Quality of Life One Year After Bariatric Surgery: the Moderator Role of Spirituality
- 148 Downloads
This study aimed to assess quality of life in obese patients 1 year after bariatric surgery taking into consideration the influence of socio-demographic, clinical, and psychological variables.
A sample of 90 patients undergoing bariatric surgery was assessed in two moments: before surgery and 1 year after surgery.
Social support, problem-focused coping strategies, and quality of life increased after surgery, while eating disorder behaviour and impulsiveness decreased. The presence of eating disorder behaviour predicted worse physical and mental quality of life and higher satisfaction with social support predicted better physical and mental quality of life. In addition, higher impulsiveness predicted worse mental quality of life. Spirituality moderated the relationship between impulsiveness and mental/physical quality of life.
Interventions should focus on promoting social support and coping strategies particularly spirituality since it played an important role in quality of life.
KeywordsObesity Bariatric surgery Spirituality Quality of life
Compliance with Ethical Standards
This study followed a prospective design with two assessment moments. Patients were identified and contacted by the psychologist of the Unit of Psychiatry and Mental Health. Patients were invited by letter and all signed an informed consent. Participation was voluntary. Patients answered the instruments in a room provided by the hospital for that purpose. The research protocol complied with the ethical principles contained in the Helsinki Declaration and was approved by the Hospital’s Ethics Committee.
Conflict of Interests
The authors declare that they have no conflicts of interest.
- 1.WHO.int [Internet]. 10 facts on obesity. Available from: http://www.who.int/features/factfiles/obesity/en/. Accessed October 2017.
- 2.Camolas J, Gregório MJ, Sousa SM, Graça P. Programa Nacional Para a Promoção da Alimentação Saudável. Obesidade: Otimização da Abordagem Terapêutica no Serviço Nacional de Saúde [National Program for the promotion of healthy food. Obesity: optimizing the therapeutic approach in the Nacional health service]. Lisboa: Direção-Geral da Saúde; 2017.Google Scholar
- 3.Lopes C, Torres D, Oliveira A, Severo M, Alarcão V, Guiomar S, et al. Inquérito Alimentar Nacional e de Atividade Física 2015–2016: Relatório Parte II [National Food and Physical Activity Survey 2015–2016: Report Part II]. Porto: Universidade do Porto; 2017Google Scholar
- 6.Averbukh Y, Heshka S, El-Shoreya H, et al. Depression scores predict weight loss following roux-en-Y gastric bypass. Obes Surg. 2003;13(6):833–6.Google Scholar
- 7.Busetto L, Segato G, De Marchi F, et al. Outcome predictors in morbidly obese recipients of an adjustable gastric band. Obes Surg. 2002;12(1):83–92.Google Scholar
- 11.Brilmann M, Oliveira S, Thiers O. Avaliação da qualidade de Vida relacionada a saúde na obesidade [evaluation of health related quality of life in obesity]. Cad Saude Colet. 2007;15(1):39–54.Google Scholar
- 12.Alger-Mayer S, Malone M, Polimeni JM. Health related quality of life after gastric bypass surgery. Appl Res Qual Life. 2011;7:155–61.Google Scholar
- 27.Rydén A, Karlsson J, Sullivan M, et al. Coping and distress: what happens after intervention? A 2-year follow-up from the Swedish obese subjects (SOS) study. Psychosom Med. 2003;65:435–42. https://doi.org/10.1097/01.PSY.0000041621.25388.1A.Google Scholar
- 29.Adegbola M. Spirituality and quality of life in chronic illness. J Theory Constr Test. 2006;10(2):42–6.Google Scholar
- 33.Ware JE, Snow KK, Kosinski M, et al. SF-36 health survey manual and interpretation guide. Boston: New England Medical Center; 1993.Google Scholar
- 34.Ferreira PL. Criação da versão Portuguesa do MOS SF36. Parte I – Adaptação Cultural e Linguística [Development of the Portuguese version of MOS SF-36. Part I. Cultural and linguistic adaptation]. Acta Medica Port. 2000;13(1–2):55–66.Google Scholar
- 35.Patton JH, Stanford MS, Barratt ES. Factor structure of the Barratt impulsiveness scale. J Clin Psychol. 1995;51(6):768–74.Google Scholar
- 37.Pais-Ribeiro JL. Escala de Satisfação com o Suporte social (ESSS) [satisfaction scale with social support (SSSS)]. Análise. Psicológica. 1999;3(17):547–58.Google Scholar
- 38.Folkman S, Lazarus RS. Manual for the ways of coping questionnaire (research edition). California: Consulting Psychologists Press; 1988.Google Scholar
- 39.Pais-Ribeiro J, Santos C. Estudo conservador de adaptação do ways of coping questionnaire a uma amostra e contexto Portugueses [conservative study of adaptation of the ways of coping questionnaire to a Portuguese sample and context]. Análise. Psicológica. 2001;4(19):491–502.Google Scholar
- 41.Pereira MG, Pedras S, Bacalhau R, Santos D. Research Group in Family Health & Illness. Psychometric properties of Spreuk in Women with HPV and Cancer. Unpublished Manuscript. 2018.Google Scholar
- 43.Machado P. Versão Portuguesa do EDE-Q [Portuguese version of the EDE-Q]. unpublished manuscript. Escola de Psicologia. Universidade do Minho. 2007.Google Scholar
- 44.Field A. Discovering statistics using SPSS. 3rd ed. London: Sage; 2009.Google Scholar
- 45.Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. New York: Guilford Press; 2013.Google Scholar
- 46.Bravo J, Mandich C, Castrillón F, et al. Cirugía bariátrica en adultos: Facilitadores y obstaculizadores de la pérdida de peso desde la perspectiva de los pacientes [Bariatric surgery in adults: Variables that facilitate and hinder weight loss from pacients perspective]. Nutr Hosp. 2015;3:1504–12. https://doi.org/10.3305/nh.2015.31.4.8515. Google Scholar
- 47.Costa J, Pinto S. Transtorno da compulsão alimentar periódica e Qualidade de Vida de pacientes candidatos a cirurgia bariátrica [binge eating disorder and quality of life of candidates to bariatric surgery]. Arq Bras Cir Dig. 2015;28(1) https://doi.org/10.1590/S01026720201500S100015.
- 54.Matera A, Schiltz L. Comparative structural study of the configuration of coping strategies among female patients with eating disorders and non-clinical control group. Psychiatr Danub. 2013;25(4):359–65.Google Scholar
- 56.de Maria C, Yaegashi S. The traits personality associated with the development of obesity. Rev Bras Obes, Nutr Emagrecimento. 2016;10(56):74–92.Google Scholar
- 60.Pargament KI, Abu Raiya H. A decade of research on the psychology of religion and coping: things we assumed and lessons we learned. Psyke & Logos. 2007.Google Scholar