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      Para além da bariátrica: revisão de literatura sobre as possíveis consequências psíquicas da cirurgia Translated title: Beyond bariátrica: literature review on the possible psychic consequences of surgery Translated title: Más allá de bariátrica: revisión de la literatura sobre las posibles consecuencias psíquicas de la cirugía

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          Abstract

          A cirurgia bariátrica é o principal tratamento para obesidade, exige grandes mudanças na rotina e impacta também na saúde mental dos sujeitos submetidos. A presente revisão visa investgar as principais consequências psíquicas decorrentes da bariátrica. Por meio do levantamento de artigos científicos nas bases PsyInfo, SciELO e PubMed e da análise temática, foi possível discutir os efeitos psíquicos e as principais estratégias utilizadas por profissionais nesse campo. Ao todo, foram analisados 44 trabalhos. Os principais traços psicológicos foram depressão, qualidade de vida, ansiedade, autoimagem, transtornos alimentares e vida social. Quanto às estratégias utilizadas pelos profissionais, a principal foi a conscientzação, a partr de atividades psicoeducativas e grupos terapêuticos. Portanto, percebem-se impactos psíquicos da cirurgia bariátrica, tanto na melhora da qualidade de vida, vida social, quanto no aparecimento de quadros depressivos e ansiosos, e a conscientzação de todo o processo e complexidade da bariátrica como facilitador no enfrentamento desses aspectos.

          Translated abstract

          Bariatric surgery is the main treatment for obesity, require major changes in routine and impact the mental health of the subjects submited. This review aims to investgate the main psychic consequences from bariatric. Through the survey of scientific articles in the PsyInfo, SciELO and PubMed databases and the analysis of the studies, it was possible to discuss the psychic effects and the main strategies used by professionals in this area. In all, 44 articles were analyzed. The main psychological traits found were depression, quality of life, anxiety, self-image, eating disorders and social life. As for the strategies used by the professionals, the main was awareness, through psycho-educatonal activites and therapeutic groups. Therefore, psychological impacts of bariatric surgery are perceived, both in enhancement the quality of life and social life, and in the appearance of depressive and anxious conditons, and awareness of the whole process and complexity of bariatric as a main facilitator in coping these aspects.

          Translated abstract

          La cirugía bariátrica es actualmente el tratamiento principal para la obesidad, requiere cambios importantes en la rutina e impacta la salud mental de los sujetos presentados. Esta revisión tene como objetivo investgar las principales consecuencias psicológicas de la bariátrica. Mediante de la encuesta de artículos científicos en las bases de datos PsyInfo, SciELO y PubMed y el análisis de los estudios, fue posible discutir los efectos psíquicos y las principales estrategias utilizadas por los profesionales en este campo. En total, se analizaron 44 obras. Los principales rasgos psicológicos encontrados fueron depresión, calidad de vida, ansiedad, auto imagen, trastornos alimentarios y vida social. En cuanto a las estrategias utilizadas por los profesionales, el principal fue la sensibilización, a través de actividades psicoeducativas y grupos terapéuticos. Por tanto, se perciben los impactos psiquiátricos de la cirugía bariátrica, tanto en la mejora de la calidad de vida y la vida social, como en la aparición de estados depresivos y ansiosos, y en la conciencia de todo el proceso y la complejidad de la bariátrica como facilitadora para afrontar estos aspectos.

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          Body image and quality of life in patients with and without body contouring surgery following bariatric surgery: a comparison of pre- and post-surgery groups

          Background: Massive weight loss (MWL) following bariatric surgery frequently results in an excess of overstretched skin causing physical discomfort and negatively affecting quality of life, self-esteem, body image, and physical functioning. Methods: In this cross-sectional study 3 groups were compared: (1) patients prior to bariatric surgery (n = 79), (2) patients after bariatric surgery who had not undergone body contouring surgery (BCS) (n = 252), and (3) patients after bariatric surgery who underwent subsequent BCS (n = 62). All participants completed self-report questionnaires assessing body image (Multidimensional Body-Self Relations Questionnaire, MBSRQ), quality of life (IWQOL-Lite), symptoms of depression (PHQ-9), and anxiety (GAD-7). Results: Overall, 62 patients (19.2%) reported having undergone a total of 90 BCS procedures. The most common were abdominoplasties (88.7%), thigh lifts (24.2%), and breast lifts (16.1%). Post-bariatric surgery patients differed significantly in most variables from pre-bariatric surgery patients. Although there were fewer differences between patients with and without BCS, patients after BCS reported better appearance evaluation (AE), body area satisfaction (BAS), and physical functioning, even after controlling for excess weight loss and time since surgery. No differences were found for symptoms of depression and anxiety, and most other quality of life and body image domains. Discussion: Our results support the results of longitudinal studies demonstrating significant improvements in different aspects of body image, quality of life, and general psychopathology after bariatric surgery. Also, we found better AE and physical functioning in patients after BCS following bariatric surgery compared to patients with MWL after bariatric surgery who did not undergo BCS. Overall, there appears to be an effect of BCS on certain aspects of body image and quality of life but not on psychological aspects on the whole.
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              Patients’ experiences of life after bariatric surgery and follow-up care: a qualitative study

              Objectives Bariatric surgery is the most clinically effective treatment for people with severe and complex obesity, however, the psychosocial outcomes are less clear. Follow-up care after bariatric surgery is known to be important, but limited guidance exists on what this should entail, particularly related to psychological and social well-being. Patients’ perspectives are valuable to inform the design of follow-up care. This study investigated patients’ experiences of life after bariatric surgery including important aspects of follow-up care, in the long term. Design A qualitative study using semistructured individual interviews. A constant comparative approach was used to code data and identify themes and overarching concepts. Setting Bariatric surgery units of two publicly funded hospitals in the South of England. Participants Seventeen adults (10 women) who underwent a primary operation for obesity (mean time since surgery 3.11 years, range 4 months to 9 years), including Roux-en-Y gastric bypass, adjustable gastric band and sleeve gastrectomy, agreed to participate in the interviews. Results Experiences of adapting to life following surgery were characterised by the concepts of ‘normality’ and ‘ambivalence’, while experiences of ‘abandonment’ and ‘isolation’ dominated participants’ experiences of follow-up care. Patients highlighted the need for more flexible, longer-term follow-up care that addresses social and psychological difficulties postsurgery and integrates peer support. Conclusions This research highlights unmet patient need for more accessible and holistic follow-up care that addresses the long-term multidimensional impact of bariatric surgery. Future research should investigate effective and acceptable follow-up care packages for patients undergoing bariatric surgery.
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                Author and article information

                Journal
                rpsaude
                Revista Psicologia e Saúde
                Rev. Psicol. Saúde
                Universidade Católica Dom Bosco, Programa de Mestrado e Doutorado em Psicologia (Campo Grande, MS, Brazil )
                2177-093X
                December 2021
                : 13
                : 4
                : 139-152
                Affiliations
                [2] orgnameInstituto Pedagógico de Vitória
                [1] orgnameUniversidade Federal do Espírito Santo
                Article
                S2177-093X2021000400011 S2177-093X(21)01300400011
                10.20435/pssa.v13i4.1328
                e94f89e4-1424-4fe2-b3f1-c0ef87b9aa71

                http://creativecommons.org/licenses/by/4.0/

                History
                : 01 December 2020
                : 11 May 2020
                : 08 December 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 58, Pages: 14
                Product

                SciELO Periódicos Eletrônicos em Psicologia

                Categories
                Artigos

                bariatric,aspectos psicológicos,complicações pós-bariátricas,Psicologia,bariátrica,complicaciones posbariátricas,Psicología,psychological aspects,post-bariatric complicatons,Psychology

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