This cross-sectional study of 163 women with a mean age of 48 examined service utilization before and after gastric bypass surgery. Time since surgery ranged from 12 months to over 6 years. Service use prior to surgery, specifically extended dietary counseling and attendance at bariatric support groups, was associated with a higher sense of coherence and better postsurgical dietary adherence. Attendance at groups after surgery was mildly associated with better exercise adherence. Postsurgical depression was significantly related to postsurgical weight gain and worse quality of life outcomes. A 9-item eating assessment designed for the study was used to examine pre and postsurgical dietary adherence. The measure detected a significant improvement in eating behaviors for the majority of participants. A path analysis indicated that postsurgical dietary adherence, sense of coherence, and BMI accounted for 59% of the variance in postsurgical quality of life.
| Identifer | oai:union.ndltd.org:PITT/oai:PITTETD:etd-05142008-155141 |
| Date | 15 May 2008 |
| Creators | Santhouse, Robin |
| Contributors | Gary Koeske, PhD, Nancy Grote, Ph.D., Christina Newhill, Ph.D., Thomas Petrone, Ph.D. |
| Publisher | University of Pittsburgh |
| Source Sets | University of Pittsburgh |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.pitt.edu/ETD/available/etd-05142008-155141/ |
| Rights | restricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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