – Dr. Psychol. Sci. associate Prof., head of the Department of General and clinical psychology
Tolstogo Str., 6–8, St. Petersburg, 197022
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Review
For citations:
Gureeva I.L., Volkova A.R., Semikova G.V., Smurova E.L., Isaeva E.R. Features of eating behavior and satisfaction with the quality of life in patients with morbid obesity after bariatric surgery. Bulletin of psychotherapy. 2021;1(77):116-128. (In Russ.)
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