1 / 17

Emotional & Relationship Changes After Bariatric Surgery

Emotional & Relationship Changes After Bariatric Surgery. William Hartman, Ph.D. Weight Management Program 1 Daniel Burnham Ct. #370-C San Francisco, CA 94109 (415) 771-1821 bhartman123@gmail.com. Quality of Life, Part 1. Quality of Life: Part 2.

Download Presentation

Emotional & Relationship Changes After Bariatric Surgery

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Emotional & Relationship Changes After Bariatric Surgery William Hartman, Ph.D. Weight Management Program 1 Daniel Burnham Ct. #370-C San Francisco, CA 94109 (415) 771-1821 bhartman123@gmail.com

  2. Quality of Life, Part 1

  3. Quality of Life: Part 2

  4. Sexual Functioning: Changes After Surgery 50%+ people enjoy sex more post-op; 12% enjoy it less 78% of partners enjoy sex more post-op Normalization of reproductive hormones Men  testosterone  hypertension Improvements in desire, arousal, orgasm Fear of intimacy Reconstructive surgery is associated with strong improvement in sexual functioning

  5. Relationships Not much data here; most of it is older General findings: Marital adjustment improves Marital adjustment gets worse (in bad marriages) Relationships with parents, family, friends generally improve. But not always Issues: jealousy empowerment new roles resentment

  6. Sources of Relationship Satisfaction •  energy / mood / communication •  shared activities •  intimacy • Other...

  7. General Sources of Relationship Strain •  50% of marriages end in divorce • #1 source of strain is $$$ • #2 source of strain is children • Other sources of strain… • work time/pressure • infidelity • etc..

  8. Relationship Strain Caused by Bariatric Surgery • “Empowerment” • Jealousy •  Energy, openness, opportunity • Other...

  9. Working on Relationship Change • What women want from men • What men want from women • Open communication • willingness to listen • reflective listening • Counseling • couples • individual

  10. Quality of Life After Duodenal Switch William Hartman, Ph.D. Weight Management Program 1 Daniel Burnham Ct. #370-C San Francisco, CA 94109 (415) 771-1821 bhartman123@gmail.com

  11. Brief Questionnaire for Pac Lap Post-Operative Patients Circle a whole numberPoorer     Better Overall Quality of Life –3 –2 –1 0 +1 +2 +3 Pre-Op –3 –2 –1 0 +1 +2 +3 Post-Op Self-Esteem –3 –2 –1 0 +1 +2 +3 Pre-Op –3 –2 –1 0 +1 +2 +3 Post-Op Body Image –3 –2 –1 0 +1 +2 +3 Pre-Op –3 –2 –1 0 +1 +2 +3 Post-Op

  12. The Sample 55 Patients, 45 Women 10 Men Average Post Op Time 3 Years, 3 Mo (range 9 months – 10 years) Weight Loss: Women = 114 lbs (44% Body Wt) Men = 176 lbs (45% Body Wt)

  13. Overall Quality of Life Pre Post

  14. Physical RealmPhysical FunctionEnergy Pain

  15. Mental FunctioningSelf-Esteem Mental Health Body Image Sex Func

  16. Social FunctioningPartner Family Friends Coworkers

  17. The Whole Shootin’ Match

More Related