Obesity problems vary on a continuum of
intensity and types of problems during different periods of life. An increasing
amount of available treatment requires patients and professionals to make
choices concerning the suitability of the individual patient to undergo certain
types of treatment. Surgical treatment is considered sustainable and more
successful for weight loss than other interventions. Alternatively,
conservative treatment of obesity may be a matter of dealing with mental issues
as well as diet and exercise. In a qualitative context, a deeper understanding
related to patients’ own post-treatment experiences is needed.
The aim of this
review was to describe and systemize existing literature on patient-experiences
in the context of obesity treatment. The review question was: How do patients
describe their experiences after obesity treatment? A systematic
qualitative literature review was conducted for the period from 2006 to
November 2016. The search was done in Medline, Embase and CINAHL databases by using the words:
Obesity, binge eating, patient, experience or perspective, treat or therap
or surgery or cognitive, intervention, programme. And the methodological quality was assessed according to the Critical
Appraisal Skills Program.
15 studies were
included and an overview of the qualitative designs was presented. From the thematic, data-driven qualitative content analysis,
one main theme, Struggle for a meaningful life during transition
related to obesity treatment, was developed. The main theme was derived
from three themes related to the patients’ challenges when searching for
positive self-existence, for relevant treatment-support, and for a balance to
obtain inner and outer control.
In conclusion, different
types of obesity treatment create processes of transitions. However, it is
crucial that clinicians are aware of the potential existential struggle after
obesity treatment that is experienced by the individual patients. Clearly, some
patients have more need of interventions targeting mental challenges than
others. Future interventions should take into account that physical and mental
treatment must work together.
Article by Kristine
Rørtveit, et al, from Norway.
Full access: http://mrw.so/2w6IOw
Image by Vardhan ayur, from Flickr-cc.
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