Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2013-0041
Trends in Psychiatry and Psychotherapy
Original Article

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

Ataliba de Carvalho Jr.; Egberto Ribeiro Turato; Elinton Adami Chaim; Ronis Magdaleno Jr.

http://dx.doi.org/10.1590/2237-6089-2013-0041 Trends Psychiatry Psychother, vol.36, n3, p.140-146, 2014
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Abstract

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.

Keywords

Obesity, bariatric surgery, weight regain, qualitative method, morbid obesity

Resumo

INTRODUÇÃO: Com o aumento do número de cirurgias bariátricas ao longo dos anos, têm chamado atenção os aspectos que contribuem ou impedem os resultados, entre eles o reganho de peso, mostram-se relevantes. Fatores psicológicos influenciam diretamente essa situação indesejada, mas há poucos estudos e controvérsias sobre o grau de participação desses fatores. Nós propomos uma investigação qualitativa para analisar os significados do reganho de peso depois da cirurgia para mulheres e como esses fatores influenciam esse resultado.MÉTODO: Este estudo usa o método clínico-qualitativo, por meio de entrevista semiestruturada com questões abertas em uma amostra intencional, fechada por saturação, com oito mulheres operadas no ambulatório de cirurgia bariátrica do Hospital das Clínicas da Universidade Estadual de Campinas (UNICAMP), no estado de São Paulo.RESULTADOS: Um sentimento de derrota e fracasso surge com o reganho de peso, que colabora para o isolamento social; não há arrependimento, mas gratidão pela cirurgia; entre as pacientes, há uma ideia de sentir-se rejeitada maior que uma rejeição que existe de fato.CONCLUSÃO: Constatamos a necessidade de novos estudos qualitativos que auxiliem a equipe de saúde a entender melhor os fatores psicológicos dinâmicos envolvidos no significado do reganho de peso após a cirurgia bariátrica entre as mulheres para adotar condutas adequadas para lidar com esse problema.

Palavras-chave

Obesidade, cirurgia bariátrica, reganho de peso, método qualitativo, obesidade mórbida

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