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Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study
BACKGROUND: Bariatric surgery leads to changes in mental health, quality of life and social functioning, yet these outcomes differ among individuals. In this study, we explore patients’ psychosocial experiences following bariatric surgery and elucidate the individual-level factors that may drive var...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276134/ https://www.ncbi.nlm.nih.gov/pubmed/30524743 http://dx.doi.org/10.1186/s40608-018-0215-3 |
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author | Griauzde, Dina H Ibrahim, Andrew M Fisher, Natalie Stricklen, Amanda Ross, Rachel Ghaferi, Amir A |
author_facet | Griauzde, Dina H Ibrahim, Andrew M Fisher, Natalie Stricklen, Amanda Ross, Rachel Ghaferi, Amir A |
author_sort | Griauzde, Dina H |
collection | PubMed |
description | BACKGROUND: Bariatric surgery leads to changes in mental health, quality of life and social functioning, yet these outcomes differ among individuals. In this study, we explore patients’ psychosocial experiences following bariatric surgery and elucidate the individual-level factors that may drive variation in psychosocial outcomes. METHODS: Eleven semi-structured focus groups with Michigan Bariatric Surgery Collaborative (MBSC) patients (n = 77). Interviews were audio recorded, transcribed verbatim, and analyzed using a grounded theory approach. Data on participant demographic characteristics were abstracted from the MBSC clinical registry. RESULTS: Most focus group participants were female (89%), white (64%), and married (65%). We identified three major themes: (1) change in self-perception; (2) change in perception by others; and (3) change in relationships. Each theme includes 3 sub-themes, demonstrating a range of positive and negative psychosocial experiences. For example, weight loss led to increased self-confidence among many participants while others described a loss of self-identity. Some noted improved relationships with family or friends while others experienced worsening or even loss of relationships due to perceived jealousy. CONCLUSION: Weight loss following bariatric surgery leads to complex changes in self-perception and inter-personal relationships, which may be proximal mediators of commonly assessed mental health outcomes such as depression. Individuals considering bariatric surgery may benefit from anticipatory guidance about these diverse experiences, and post-surgical longitudinal monitoring should include evaluation for adverse psychosocial events. |
format | Online Article Text |
id | pubmed-6276134 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-62761342018-12-06 Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study Griauzde, Dina H Ibrahim, Andrew M Fisher, Natalie Stricklen, Amanda Ross, Rachel Ghaferi, Amir A BMC Obes Research Article BACKGROUND: Bariatric surgery leads to changes in mental health, quality of life and social functioning, yet these outcomes differ among individuals. In this study, we explore patients’ psychosocial experiences following bariatric surgery and elucidate the individual-level factors that may drive variation in psychosocial outcomes. METHODS: Eleven semi-structured focus groups with Michigan Bariatric Surgery Collaborative (MBSC) patients (n = 77). Interviews were audio recorded, transcribed verbatim, and analyzed using a grounded theory approach. Data on participant demographic characteristics were abstracted from the MBSC clinical registry. RESULTS: Most focus group participants were female (89%), white (64%), and married (65%). We identified three major themes: (1) change in self-perception; (2) change in perception by others; and (3) change in relationships. Each theme includes 3 sub-themes, demonstrating a range of positive and negative psychosocial experiences. For example, weight loss led to increased self-confidence among many participants while others described a loss of self-identity. Some noted improved relationships with family or friends while others experienced worsening or even loss of relationships due to perceived jealousy. CONCLUSION: Weight loss following bariatric surgery leads to complex changes in self-perception and inter-personal relationships, which may be proximal mediators of commonly assessed mental health outcomes such as depression. Individuals considering bariatric surgery may benefit from anticipatory guidance about these diverse experiences, and post-surgical longitudinal monitoring should include evaluation for adverse psychosocial events. BioMed Central 2018-12-03 /pmc/articles/PMC6276134/ /pubmed/30524743 http://dx.doi.org/10.1186/s40608-018-0215-3 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Griauzde, Dina H Ibrahim, Andrew M Fisher, Natalie Stricklen, Amanda Ross, Rachel Ghaferi, Amir A Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study |
title | Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study |
title_full | Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study |
title_fullStr | Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study |
title_full_unstemmed | Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study |
title_short | Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study |
title_sort | understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6276134/ https://www.ncbi.nlm.nih.gov/pubmed/30524743 http://dx.doi.org/10.1186/s40608-018-0215-3 |
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