dc.contributor.author
Ahnis, Anne
dc.contributor.author
Figura, Andrea
dc.contributor.author
Hofmann, Tobias
dc.contributor.author
Stengel, Andreas
dc.contributor.author
Elbelt, Ulf
dc.contributor.author
Klapp, Burghard F.
dc.date.accessioned
2018-06-08T03:25:23Z
dc.date.available
2015-04-17T09:10:41.703Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/15151
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-19339
dc.description.abstract
Objective For the treatment of obesity, both conservative and surgical
procedures are available. Psychological factors are likely to influence the
choice of treatment; however, to date, systematic studies that investigate
these factors are few in number. The aim of our study was to analyze whether
patients who undergo a surgical treatment differ from those who require a
conservative treatment in regard to psychological factors, regardless of their
somatic conditions. Furthermore, predictors of treatment choice will be
examined. Methods A total of 244 patients (189 women), with a mean body mass
index of 45.1 kg/m2, underwent a weight reduction treatment, with 126 patients
undergoing bariatric surgery and 118 patients participating in a conservative,
multimodal outpatient weight reduction program. Differences in the results of
the psychological questionnaires between conservatively and surgically treated
patients were evaluated through the use of t-tests, χ2-tests and an ANCOVA.
For the analysis of the predictors, logistic regression models were
calculated. Results Surgically and conservatively treated obese patients
differ in psychological, somatic, and socio-demographic factors. The
psychological differences between the groups are independent of obesity-
related co-morbidities, such as body mass index (BMI), type 2 diabetes
mellitus, hypertension and coronary heart disease. The following psychological
and somatic factors equally predict the choice of bariatric surgery: apathy,
delegated active coping, a sense of coherence, complaints, type 2 diabetes
mellitus, BMI, and age. Conclusion Longitudinal studies are required to assess
the predictive value of the psychological factors in regard to the
postsurgical weight course to improve the pre-surgical screening and treatment
selection process. The pre-surgical identification of psychological predictors
should result in a more personalized medicine course and may ensure long term
outcomes.
en
dc.rights.uri
http://creativecommons.org/licenses/by/4.0/
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften
dc.title
Surgically and Conservatively Treated Obese Patients Differ in Psychological
Factors, Regardless of Body Mass Index or Obesity-Related Co-Morbidities
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation
PLoS ONE. - 10 (2015), 2, Artikel Nr. e0117460
dc.title.subtitle
A Comparison between Groups and an Analysis of Predictors
dcterms.bibliographicCitation.doi
10.1371/journal.pone.0117460
dcterms.bibliographicCitation.url
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0117460
refubium.affiliation
Charité - Universitätsmedizin Berlin
de
refubium.mycore.fudocsId
FUDOCS_document_000000022213
refubium.note.author
Der Artikel wurde in einer Open-Access-Zeitschrift publiziert.
refubium.resourceType.isindependentpub
no
refubium.mycore.derivateId
FUDOCS_derivate_000000004777
dcterms.accessRights.openaire
open access