BARIATRIK JARROHLIK AMALIYOTI OʻTKAZGAN BEMORLARDA PSIXOLOGIK REGRESS SHAKLLANISHINING OʻZIGA XOS XUSUSIYATLARI
DOI:
https://doi.org/10.5281/zenodo.23367052Keywords:
anhedoniya, impulsiv ovqatlanish, klinik psixiatriya, multidissiplinar kuzatuv, operatsiyadan keyingi moslashuv, psixologik regressAbstract
Semirishni jarrohlik yoʻli bilan davolash bemorning somatik holatini yaxshilashi mumkin, biroq operatsiyadan keyingi psixiatrik profil va psixologik regress dinamikasini muntazam baholash zarurati saqlanib qoladi. Tadqiqotning maqsadi bariatrik jarrohlik amaliyotidan keyin psixologik regress shakllanishining vaqt boʻyicha oʻzgarishi va u bilan bogʻliq klinik belgilarni aniqlashdan iborat boʻldi. Klinik kuzatuvga jami N=86 bemor kiritildi; guruhlar n=44 va n=42 ishtirokchidan tashkil topdi. Maʼlumotlar taqsimotining normallik va moslik testlari bilan tekshirildi, keyin vaqt omili hamda bemorlararo farqlarni hisobga oluvchi aralash taʼsirlar chiziqli modeli qoʻllandi. Regress shkalasi boʻyicha oʻrtacha koʻrsatkich 21,8±6,4 dan 14,2±5,1 ballgacha pasaydi. Anhedoniya 8,1±2,7 dan 5,0±2,1 ballgacha, impulsiv ovqatlanish esa 12,4±3,8 dan 8,7±3,1 ballgacha kamaydi. Vaqt dinamikasi psixologik regress uchun p<0,001 darajasida, operatsiyadan keyingi psixiatrik profil bilan bogʻliqlik esa p<0,011 darajasida statistik ahamiyatli boʻldi. Natijalar psixologik regressning ogʻirlik darajasi anhedoniya va impulsiv ovqatlanish belgilaridan alohida emas, balki umumiy psixiatrik holat bilan birgalikda baholanishi kerakligini koʻrsatadi. Tadqiqotning ilmiy hissasi bariatrik bemorlarda regressni vaqt dinamikasi va psixiatrik profil bilan birlashtirgan klinik mezonlar majmuasini asoslashdan iborat. Mazkur yondashuv psixiatr, jarroh, psixolog va dietolog ishtirokidagi multidissiplinar kuzatuv algoritmini aniqroq rejalashtirishga yordam beradi.References
1. Sarwer, D. B., Wadden, T. A., & Fabricatore, A. N. (2005). Psychosocial and behavioral aspects of bariatric surgery. Obesity Research, 13(4), 639–648. https://doi.org/10.1038/oby.2005.71
2. Herpertz, S., Kielmann, R., Wolf, A. M., et al. (2004). Do psychosocial variables predict weight loss or mental health after obesity surgery? A systematic review. Obesity Research, 12(10), 1554–1569. https://doi.org/10.1038/oby.2004.195
3. Livhits, M., Mercado, C., Yermilov, I., et al. (2010). Exercise initiation and maintenance after bariatric surgery: a systematic review. Obesity Surgery, 20(5), 657–665. https://doi.org/10.1007/s11695-
4. Kalarchian, M. A., & Marcus, M. D. (2003). Psychiatric comorbidity of obesity. Current Opinion in Psychiatry, 16(5), 569–573. https://doi.org/10.1097/00001504-200309000-00010
5. Neovius, M., Narbro, K., Keating, C., et al. (2012). Health-care use during 20 years following bariatric surgery. JAMA, 308(11), 1135–1143. https://doi.org/10.1001/2012.jama.1111
6. Courcoulas, A. P., Christian, N. J., Belle, S. H., et al. (2013). Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA, 310(22), 2416–2425. https://doi.org/10.1001/jama.2013.280928
7. Sjöström, L., Peltonen, M., Jacobson, P., et al. (2014). Association of bariatric surgery with long-term remission of type 2 diabetes and with microvascular and macrovascular complications. JAMA, 311.
8. — P. 2297–2304. — DOI: 10.1001/jama.2014.5988.
9. Mitchell, J. E., King, W. C., Chen, J. Y., et al. (2014). Course of depressive symptoms and treatment in the Longitudinal Assessment of Bariatric Surgery study. Obesity, 22(8), 1799–1806. https://doi.org/10.1002/oby.20744
10. Dawes, A. J., Maggard-Gibbons, M., Maher, A. R., et al. (2016). Mental health conditions among patients seeking and undergoing bariatric surgery: a meta-analysis. JAMA, 315(2), 150–163. https://doi.org/10.1001/jama.2015.18118
11. Sarwer, D. B., Moore, R. H., Spitzer, J. C., et al. (2012). The psychosocial aspects of bariatric surgery. Obesity and Weight Management, 8(1), 36–42. https://doi.org/10.1089/owm.2011.1265
12. Sockalingam, S., Hawa, R., Wnuk, S., et al. (2011). Psychosocial predictors of quality of life outcomes after bariatric surgery. Obesity Surgery, 21(5), 619–625. https://doi.org/10.1007/s11695-010-
13. Greenberg, I., Sogg, S., & Perna, F. M. (2009). Behavioral and psychological care in weight loss surgery: best practice update. Obesity, 17(5), 880–884. https://doi.org/10.1038/oby.2008.571
14. Kubik, J. F., Gill, R. S., Laffin, M., & Karmali, S. (2013). The impact of bariatric surgery on psychological health. Journal of Obesity, 2013. https://doi.org/10.1155/2013/837989
15. Rutledge, T., Groesz, L. M., & Savu, M. (2011). Psychiatric factors and weight loss patterns following gastric bypass surgery. Obesity Surgery, 21(1), 29–34. https://doi.org/10.1007/s11695-010-0259-1
16. Müller, A., Mitchell, J. E., & de Zwaan, M. (2013). Eating in bariatric surgery patients: a review of the literature. Nutrients, 5(12), 4911–4930. https://doi.org/10.3390/nu5124911
17. Meany, G., Conceição, E., & Mitchell, J. E. (2014). Binge eating, binge eating disorder and loss of control eating: effects on weight outcomes after bariatric surgery. European Eating Disorders Review, 22(2), 87–91. https://doi.org/10.1002/erv.2273
18. Conceição, E. M., Mitchell, J. E., Vaz, A. R., et al. (2014). The presence of maladaptive eating behaviors after bariatric surgery in a cross-sectional study: importance of picking or nibbling on weight regain. Eating Behaviors, 15(4), 558–562. https://doi.org/10.1016/j.eatbeh.2014.08.010
19. King, W. C., Hinerman, A. S., Belle, S. H., et al. (2018). Comparison of the performance of common measures of weight regain after bariatric surgery for association with clinical outcomes. JAMA, 320.
20. — P. 1560–1569. — DOI: 10.1001/jama.2018.14433.
21. Opozda, M., Chur-Hansen, A., & Wittert, G. (2016). Changes in problematic alcohol use after weight loss surgery: a systematic review of prospective studies. Obesity Reviews, 17(10), 966–977. https://doi.org/10.1111/obr.12429
22. King, W. C., Chen, J. Y., Courcoulas, A. P., et al. (2017). Alcohol and other substance use after bariatric surgery: prospective evidence from a U.S. multicenter cohort study. Surgery for Obesity and Related Diseases, 13(8), 1392–1402. https://doi.org/10.1016/j.soard.2017.03.021
23. Svensson, P. A., Anveden, Å., Taube, M., et al. (2013). Body weight loss and alcohol consumption in subjects undergoing bariatric surgery. Obesity Surgery, 23(6), 860–866. https://doi.org/10.1007/
24. Bhatti, J. A., Nathens, A. B., Thiruchelvam, D., et al. (2016). Self-harm emergencies after bariatric surgery: a population-based cohort study. JAMA Surgery, 151(3), 226–232. https://doi.org/10.1001/
Downloads
Published
How to Cite
Issue
Section
