{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T01:08:04Z","timestamp":1760404084725,"version":"build-2065373602"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"09\/10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Adipositas ist eine chronische Erkrankung, die mit einer Vielzahl physischer und\n                    psychischer Komorbidit\u00e4ten einhergehen kann, wie das metabolische Syndrom oder\n                    Depressionen. Bariatrische Operationen werden als eine Therapiem\u00f6glichkeit ab\n                    einem BMI\u226540\u2009kg\/m2 ohne Begleiterkrankungen oder ab einem\n                        BMI\u226535\u2009kg\/m2 mit mindestens einer adipositasassoziierten\n                    Begleiterkrankung in der S3-Leitlinie empfohlen. Die bariatrische Chirurgie\n                    stellt einen bedeutenden Therapieansatz dar, dessen langfristiger Erfolg durch\n                    psychosoziale Faktoren beeinflusst werden kann. Die vorliegende\n                    L\u00e4ngsschnittstudie untersucht, welchen Einfluss der Bindungsstil auf den\n                    langfristigen Erfolg einer bariatrischen Operation hat. Die Stichprobe umfasst\n                    N=30 Patient:innen mit Adipositas (M\/SD Alter=56,2\/8,6 Jahre, 83,3% weiblich),\n                    die zwischen 2010 und 2015 mittels bariatrischer Sleeve-Gastrektomie operiert\n                    wurden. Die Datenerhebung erfolgte pr\u00e4operativ (ca. 3 Monate vor der Operation)\n                    und postoperativ Ende 2019\/Anfang 2020. Neben soziodemografischen wurden\n                    gewichtsbezogene Daten und psychosoziale Belastungsfaktoren erhoben. Der\n                    Operationserfolg wird anhand der erreichten Gewichtsreduktion, der Verbesserung\n                    der Lebensqualit\u00e4t sowie der Abnahme von Depressivit\u00e4t, \u00c4ngstlichkeit und\n                    psychischer Gesamtbelastung definiert. Postoperativ wurde der Bindungsstil\n                    (eingeteilt in sicher-gebunden und unsicher-gebunden) erhoben. Au\u00dfer f\u00fcr die\n                    gewichtsbezogenen Daten kamen Frageb\u00f6gen zum Einsatz. Der Bindungsstil ist\n                    relevant f\u00fcr den postoperativen Erfolg in Bezug auf die Variablen Depressivit\u00e4t\n                    und psychische Gesamtbelastung. Bei diesen Variablen zeigten sicher-gebundene\n                    Patient:innen deutliche Verbesserungen, w\u00e4hrend die unsicher-gebundenen\n                    stagnierende bzw. leicht verschlechterte Werte postoperativ aufwiesen.\n                    Hinsichtlich des BMI konnten unabh\u00e4ngig vom Bindungsstil bei allen Patient:innen\n                    deutliche postoperative Verbesserungen festgestellt werden. Die Ergebnisse\n                    deuten darauf hin, dass die Bindungsgruppen langfristig betrachtet nicht\n                    gleicherma\u00dfen von der Operation hinsichtlich der psychosozialen Variablen\n                    profitieren. Deshalb ist es notwendig, vulnerable Patient:innen pr\u00e4operativ zu\n                    erfassen, um ma\u00dfgeschneiderte Unterst\u00fctzungsangebote zu gew\u00e4hrleisten. Eine\n                    individualisierte, bindungsorientierte Betreuung erscheint dabei besonders\n                    zielf\u00fchrend.<\/jats:p>","DOI":"10.1055\/a-2589-1835","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T18:38:13Z","timestamp":1749494293000},"page":"395-402","source":"Crossref","is-referenced-by-count":0,"title":["Die Bedeutung des Bindungsstils f\u00fcr den Erfolg bariatrischer\n                    Operationen \u2013 Ergebnisse eines langfristigen Follow-Ups"],"prefix":"10.1055","volume":"75","author":[{"given":"Marina","family":"Seidler","sequence":"additional","affiliation":[{"name":"Psychologie, SRH University, Gera"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Strau\u00df","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychosoziale Medizin, Psychotherapie und Psychoonkologie,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann","family":"Ki\u00dfler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Gef\u00e4\u00dfchirurgie,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christof","family":"Kloos","sequence":"additional","affiliation":[{"name":"Innere Medizin III, Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tina","family":"M\u00fcnz","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychosoziale Medizin, Psychotherapie und Psychoonkologie,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan-Marie","family":"Schulte","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Psychosoziale Medizin, Psychotherapie und Psychoonkologie,\n                    Universit\u00e4tsklinikum Jena"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Luck-Sikorski","sequence":"additional","affiliation":[{"name":"Psychologie, SRH University, Gera"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regine","family":"Hochrein","sequence":"additional","affiliation":[{"name":"Psychologie, SRH University, Gera"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"S\u00e4nger","sequence":"additional","affiliation":[{"name":"Medizinp\u00e4dagogik, SRH University, Gera"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanne","family":"Hardecker","sequence":"additional","affiliation":[{"name":"Psychologie, SRH University, Gera"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharina","family":"Wick","sequence":"additional","affiliation":[{"name":"Studienbereich Soziales, Duale Hochschule Gera-Eisenach \u2013 Campus\n                    Gera"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"ref2","doi-asserted-by":"publisher","first-page":"21","DOI":"10.17886\/RKI-GBE-2017-025","article-title":"\u00dcbergewicht und Adipositas bei Erwachsenen in Deutschland","volume":"2","author":"A Schienkiewitz","year":"2017","journal-title":"Journal of Health Monitoring"},{"key":"ref3","first-page":"54","article-title":"How has body weight changed since the beginning of the COVID-19 pandemic?","volume":"7","author":"A Schienkiewitz","year":"2022","journal-title":"Journal of Health Monitoring"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1038\/ijo.2008.268","article-title":"Depression and anxiety among US adults: Association with body mass index","volume":"33","author":"G Zhao","year":"2009","journal-title":"International Journal of Obesity"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12935","article-title":"The association between weight stigma and mental health: A meta-analysis","volume":"21","author":"C Emmer","year":"2020","journal-title":"Obesity Reviews"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"944","DOI":"10.1016\/S2213-8587(18)30288-2","article-title":"Association of BMI with overall and cause-specific mortality: A population-based\n                    cohort study of 3.6 million adults in the UK","volume":"6","author":"K Bhaskaran","year":"2018","journal-title":"The Lancet Diabetes & Endocrinology"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1055\/a-1264-9720","article-title":"Weltweite Trends in der Adipositas-Chirurgie: Was machen wir in Deutschland\n                    anders?","volume":"14","author":"D Birk","year":"2020","journal-title":"Adipositas \u2013 Ursachen, Folgeerkrankungen, Therapie"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1055\/s-0037-1618730","article-title":"Operative Verfahren zur Behandlung der morbiden Adipositas. 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