I. L. Gureeva, A. R. Volkova, G. V. Semikova, E. L. Smurova, E. R. Isaeva
Satisfaction with quality of life and emotional state in patients with morbid obesity before and after bariatric surgery
I. P. PAVLOV FIRST SAINT-PETERSBURG STATE MEDICAL UNIVERSITY, SAINT-PETERSBURG
The aim of the study was to assess the characteristics of eating behavior and satisfaction with the quality of life and emotional state in patients with morbid obesity before and after bariatric surgery. The study included 35 patients (22 women and 13 men) with morbid obesity who underwent bariatric intervention at the age from 27 to 70 years. The patients were observed at the Department of Faculty Therapy and Faculty Surgery of Pavlov First Saint-Petersburg State Medical University for three years after the surgery. The study used psychodiagnostic techniques and clinical scales to identify the clinical and psychological characteristics of patients: satisfaction with quality of life (SF-36, BQL), the level of depression and anxiety (BDI, HADS). According to the results of the study, the patients showed a decrease in satisfaction with the quality of life in the postoperative period: the results of the postoperative survey indicate an unsatisfactory perception of the quality of life (the results of the BQL: 47,54±6,40; 43,48 % of subjects, increased anxiety is observed); according to the results of the preoperative survey, the highest rates of SF-36 were observed on the scales of social functioning (SF) and role functioning due to emotional state (RE) — 65,3 and 64,8. The results of the preoperative survey can indicate an increased level of social functioning, which can be mechanisms of compensation and overcompensation, manifested in the desire to assert their significance in social interaction. After surgery, patients have relatively low levels of satisfaction with the quality of life according to the methodology used, which may be associated with the actualization of unsolved life problems.