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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.

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Emotional & Relationship Changes After Bariatric Surgery

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  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

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