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ویژگی های روانشناختی بیماران ایرانی تحت عمل جراحی چاقی در دوران همه گیری و قرنطینه کووید-19 | ||
| روان شناسی بالینی | ||
| مقاله 1، دوره 13، شماره2 - شماره پیاپی 50، تیر 1400، صفحه 1-14 اصل مقاله (810.75 K) | ||
| نوع مقاله: مقاله پژوهشی | ||
| شناسه دیجیتال (DOI): 10.22075/jcp.2021.22056.2029 | ||
| نویسندگان | ||
| بهنوش نیکخواه* 1؛ شادی آقا علی طاری1؛ سودابه یکرنگ صفاکار1؛ یاسمن رحیمی نیکو2 | ||
| 1کارشناسی ارشد روانشناسی بالینی، دانشکده روانشناسی و علوم تربیتی، دانشگاه آزاد اسلامی واحد تهران جنوب، تهران، ایران | ||
| 2کارشناسی ارشد روانشناسی بالینی کودک و نوجوان، گروه روانشناسی بالینی، دانشکده علوم رفتاری، دانشگاه علوم بهزیستی و توانبخشی، تهران، | ||
| تاریخ دریافت: 19 آذر 1399، تاریخ بازنگری: 06 بهمن 1399، تاریخ پذیرش: 16 اسفند 1399 | ||
| چکیده | ||
| مقدمه: بیماری های فراگیر به عنوان شناخته شده ترین عوامل در ایجاد پریشانی روانی هستند. مطالعۀ حاضر، ویژگی های روانشناختی همه گیری کووید-19 را در بیماران ایرانی شرکت کننده در برنامۀ جراحی چاقی را بررسی می‌کند. روش: در دوران قرنطینه، بیماران از میان افرادی که متقاضی جراحی‌چاقی بودند و یا در مرحلۀ پیگیری بعد از جراحی‌چاقی بودند، انتخاب شدند و از آنها خواسته‌شد تا مقیاس‌های افسردگی-اضطراب-استرس21 و پرسشنامۀ خود-ارزیابی 22 آیتمی را که تاب‌آوری، تغییر در رفتار خوردن و پاسخ‌های هیجانی را می‌سنجد، تکمیل‌کنند. یافته ها: 59% از 434 نفر شرکت‌کننده، نگران همه‌گیری بودند و 63% نگران سلامتی خود یا بستگانشان بودند. به ترتیب 37% و 56% احساس تنهایی و کسالت داشتند. 66% با افزایش دفعات میان‌وعده مواجه‌شدند و 55% نسبت به قبل، احساس گرسنگی بیشتری می‌کردند و 39% تکانه بیشتری برای غذا خوردن گزارش‌کردند. 49% احساس می‌کردند که نمی‌توانند از یک رژیم‌غذایی توصیه‌شده توسط پزشک پیروی کنند. آنالیز رگرسیون لجستیک، رابطۀ بین تعداد میان‌وعده، گرسنگی، خوردن تکانشی و اضطراب، استرس و یا علائم افسردگی را نشان‌داد. نتیجه گیری: همه‌گیری منجر به افزایش پریشانی‌روانشناختی در بیماران با سابقۀ جراحی فعلی یا گذشته، کاهش کیفیت‌زندگی و تأثیر بر رعایت رژیم‌غذایی می‌شود. حمایت روانشناختی هدفمند در زمان افزایش استرس برای افراد مستعد (مانند بیماران چاقی قبل و بعد از عمل) ضروری است. | ||
| کلیدواژه‌ها | ||
| کووید-19؛ جراحی چاقی؛ اضطراب؛ افسردگی؛ استرس | ||
| عنوان مقاله [English] | ||
| Psychological characteristics of Iranian patients undergoing bariatric surgery during the COVID‑19 pandemic and lockdown | ||
| نویسندگان [English] | ||
| Behnush Nik Khah1؛ Shadi Agha Ali Tari1؛ Soudabeh Yekrang Safakar1؛ Yasaman Rahiminikoo2 | ||
| 1Master of Clinical Psychology, Faculty of Psychology and Educational Sciences, Islamic Azad University, South Tehran Branch, Tehran, Iran | ||
| 2Master of Child and Adolescent Clinical Psychology, Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran | ||
| چکیده [English] | ||
| Introduction: Pandemics are the most well-known to cause mental distress. This study examines the psychological characteristics of Iranian patients undergoing bariatric surgery during the COVID‑19 pandemic and lockdown. Method: Patients were consecutively recruited during the quarantine among those waiting for bariatric surgery or attending a post-bariatric follow-up phase and were asked to complete the Depression-Anxiety-Stress Scales-21 and a self-assessment questionnaire of 22 items assessing the resilience, change in eating behavior, and emotional responses referring to the current epidemic. Results: 59% of the 434 recruited participants reported of being worried about the epidemic, and 63% particularly reported of being worried about their or their relatives’ health. 37% and 56% felt lonelier and more bored, respectively. 66% was hungrier with an increased frequency of snacking (55%) and 39% reported more impulse to eat. Remarkably, 49% felt unable to follow a recommended diet. Logistic regression analysis on post-bariatric patients revealed an association between snacking, hunger, eating impulsivity, and anxiety, stress, and/or depression symptoms. Conclusion: Epidemics led to incremented psychological distress in patients with a history of current or past obesity, decreased quality of life, and impacting dietary compliance. Targeted psychological support is warranted in times of increased stress for susceptible participants such as pre-and post-bariatric patients. | ||
| کلیدواژه‌ها [English] | ||
| Covid-19, Bariatric Surgery, Anxiety, Depression, Stress | ||
| مراجع | ||
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آمار تعداد مشاهده مقاله: 1,486 تعداد دریافت فایل اصل مقاله: 1,151 |
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