Psychosocial presentation of revisional LAGB patients: A qualitative study

Janse van Vuuren, M., Strodl, Esben, White, Katherine M., & Lockie, Phil (2015) Psychosocial presentation of revisional LAGB patients: A qualitative study. Clinical Obesity, 5(5), pp. 273-280.

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This qualitative study offers insight into the experiences, expectations, perceptions and beliefs that may lead to laparoscopic adjustable gastric band patients’ failure to achieve expected weight loss and seek revisional bariatric surgery. The 23 participants from two sites were interviewed and data were analysed from a grounded theory methodology in order to build a causal model. Analysis of participants’ reports identified ‘unrealistic expectations of the LAGB’ as the core category. Additionally, the restriction of the band had a negative impact on participants’ social interactions, leading to feelings of deprivation and, thus, to a desire for reward from food choices and consequently an increase of consumption of high-calorie-dense foods. These foods were chosen because of their specific texture or ability to provide reward. The resulting increase in weight or failure to achieve excess weight loss, led to feelings of shame and loneliness and emotional eating resulting in increased the consumption of rewarding foods. Thus, identifying unrealistic expectations of laparoscopic adjustable gastric band (LAGB) and emotional eating behaviours are important in those who are present initially for primary bariatric and revisional bariatric surgery, as they may contribute specifically to these patients’ weight regain and consequent failure to achieve excess weight loss.

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ID Code: 93546
Item Type: Journal Article
Refereed: Yes
Keywords: emotional eating, qualitative study, revisional bariatric surgery, weight maintenance
DOI: 10.1111/cob.12113
ISSN: 1758-8103
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Health Clinical and Counselling Psychology (170106)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Psychology & Counselling
Copyright Owner: Copyright 2015 World Obesity
Deposited On: 18 Mar 2016 03:00
Last Modified: 20 Jul 2016 16:49

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