Artículos de revistas
Weight Regain Among Women After Metabolic And Bariatric Surgery: A Qualitative Study In Brazil [reganho De Peso Em Mulheres Após Cirurgia Metabólica E Bariátrica: Estudo Qualitativo No Brasil]
Trends In Psychiatry And Psychotherapy. Sociedade De Psiquiatria Do Rio Grande Do Sul, v. 36, n. 3, p. 140 - 146, 2014.
de Carvalho A.
Introduction: Due to the increased number of bariatric surgeries over the years, aspects contributing or hindering the achievement of outcomes, among them weight regain, have acquired increased significance. Psychological factors directly influence on this unwanted situation, but there are few studies and controversies about the degree of participation of these factors. We propose a qualitative investigation to analyze the meanings of weight regain after surgery among women and how these factors influence this outcome. Method: This study uses the clinical-qualitative method, by means of a semi-structured interview with open questions in an intentional sample, closed by saturation, with eight women who underwent surgery at the Bariatric Surgery Outpatient Clinic of Hospital das Clínicas, Universidade Estadual de Campinas (UNICAMP), in the state of São Paulo, Brazil. Results: A feeling of defeat and failure emerges with weight regain, which contributes to social isolation; there is no regret, but gratitude for the surgery; among patients, there is a sense of feeling rejected greater than a rejection that actually exists. Conclusion: We found out the need for further qualitative studies that help the health team to better understand the dynamic psychological factors involved in the meaning of weight regain after bariatric surgery among women, in order to adopt appropriate conducts to deal with this problem.363140146Buchwald, H., Williams, S.E., Bariatric surgery worldwide 2003 (2004) Obes Surg, 14, pp. 1157-1164(2013), http://www.who.int/mediacentre/factsheets/fs311/en/, Obesity and overweight, Accessed 2013 Aug 07Ferreira, V.A., Magalhaes, R., Obesidade no Brasil: Tendências atuais (2006) Rev Port Sau Pub, 24, pp. 71-81Monteiro, C.A., Conde, W.L., Popkin, B.M., Income-specific trends in obesity in Brazil: 1975-2003 (2007) Am J Public Health, 97, pp. 1808-1812. , Epub 2007 Aug 29Buchwald, H., Consensus Conference Panel. Consensus conference statement bariatric surgery for morbid obesity: Health implications for patients, health professionals, and third-party payers (2005) Surg Obes Relat Dis, 1, pp. 371-381Buchwald, H., Oien, D.M., Metabolic/bariatric surgery Worldwide 2008 (2009) Obes Surg, 19, pp. 1605-1611Hsu, L.K., Benotti, P.N., Dwyer, J., Roberts, S.B., Saltzman, E., Shikora, S., Nonsurgical factors that influence the outcome of bariatric surgery: A review (1998) Psychosom Med, 60, pp. 338-346Magro, D.O., Geloneze, B., Delfini, R., Pareja, B.C., Callejas, F., Pareja, J.C., Long-term weight regain after gastric bypass: A 5-year prospective study (2008) Obes Surg, 18, pp. 648-651. , Epub 2008 Apr 8Dymek, M.P., Le Grange, D., Neven, K., Alverdy, J., Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: A brief report (2001) Obes Surg, 11, pp. 32-39Bocchieri, L.E., Meana, M., Fisher, B.L., A review of psychosocial outcomes of surgery for morbid obesity (2002) J Psychosom Res, 52, pp. 155-165Byrne, S., Cooper, Z., Fairburn, C., Weight maintenance and relapse in obesity: A qualitative study (2003) Int J Obes Relat Metab Disord, 27, pp. 955-962Elfhag, K., Rössner, S., Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain (2005) Obes Rev, 6, pp. 67-85Dziurowicz-Kozlowska, A.H., Wierzbicki, Z., Lisik, W., Wasiak, D., Kosieradzki, M., The objective of psychological evaluation in the process of qualifying candidates for bariatric surgery (2006) Obes Surg, 16, pp. 196-202Magdaleno, R., Chaim, E.A., Turato, E.R., Características psicológicas de pacientes submetidos a cirurgia bariátrica (2009) Rev Psiquiatr RS, 31, pp. 73-78Magdaleno, R., Chaim, E.A., Turato, E.R., Surgical treatment of obesity: Some considerations on the transformations of the eating impulse (2010) Rev Latinoam Psicopat Fund, 13, pp. 425-440Benotti, P.N., Forse, R.A., The role of gastric surgery in the multidisciplinary management of severe obesity (1995) Am J Surg, 169, pp. 361-367Kalarchian, M.A., Marcus, M.D., Wilson, G.T., Labouvie, E.W., Brolin, R.E., Lamarca, L.B., Binge eating among gastric bypass patients at long-term follow-up (2002) Obes Surg, 12, pp. 270-275Glinski, J., Wetzler, S., Goodman, E., The psychology of gastric bypass surgery (2001) Obes Surg, 11, pp. 581-588Bauchowitz, A.U., Gonder-Frederick, L.A., Olbrisch, M.E., Azarbad, L., Ryee, M.Y., Woodson, M., Psychosocial evaluation of bariatric surgery candidates: A survey of present practices (2005) Psychosom Med, 67, pp. 825-832McGuire, M.T., Wing, R.R., Klem, M.L., Lang, W., Hill, J.O., What predicts weight regain in a group of successful weight losers? (1999) J Consult Clin Psychol, 67, pp. 177-185Odom, J., Zalesin, K.C., Washington, T.L., Miller, W.W., Hakmeh, B., Zaremba, D.L., Behavioral predictors of weight regain after bariatric surgery (2010) Obes Surg, 20, pp. 349-356. , Epub 2009 Jun 25Groven, K.S., Råheim, M., Engelsrud, G., “My quality of life is worse compared to my earlier life”: Living with chronic problems after weight loss surgery (2010) Int J Qual Stud Health Well-being, 5, p. 10. , 3402/qhw.v5i4.5553Natvik, E., Gjengedal, E., Raheim, M., Totally changed, yet still the same: Patients’ lived experiences 5 years beyond bariatric surgery (2013) Qual Health Res, 23, pp. 1202-1214Sugerman, H.J., Kellum, J.M., Engle, K.M., Wolfe, L., Starkey, J.V., Birkenhauer, R., Gastric bypass for treating severe obesity (1992) Am J Clin Nutr, 55, pp. 560S-566SMyers, V.H., Adams, C.E., Barbera, B.L., Brantley, P.J., Medical and psychosocial outcomes of laparoscopic Roux-en-Y gastric bypass: Cross-sectional findings at 4-year follow-up (2012) Obes Surg, 22, pp. 230-239Ogden, J., Sian, A., Ellis, G., Negotiating control: Patients’ experiences of unsuccessful weight-loss surgery (2006) Psychol Health, 21, pp. 273-293Ogden, J., Clementi, C., Aylwin, S., The impact of obesity surgery and the paradox of control: A qualitative study (2006) Psychol Health, 21, pp. 273-293Turato, E.R., (2010) Tratado da Metodologia da Pesquisa Clínico-Qualitativa: Construção teórico-epistemológica, discussão comparada e aplicação nas áreas da saúde e humanas, , Petrópolis: VozesDenzin, N.K., Lincoln, Y.S., (2005) The SAGE handbook of qualitative research, , 3rd ed. Thousand Oaks: Sage PublicationsMinayo, M.C.S., (2010) O desafio do conhecimento-pesquisa qualitativa em saúde, , 12ª ed. São Paulo: HucitecMorse, J.M., Field, P.A., (1995) Qualitative research methods for health professionals, , 2nd ed. London: Sage PublicationsPatton, M.Q., (1990) Qualitative evaluation and research methods, , London: Sage PublicationsFontanella, B.J., Campos, C.J., Turato, E.R., Data collection in clinical-qualitative research: Use of non-directed interviews with open-ended questions by health professionals (2006) Rev Lat Am Enfermagem, 14, pp. 812-820Shamblin, J.R., Shamblin, W.R., Bariatric surgery should be more widely accepted (1987) South Med J, 80, pp. 861-865Powers, P.S., Rosemurgy, A., Boyd, F., Perez, A., Outcome of gastric restriction procedures: Weight, psychiatric diagnoses, and satisfaction (1997) Obes Surg, 7, pp. 471-477Fontanella, B.J.B., Ricas, J., Turato, E.R., Amostragem por saturação em pesquisas qualitativas em saúde: Contribuições teóricas (2008) Cad Saúde Pública, 24, pp. 17-27Bardin, L., (2009) Análise de conteúdo, 70. , ed. Lisboa: EdiçõesVan Hout, G.C., Boekestein, P., Fortuin, F.A., Pelle, A.J., Van Heck, G.L., Psychosocial functioning following bariatric surgery (2006) Obes Surg, 16, pp. 787-794Van Hout, G.C., Fortuin, F.A., Pelle, A.J., Van Heck, G.L., Psychosocial functioning, personality, and body image following vertical banded gastroplasty (2008) Obes Surg, 18, pp. 115-120. , Epub 2007 Dec 15Magdaleno, R., Jr., Chaim, E.A., Turato, E.R., Understanding the life experiences of Brazilian women after bariatric surgery: A qualitative study (2010) Obes Surg, 20, pp. 1086-1089. , Epub 2008 Oct 2Magdaleno, R., Jr., Chaim, E.A., Pareja, J.C., Turato, E.R., The psychology of bariatric patient: What replaces obesity? A qualitative research with Brazilian women (2011) Obes Surg, 21, pp. 336-339. , Epub 2009 Mar 21De Zwaan, M., Lancaster, K.L., Mitchell, J.E., Howell, L.M., Monson, N., Roerig, J.L., Health-related quality of life in morbidly obese patients: Effect of gastric bypass surgery (2002) Obes Surg, 12, pp. 773-780Maddi, S.R., Fox, S.R., Khoshaba, D.M., Harvey, R.H., Lu, J.L., Persico, M., Reduction in psychopathology following bariatric surgery for morbid obesity (2001) Obes Surg, 11, pp. 680-685Curtis, C., Davis, C., A qualitative study of binge eating and obesity from an addiction perspective (2014) Eat Disord, 22, pp. 19-32Eichen, D.M., Lent, M.R., Goldbacher, E., Foster, G.D., Exploration of “food addiction” in overweight and obese treatment-seeking adults (2013) Appetite, 67, pp. 22-24. , Epub 2013 Mar 25Pretlow, R.A., Addiction to highly pleasurable food as a cause of the childhood obesity epidemic: A qualitative Internet study (2011) Eat Disord, 19, pp. 295-307Sinha, R., Jastreboff, A.M., Stress as a common risk factor for obesity and addiction (2013) Biol Psychiatry, 73, pp. 827-835. , Epub 2013 Mar 26