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Struggle for a Meaningful Life after Obesity Treatment

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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