More than Meets the Eye: A Qualitative Investigation of the Complex Weight History Constructions of Brazilian Women Who Underwent Bariatric Surgery  

作　　者：Mariana Dimitrov Ulian Ramiro Fernandez Unsain Ruth Rocha Franco Marco Aurélio Santo Alexandra Brewis Sarah Trainer Cindi SturtzSreetharan Amber Wutich Bruno Gualano Fernanda Baeza Scagliusi 

机构地区：[1]School of Public Health,University of São Paulo,Department of Nutrition,São Paulo,SP,01246-904,Brazil [2]Pediatric Endocrinology Unit,Children’s Institute,Hospital das Clínicas of the School of Medicine,University of São Paulo,São Paulo,SP,05403.000,Brazil [3]Bariatric and Metabolic Surgery Unity,Digestive System Surgery Division,University of São Paulo,São Paulo,SP,05403.000,Brazil [4]School of Human Evolution and Social Change,Arizona State University,Tempe,AZ,85281,United States of America [5]Seattle University,Seattle,WA,98122,United States of America [6]University of São Paulo,Applied Physiology&Nutrition Research Group,São Paulo,SP,05403.000 Brazil

出　　处：《Journal of Psychological Research》2023年第4期50-67,共18页心理学研究(英文)

基　　金：support from the Research Support Foundation of the State of São Paulo(FAPESP);grant number 2019/00031-0;the Conselho Nacional de Desenvolvimento Científico e Tecnológico(CNPq),under the process number 309514/2018-5.

摘　　要：Most studies on bariatric surgery identify personal factors such as“non-compliance”to lifestyle changes as the cause of weight gain and subsequent inability to lose weight.Prior qualitative studies suggest that weight loss patients have complicated relationships with both self and weight,with significant emotional and psychological implications.But how do patients themselves understand the trajectories of their weight gain as related to intrinsic versus extrinsic factors?A qualitative analysis examined the aspects involved in the construction of higher body weight from the perspectives and life experiences of Brazilian women who underwent bariatric surgery,considering that Brazil has previously been reported as a highly anti-fat society.Individual,semi-structured interviews were conducted with thirty women(15 aged 33-59 and 15 aged 63-72).Data were analyzed identifying the regular,expressive,and meaningful significance units identified through the interviews.Although it was expected that different life events were reported as crucial to the perceived aetiology of individual weight gain stories,the participants reported that the emotional aspects had more impact.The extremely high value attached to having a particular body weight negatively influenced the participants’concept of identity and harmed their interactions and understanding of what it meant to be fully loved and accepted.Most of the participants underscored the importance of food in women’s lived experiences and explanations of weight gain.Despite this somatic response being dysfunctionally directed to food,this mechanism seemed to be vital to keeping them alive and engaged in the world.Finally,the participants faced layered vulnerabilities,which decreased their opportunities to access resources aimed at better body weight management.Broad approaches that consider emotional and physical care strategies must be proposed to this population.

关 键 词：Mental health Bariatric surgery OBESITY Body weight STIGMA Brazil Qualitative investigation 

分 类 号：R73[医药卫生—肿瘤]