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Published in: Obesity Surgery 8/2010

01-08-2010 | Research Article

Understanding the Life Experiences of Brazilian Women after Bariatric Surgery: a Qualitative Study

Authors: Ronis Magdaleno Jr., Elinton Adami Chaim, Egberto Ribeiro Turato

Published in: Obesity Surgery | Issue 8/2010

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Abstract

Background

The increase in bariatric surgeries has called into question the aspects that contribute to or impair the results. Psychosocial factors directly influence the results of the surgery, but a lot of controversy exists in relation to the degree of influence of these factors. We propose a qualitative investigation to understand the significance of the surgery for women and how these factors influence the outcomes.

Methods

This study is a clinical–qualitative method, through the semi-directed interview with open-ended questions in an intentional sample, closed by saturation, with seven women operated in a period of 1.5–3 years, following the definition of emergent categories and qualitative content analysis.

Results

The experience of acceptance and social reinsertion is a motivating factor to keep up the challenge of weight loss; social discrimination is a risk factor leading to losing the stimulus to continue the process; the recuperation of self-esteem and personal identity is a factor that improves the quality of life and psychopathological symptoms; disillusionment is an important risk factor, linked principally to the experiences of failure.

Conclusion

We observe the necessity of qualitative studies that serve the health team in the handling of these patients, aiming for a greater understanding of their psychological dynamics and of the meanings that weight loss has for them.
Literature
1.
go back to reference Buchwald H. Consensus Conference Statement Bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. J Am Coll Surg. 2005;200:593–604.CrossRefPubMed Buchwald H. Consensus Conference Statement Bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. J Am Coll Surg. 2005;200:593–604.CrossRefPubMed
3.
go back to reference Monteiro C. Epidemiologia da obesidade. In: Halpern A, Godoy Matos AF, Suplicy HL, Mancini MC, Zanella MT, editors. Obesidade. São Paulo: Lemos Editorial; 1998. p. 15–31. Monteiro C. Epidemiologia da obesidade. In: Halpern A, Godoy Matos AF, Suplicy HL, Mancini MC, Zanella MT, editors. Obesidade. São Paulo: Lemos Editorial; 1998. p. 15–31.
4.
go back to reference Ferreira VA, Magalhães R. Obesidade no Brasil: tendências atuais. Revista Portuguesa de Saúde Pública. 2006;24(2):71–81. Ferreira VA, Magalhães R. Obesidade no Brasil: tendências atuais. Revista Portuguesa de Saúde Pública. 2006;24(2):71–81.
5.
go back to reference Hsu LK, Benotti PN, Dwyer J, et al. Non-surgical factors that influence the outcome of bariatric surgery: a review. Psychosom Med. 1998;60:338–46.PubMed Hsu LK, Benotti PN, Dwyer J, et al. Non-surgical factors that influence the outcome of bariatric surgery: a review. Psychosom Med. 1998;60:338–46.PubMed
6.
go back to reference Bocchieri LE, Meana M, Fischer BL. A review of psychosocial outcomes of surgery for morbid obesity. J Psychosom Res. 2002;52:155–65.CrossRefPubMed Bocchieri LE, Meana M, Fischer BL. A review of psychosocial outcomes of surgery for morbid obesity. J Psychosom Res. 2002;52:155–65.CrossRefPubMed
7.
go back to reference Dziurowicz-Kozlowska AH, Wierzbicki Z, Lisik W, et al. The objective of psychological evaluation in the process of qualifying candidates for bariatric surgery. Obes Surg. 2006;16:196–202.CrossRefPubMed Dziurowicz-Kozlowska AH, Wierzbicki Z, Lisik W, et al. The objective of psychological evaluation in the process of qualifying candidates for bariatric surgery. Obes Surg. 2006;16:196–202.CrossRefPubMed
8.
go back to reference Van Hout GCM, Van Oudeheusden I, Krasuska AT, et al. Psychological profile of candidates for vertical banded gastroplasty. Obes Surg. 2006;16:67–74.CrossRefPubMed Van Hout GCM, Van Oudeheusden I, Krasuska AT, et al. Psychological profile of candidates for vertical banded gastroplasty. Obes Surg. 2006;16:67–74.CrossRefPubMed
9.
go back to reference van Hout GCM, Boekestein P, Fortuin FA, et al. Psychosocial functioning following bariatric surgery. Obes Surg. 2006;16(6):787–94.CrossRefPubMed van Hout GCM, Boekestein P, Fortuin FA, et al. Psychosocial functioning following bariatric surgery. Obes Surg. 2006;16(6):787–94.CrossRefPubMed
10.
go back to reference van Hout GCM, Vreeswijk CMJM, van Heck GL. Bariatric surgery and bariatric psychology: evaluation of Dutch approach. Obes Surg. 2008;18:321–5.CrossRefPubMed van Hout GCM, Vreeswijk CMJM, van Heck GL. Bariatric surgery and bariatric psychology: evaluation of Dutch approach. Obes Surg. 2008;18:321–5.CrossRefPubMed
11.
go back to reference Delin CR, Watts J, Bassett DL. An exploration of outcomes of gastric bypass surgery for morbid obesity: patient characteristics and indices of success. Obes Surg. 1995;5:159–70.CrossRefPubMed Delin CR, Watts J, Bassett DL. An exploration of outcomes of gastric bypass surgery for morbid obesity: patient characteristics and indices of success. Obes Surg. 1995;5:159–70.CrossRefPubMed
12.
go back to reference Vallis JM, Ross MA. The role of psychological factors in bariatric surgery for morbid obesity: identification of psychological predictors of success. Obes Surg. 1993;3:346–59.CrossRefPubMed Vallis JM, Ross MA. The role of psychological factors in bariatric surgery for morbid obesity: identification of psychological predictors of success. Obes Surg. 1993;3:346–59.CrossRefPubMed
13.
go back to reference van Hout GCM, Fortuin FAM, Pelle AJM, et al. Psychosocial functioning, personality, and body image following vertical banded gastroplasty. Obes Surg. 2008;18:115–20.CrossRefPubMed van Hout GCM, Fortuin FAM, Pelle AJM, et al. Psychosocial functioning, personality, and body image following vertical banded gastroplasty. Obes Surg. 2008;18:115–20.CrossRefPubMed
14.
go back to reference Delin CR, Watts J. Success in surgical intervention for morbid obesity: is weight loss enough? Obes Surg. 1995;5:189–91.CrossRefPubMed Delin CR, Watts J. Success in surgical intervention for morbid obesity: is weight loss enough? Obes Surg. 1995;5:189–91.CrossRefPubMed
15.
go back to reference Turato ER. Tratado da Metodologia da Pesquisa Clínico-Qualitativa: construção teórico-epistemológica, discussão comparada e aplicação às áreas da saúde e humanas. Petrópolis: Vozes; 2003. Turato ER. Tratado da Metodologia da Pesquisa Clínico-Qualitativa: construção teórico-epistemológica, discussão comparada e aplicação às áreas da saúde e humanas. Petrópolis: Vozes; 2003.
16.
go back to reference Minayo MCS. O desafio do conhecimento–pesquisa qualitativa em saúde. 10a ed. São Paulo: Hucitec; 2007. Minayo MCS. O desafio do conhecimento–pesquisa qualitativa em saúde. 10a ed. São Paulo: Hucitec; 2007.
17.
go back to reference Morse JM, Field PA. Qualitative research methods for health professionals, 2nd ed. London: Sage; 1995. Morse JM, Field PA. Qualitative research methods for health professionals, 2nd ed. London: Sage; 1995.
18.
go back to reference Patton MQ. Qualitative evaluation and research methods. London: Sage; 1990. Patton MQ. Qualitative evaluation and research methods. London: Sage; 1990.
19.
go back to reference Denzin NK, Lincoln YS. The SAGE handbook of qualitative research. 3rd ed. Thousand Oaks: Sage; 2005. Denzin NK, Lincoln YS. The SAGE handbook of qualitative research. 3rd ed. Thousand Oaks: Sage; 2005.
20.
go back to reference Fontanella BJB, Campos CJG, Turato ER. Coleta de dados na pesquisa clínico-qualitativa: uso de entrevistas não-dirigidas de questões abertas por profissionais da saúde [Data collection in clinical-qualitative research: use of non-directed interviews with open-ended questions by health professionals]. Rev Latino-am Enfermagem. 2006;14(5):812–20.CrossRef Fontanella BJB, Campos CJG, Turato ER. Coleta de dados na pesquisa clínico-qualitativa: uso de entrevistas não-dirigidas de questões abertas por profissionais da saúde [Data collection in clinical-qualitative research: use of non-directed interviews with open-ended questions by health professionals]. Rev Latino-am Enfermagem. 2006;14(5):812–20.CrossRef
21.
go back to reference Fontanella BJB, Ricas J, Turato ER. Amostragem por saturação em pesquisas qualitativas em saúde: contribuições teóricas [Saturation sampling in qualitative health research: theoretical contributions]. Cad Saúde Pública. 2008;24(1):17–27.CrossRefPubMed Fontanella BJB, Ricas J, Turato ER. Amostragem por saturação em pesquisas qualitativas em saúde: contribuições teóricas [Saturation sampling in qualitative health research: theoretical contributions]. Cad Saúde Pública. 2008;24(1):17–27.CrossRefPubMed
22.
go back to reference Bardin L. Análise de conteúdo. Lisboa: Edições; 1979. p. 70. Bardin L. Análise de conteúdo. Lisboa: Edições; 1979. p. 70.
23.
go back to reference de Zwaam M, Lancaster KL, Mitchell JE, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. 2002;12:773–80.CrossRef de Zwaam M, Lancaster KL, Mitchell JE, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. 2002;12:773–80.CrossRef
24.
go back to reference Dymek MP, le Grange D, Neven K, et al. Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: a brief report. Obes Surg. 2001;11:32–9.CrossRefPubMed Dymek MP, le Grange D, Neven K, et al. Quality of life and psychosocial adjustment in patients after Roux-en-Y gastric bypass: a brief report. Obes Surg. 2001;11:32–9.CrossRefPubMed
25.
go back to reference Maddi SR, Ross Fox S, Khoshaba DM, et al. Reduction in psychopathology following bariatric surgery for morbid obesity. Obes Surg. 2001;11:680–5.CrossRefPubMed Maddi SR, Ross Fox S, Khoshaba DM, et al. Reduction in psychopathology following bariatric surgery for morbid obesity. Obes Surg. 2001;11:680–5.CrossRefPubMed
26.
go back to reference Sarwer Db, Cohn NI, Gibbons LM, et al. Psychiatric diagnoses and psychiatric treatment among bariatric surgery candidates. Obes Surg. 2004;14:1148–56.CrossRefPubMed Sarwer Db, Cohn NI, Gibbons LM, et al. Psychiatric diagnoses and psychiatric treatment among bariatric surgery candidates. Obes Surg. 2004;14:1148–56.CrossRefPubMed
27.
go back to reference van Hout GMC, van Oudheusden I, van Heck GL. Psychological profile of the morbidly obese. Obes Surg. 2004;14:579–88.CrossRefPubMed van Hout GMC, van Oudheusden I, van Heck GL. Psychological profile of the morbidly obese. Obes Surg. 2004;14:579–88.CrossRefPubMed
28.
go back to reference Kaminsky J, Gadaleta D. A study of discrimination within the medical community as viewed by obese patients. Obes Surgery. 2002;12:14–8.CrossRef Kaminsky J, Gadaleta D. A study of discrimination within the medical community as viewed by obese patients. Obes Surgery. 2002;12:14–8.CrossRef
29.
go back to reference Glinsky J, Wetzler S, Goodman E. The psychology of gastric bypass surgery. Obes Surg. 2001;11:581–8.CrossRef Glinsky J, Wetzler S, Goodman E. The psychology of gastric bypass surgery. Obes Surg. 2001;11:581–8.CrossRef
Metadata
Title
Understanding the Life Experiences of Brazilian Women after Bariatric Surgery: a Qualitative Study
Authors
Ronis Magdaleno Jr.
Elinton Adami Chaim
Egberto Ribeiro Turato
Publication date
01-08-2010
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 8/2010
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9697-2

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