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Published in: Obesity Surgery 12/2015

01-12-2015 | Review Article

Marriage and Weight Loss Surgery: a Narrative Review of Patient and Spousal Outcomes

Authors: Megan Ferriby, Keeley J. Pratt, Elizabeth Balk, Katharine Feister, Sabrena Noria, Bradley Needleman

Published in: Obesity Surgery | Issue 12/2015

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Abstract

Long-term weight maintenance following weight loss surgery (WLS) may be challenging for patients without supportive spouses. The health behaviors and relationship quality of spouses pre- and post-WLS have rarely been explored, leaving providers with little guidance on how to engage spouses in treatment. The purpose of this review is to synthesize the empirical research on relationship factors and WLS among married couples. The identified articles (N = 13) reported that the amount of weight lost post-WLS tended to be lower for married patients, couples’ relationship quality tended to decline from pre- to post-WLS, and sexual contact increased post-WLS. Future research should explore how the relationship factors and quality of couples may influence patients’ WLS outcomes over time to identify ways that interventions can enhance the couple’s relationship and health.
Literature
1.
go back to reference Obesity and Overweight. Center for Disease Control: National Center for Health Statistics. 2013. Obesity and Overweight. Center for Disease Control: National Center for Health Statistics. 2013.
2.
go back to reference Longitudinal assessment of bariatric surgery. National Institute of Diabetes and Digestive and Kidney Diseases: Washington, DC; 2010. Longitudinal assessment of bariatric surgery. National Institute of Diabetes and Digestive and Kidney Diseases: Washington, DC; 2010.
3.
go back to reference Melton GB, Steele KE, Schweitzer MA, Lidor AO, Magnuson TH. Suboptimal weight loss after gastric bypass surgery: correlation of demographics, comorbidities, and insurance status with outcomes. J Gastrointest Surg. 2008;12(2):250–5.CrossRefPubMed Melton GB, Steele KE, Schweitzer MA, Lidor AO, Magnuson TH. Suboptimal weight loss after gastric bypass surgery: correlation of demographics, comorbidities, and insurance status with outcomes. J Gastrointest Surg. 2008;12(2):250–5.CrossRefPubMed
4.
go back to reference Elder KA, Wolfe BM. Bariatric surgery: a review of procedures and outcomes. Gastroenterology. 2007;132(6):2253–71.CrossRefPubMed Elder KA, Wolfe BM. Bariatric surgery: a review of procedures and outcomes. Gastroenterology. 2007;132(6):2253–71.CrossRefPubMed
5.
go back to reference Torquati AL, Lutfi RE, Richards WO. Predictors of early quality of life improvement after laparoscopic gastric bypass surgery. Am J Surg. 2007;193(4):471–5.CrossRefPubMed Torquati AL, Lutfi RE, Richards WO. Predictors of early quality of life improvement after laparoscopic gastric bypass surgery. Am J Surg. 2007;193(4):471–5.CrossRefPubMed
6.
go back to reference Dixon JB, Dixon ME, O’Brien PE. Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res. 2001;9(11):713–21.CrossRefPubMed Dixon JB, Dixon ME, O’Brien PE. Quality of life after lap-band placement: influence of time, weight loss, and comorbidities. Obes Res. 2001;9(11):713–21.CrossRefPubMed
7.
8.
go back to reference Umberson D. Gender, marital status, and the social control of health behavior. Soc Sci Med. 1992;34(8):907–17.CrossRefPubMed Umberson D. Gender, marital status, and the social control of health behavior. Soc Sci Med. 1992;34(8):907–17.CrossRefPubMed
9.
go back to reference Nealey-Moore JB, Smith TW, Uchino BN, Hawkins MW, Olson-Cerny C. Cardiovascular reactivity during positive and negative marital interactions. J Behav Med. 2007;30(6):505–19.CrossRefPubMed Nealey-Moore JB, Smith TW, Uchino BN, Hawkins MW, Olson-Cerny C. Cardiovascular reactivity during positive and negative marital interactions. J Behav Med. 2007;30(6):505–19.CrossRefPubMed
10.
go back to reference Holt-Lunstad J, Birmingham W, Jones BQ. Is there something unique about marriage? The relative impact of marital status relationship quality, and network social support on ambulatory blood pressure and mental health. Ann Behav Med. 2008;35(2):239–44.CrossRefPubMed Holt-Lunstad J, Birmingham W, Jones BQ. Is there something unique about marriage? The relative impact of marital status relationship quality, and network social support on ambulatory blood pressure and mental health. Ann Behav Med. 2008;35(2):239–44.CrossRefPubMed
11.
go back to reference Trief PM, Ploutz-Snyder R, Britton KD, Weinstock RS. The relationship between marital quality and adherence to the diabetes care regimen. Ann Behav Med. 2004;27(3):148–54.CrossRefPubMed Trief PM, Ploutz-Snyder R, Britton KD, Weinstock RS. The relationship between marital quality and adherence to the diabetes care regimen. Ann Behav Med. 2004;27(3):148–54.CrossRefPubMed
12.
go back to reference Rohrbaugh MJ, Mehl MR, Shoham V, Reilly ES, Ewy GA. Prognostic significance of spouse “we talk” in couples coping with heart failure. J Consult Clin Psychol. 2006;76(5):781–9.CrossRef Rohrbaugh MJ, Mehl MR, Shoham V, Reilly ES, Ewy GA. Prognostic significance of spouse “we talk” in couples coping with heart failure. J Consult Clin Psychol. 2006;76(5):781–9.CrossRef
13.
go back to reference Newton TL, Sanford JM. Conflict structure moderates associations between cardiovascular reactivity and negative marital interactions. Health Psychol. 2003;22(3):270–8.CrossRefPubMed Newton TL, Sanford JM. Conflict structure moderates associations between cardiovascular reactivity and negative marital interactions. Health Psychol. 2003;22(3):270–8.CrossRefPubMed
14.
go back to reference Brown PC, Smith TW, Benjamin LS. Perceptions of spouse dominance predict blood pressure reactivity during marital interactions. Ann Behav Med. 1998;20(4):286–93.CrossRefPubMed Brown PC, Smith TW, Benjamin LS. Perceptions of spouse dominance predict blood pressure reactivity during marital interactions. Ann Behav Med. 1998;20(4):286–93.CrossRefPubMed
15.
go back to reference Baron KG, Smith TW, Czajkowski LA, Gunn HE, Jones CR. Relationship quality and CPAP adherence in patients with obstructive sleep apnea. Behav Sleep Med. 2009;7(1):22–36.CrossRefPubMed Baron KG, Smith TW, Czajkowski LA, Gunn HE, Jones CR. Relationship quality and CPAP adherence in patients with obstructive sleep apnea. Behav Sleep Med. 2009;7(1):22–36.CrossRefPubMed
16.
go back to reference Smith TW, Uchino BN, Berg CA, Florsheim P, Pearce G, Hawkins M, et al. Associations of self-reports versus spouse ratings of negative affectivity, dominance, and affiliation with coronary artery disease: where should we look and who should we ask when studying personality and health? Psychosom Med. 2007;69(5):441–8.CrossRefPubMed Smith TW, Uchino BN, Berg CA, Florsheim P, Pearce G, Hawkins M, et al. Associations of self-reports versus spouse ratings of negative affectivity, dominance, and affiliation with coronary artery disease: where should we look and who should we ask when studying personality and health? Psychosom Med. 2007;69(5):441–8.CrossRefPubMed
17.
go back to reference Orth-Gomer K, Wamala SP, Horsten M, Schneck-Gustafsson K, Schneiderman N, Mittleman MA. Marital stress worsens prognosis in women with coronary heart disease. J Am Med Assoc. 2000;228(23):3008–14.CrossRef Orth-Gomer K, Wamala SP, Horsten M, Schneck-Gustafsson K, Schneiderman N, Mittleman MA. Marital stress worsens prognosis in women with coronary heart disease. J Am Med Assoc. 2000;228(23):3008–14.CrossRef
18.
go back to reference Kurdek LA. Gender and marital satisfaction early in marriage: a growth curve approach. J Marriage Fam. 2005;67(1):68–84.CrossRef Kurdek LA. Gender and marital satisfaction early in marriage: a growth curve approach. J Marriage Fam. 2005;67(1):68–84.CrossRef
19.
go back to reference Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux-en-Y- 500 patients: technique and results, with 3-60 month follow-up. Obes Surg. 2000;10(3):233–9.CrossRefPubMed Wittgrove AC, Clark GW. Laparoscopic gastric bypass, Roux-en-Y- 500 patients: technique and results, with 3-60 month follow-up. Obes Surg. 2000;10(3):233–9.CrossRefPubMed
20.
go back to reference Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, Dahlgren S,…Swedish Obese Subjects Study Scientific Group. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26)L:2683–93. Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, Dahlgren S,…Swedish Obese Subjects Study Scientific Group. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004;351(26)L:2683–93.
21.
go back to reference Brolin RL, Robertson LB, Kenler HA, Cody RP. Weight loss and dietary intake after vertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg. 1994;220(6):782.PubMedCentralCrossRefPubMed Brolin RL, Robertson LB, Kenler HA, Cody RP. Weight loss and dietary intake after vertical banded gastroplasty and Roux-en-Y gastric bypass. Ann Surg. 1994;220(6):782.PubMedCentralCrossRefPubMed
22.
go back to reference Bond DS, Phelan S, Wolfe LG. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity. 2009;17:78–83.CrossRefPubMed Bond DS, Phelan S, Wolfe LG. Becoming physically active after bariatric surgery is associated with improved weight loss and health-related quality of life. Obesity. 2009;17:78–83.CrossRefPubMed
23.
go back to reference Orth WS, Madan AK, Taddeucci RJ, Coday M, Tichansky DS. Support group meeting attendance is associated with better weight loss. Obes Surg. 2008;18(4):391–4.CrossRefPubMed Orth WS, Madan AK, Taddeucci RJ, Coday M, Tichansky DS. Support group meeting attendance is associated with better weight loss. Obes Surg. 2008;18(4):391–4.CrossRefPubMed
24.
go back to reference McCubin HI, Patterson JM. The family stress process: the double ABCX model of adjustment and adaptation. Marriage Fam Rev. 1983;6(1–2):7–37.CrossRef McCubin HI, Patterson JM. The family stress process: the double ABCX model of adjustment and adaptation. Marriage Fam Rev. 1983;6(1–2):7–37.CrossRef
25.
go back to reference Thoits PA. Stress, coping, and social support processes: where are we? What next? J Health Soc Behav. 1995; Spec No: 53–79. Thoits PA. Stress, coping, and social support processes: where are we? What next? J Health Soc Behav. 1995; Spec No: 53–79.
26.
go back to reference Bertalanffy LV. Problems of life. New York: Harper; 1952. Bertalanffy LV. Problems of life. New York: Harper; 1952.
28.
go back to reference Santry HP, Gillen DL, Lauderdale DS. Trends in bariatric surgical procedures. J Am Med Assoc. 2005;294(15):1909–17.CrossRef Santry HP, Gillen DL, Lauderdale DS. Trends in bariatric surgical procedures. J Am Med Assoc. 2005;294(15):1909–17.CrossRef
29.
go back to reference Hafner RJ, Rogers J, Watts JM. Psychological status before and after gastric restriction as predictors of weight loss in the morbidly obese. J Psychosom Res. 1990;34(3):295–302.CrossRefPubMed Hafner RJ, Rogers J, Watts JM. Psychological status before and after gastric restriction as predictors of weight loss in the morbidly obese. J Psychosom Res. 1990;34(3):295–302.CrossRefPubMed
30.
go back to reference Sschultz W. The Firo sides manual. Palo Alto: Consulting Psychologists; 1967. Sschultz W. The Firo sides manual. Palo Alto: Consulting Psychologists; 1967.
31.
go back to reference Lutfi RT, Torquati A, Sekahr N, Richards WO. Predictors of success after laparoscopic gastric bypass: a multivariate analysis of socioeconomic factors. Surg Endosc Interv Tech. 2006;20(6):864–7.CrossRef Lutfi RT, Torquati A, Sekahr N, Richards WO. Predictors of success after laparoscopic gastric bypass: a multivariate analysis of socioeconomic factors. Surg Endosc Interv Tech. 2006;20(6):864–7.CrossRef
32.
go back to reference Wheeler E, Prettyman A, Leohard MJ, Tran K. Adherence to outpatient programs postoperative appointments after bariatric surgery. Surg Obes Relat Dis. 2008;4(4):515–20.CrossRefPubMed Wheeler E, Prettyman A, Leohard MJ, Tran K. Adherence to outpatient programs postoperative appointments after bariatric surgery. Surg Obes Relat Dis. 2008;4(4):515–20.CrossRefPubMed
33.
go back to reference Poblo-Krauze RJ, McCarroll ML, Pasini D, Dan AG, Zografakis JG. The effect of marital status on weight loss after bariatric surgery is moderated by depression. J Obes Weight Loss Ther. 2011;1(104):2. Poblo-Krauze RJ, McCarroll ML, Pasini D, Dan AG, Zografakis JG. The effect of marital status on weight loss after bariatric surgery is moderated by depression. J Obes Weight Loss Ther. 2011;1(104):2.
34.
go back to reference Ray EC, Nickels MW, Sayeed S, Sax HC. Predicting success after gastric bypass: the role of psychosocial and behavioral factors. Surgery. 2003;134(4):555–63.CrossRefPubMed Ray EC, Nickels MW, Sayeed S, Sax HC. Predicting success after gastric bypass: the role of psychosocial and behavioral factors. Surgery. 2003;134(4):555–63.CrossRefPubMed
35.
go back to reference Canetti L, Berry EM, Elizur Y. Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program: the mediating role of emotional eating. Int J Eat Disord. 2009;42(2):109–17.CrossRefPubMed Canetti L, Berry EM, Elizur Y. Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program: the mediating role of emotional eating. Int J Eat Disord. 2009;42(2):109–17.CrossRefPubMed
36.
go back to reference Kinzl JF, Trefalt E, Fiala M, Hotter A, Biehl W, Aigner F. Partnership, sexuality, and sexual disorders in morbidly obese women: consequences of weight loss after gastric banding. Obes Surg. 2001;11(4):455–8.CrossRefPubMed Kinzl JF, Trefalt E, Fiala M, Hotter A, Biehl W, Aigner F. Partnership, sexuality, and sexual disorders in morbidly obese women: consequences of weight loss after gastric banding. Obes Surg. 2001;11(4):455–8.CrossRefPubMed
37.
go back to reference Mamplekou E, Komesidou V, Bissias CH, Papakonstantinou A, Melissas J. Psychological condition and quality of life in patients with morbid obesity before and after surgical weight loss. Obes Surg. 2005;15(8):1177–84.CrossRefPubMed Mamplekou E, Komesidou V, Bissias CH, Papakonstantinou A, Melissas J. Psychological condition and quality of life in patients with morbid obesity before and after surgical weight loss. Obes Surg. 2005;15(8):1177–84.CrossRefPubMed
38.
go back to reference Derogatis LR. Brief symptom inventory 18. Minneapolis: NCS Pearson; 2000. Derogatis LR. Brief symptom inventory 18. Minneapolis: NCS Pearson; 2000.
39.
go back to reference Hafner RJ, Rogers J. Husbands’ adjustment to wives’ weight loss after gastric restriction for morbid obesity. Int J Obes. 1990;14(12):1069–78.PubMed Hafner RJ, Rogers J. Husbands’ adjustment to wives’ weight loss after gastric restriction for morbid obesity. Int J Obes. 1990;14(12):1069–78.PubMed
40.
go back to reference Hafner RJ, Watts JM, Rogers J. Quality of life after gastric bypass for morbid obesity. Int J Obes. 1991;15(8):555–60.PubMed Hafner RJ, Watts JM, Rogers J. Quality of life after gastric bypass for morbid obesity. Int J Obes. 1991;15(8):555–60.PubMed
41.
go back to reference Camps MA, Zervos E, Goode S, Rosemurgy AS. Impact of bariatric surgery on body image perception and sexuality in morbidly obese patients and their partners. Obes Surg. 1996;6(4):356–60.CrossRefPubMed Camps MA, Zervos E, Goode S, Rosemurgy AS. Impact of bariatric surgery on body image perception and sexuality in morbidly obese patients and their partners. Obes Surg. 1996;6(4):356–60.CrossRefPubMed
42.
go back to reference Hafner RJ. Morbid obesity: effects on the marital system of weight loss after gastric restriction. Psychother Psychosom. 1991;56(3):162–6.CrossRefPubMed Hafner RJ. Morbid obesity: effects on the marital system of weight loss after gastric restriction. Psychother Psychosom. 1991;56(3):162–6.CrossRefPubMed
43.
go back to reference Huang CY, Hsu MC, Pan KC, Huang CK, Chi SC. Early health status and health-related quality of life after laparoscopic gastric bypass surgery in morbidly obese patients. Bariatric Nurs Surg Patient Care. 2011;6(4):193–200.CrossRef Huang CY, Hsu MC, Pan KC, Huang CK, Chi SC. Early health status and health-related quality of life after laparoscopic gastric bypass surgery in morbidly obese patients. Bariatric Nurs Surg Patient Care. 2011;6(4):193–200.CrossRef
44.
go back to reference Byers ES. Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J Sex Res. 2005;42(2):113–8.CrossRefPubMed Byers ES. Relationship satisfaction and sexual satisfaction: a longitudinal study of individuals in long-term relationships. J Sex Res. 2005;42(2):113–8.CrossRefPubMed
45.
go back to reference Needleman BJ, Happel LC. Bariatric surgery: choosing the optimal procedure. Surg Clin N Am. 2008;88(5):991–1007.CrossRefPubMed Needleman BJ, Happel LC. Bariatric surgery: choosing the optimal procedure. Surg Clin N Am. 2008;88(5):991–1007.CrossRefPubMed
Metadata
Title
Marriage and Weight Loss Surgery: a Narrative Review of Patient and Spousal Outcomes
Authors
Megan Ferriby
Keeley J. Pratt
Elizabeth Balk
Katharine Feister
Sabrena Noria
Bradley Needleman
Publication date
01-12-2015
Publisher
Springer US
Published in
Obesity Surgery / Issue 12/2015
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1893-2

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