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Psychische Komorbidität und Lebensqualität vor und nach Adipositaschirurgie

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Psychosoziale Aspekte der Adipositas-Chirurgie

Zusammenfassung

Im Hinblick auf das Körpergewicht und somatische Folgeerkrankungen ist die Effektivität der bariatrischen Chirurgie bei Patienten mit morbider Adipositas gut belegt. Im Verlauf der letzten Jahrzehnte konnte das Operationsrisiko stetig gemindert werden, und der Eingriff hat sich im Hinblick auf eine signifikante und anhaltende Gewichtsreduktion bewährt. Dennoch scheint es eine Minderheit von Patienten zu geben, deren postoperativer Gewichtsverlauf unzureichend ist, deren psychische Beschwerden bis hin zu Störungen zunehmen und die letztendlich über eine unzureichende Lebensqualität klagen. Die Ursachen lassen sich weniger im chirurgischen Fachgebiet finden als vielmehr im Kontext psychischer Probleme bis hin zu Störungen mit der Konsequenz einer deutlichen Minderung der Lebensqualität. Das Kapitel stellt die komplexen Zusammenhänge zwischen prä- und postoperativen komorbiden psychischen Störungen bei bariatrischen Patienten und deren Auswirkungen auf die Lebensqualität dar.

Passagen des Kapitels sind dem Artikel Herpertz S, Kessler H, Jongen S. „Psychosomatic and psychosocial questions regarding bariatric surgery: What do we know, or what do we think we know?“ Zeitschrift für Psychosomatische Medizin und Psychotherapie entnommen (im Druck).

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Authors and Affiliations

  1. Klinik für Psychosomatische Medizin und Psychotherapie, LWL-Universitätsklinikum der Ruhr-Universität Bochum, Bochum, Deutschland

    Sebastian Jongen, Henrik Kessler & Stephan Herpertz

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  1. Sebastian Jongen
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  2. Henrik Kessler
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  3. Stephan Herpertz
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Correspondence to Sebastian Jongen .

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Editors and Affiliations

  1. Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover, Hannover, Deutschland

    Martina de Zwaan

  2. Klinik für Psychosomatische Medizin und Psychotherapie, LWL-Universitätsklinikum der Ruhr-Universität Bochum, Bochum, Deutschland

    Stephan Herpertz

  3. Abteilung für Psychosomatische Medizin und Psychotherapie, Medizinische Universitätsklinik Tübingen, Tübingen, Deutschland

    Stephan Zipfel

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Jongen, S., Kessler, H., Herpertz, S. (2019). Psychische Komorbidität und Lebensqualität vor und nach Adipositaschirurgie. In: de Zwaan, M., Herpertz, S., Zipfel, S. (eds) Psychosoziale Aspekte der Adipositas-Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57364-8_8

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  • DOI: https://doi.org/10.1007/978-3-662-57364-8_8

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