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ARTICLE |

Surgery for Obesity and Marriage Quality FREE

Colleen S. W. Rand, PhD; John M. Kuldau, MD; Lynn Robbins
[+] Author Affiliations

Reprint requests to Box J-256, J. Hillis Miller Health Center, Department of Psychiatry, Gainesville, FL 32610 (Dr Rand).


JAMA. 1982;247(10):1419-1422. doi:10.1001/jama.1982.03320350023021
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Before surgery for obesity, most of 54 morbidly obese patients considered their marriage to be good, although marked problems were higher than for a comparison group. One year later, a majority still rated their marriage as good; many reported better relations with their spouses. Sexual functioning was enhanced. Three years postoperatively (n=30), the incidence of marital harmony had risen to the same level as for the comparison group and sexual functioning continued to be improved. The divorce rate during the three years, however, was somewhat higher, particularly in those marriages originally found to be troubled before surgery. The implications of these findings for the decision to undertake surgery for obesity are discussed.

(JAMA 1982;247:1419-1422)

REFERENCES

Bray GA, Benfield JR:  Intestinal bypass for obesity: A summary and perspective . Am J Clin Nutr 1977;;30:121-127.
Solow C:  Psychosocial aspects of intestinal bypass surgery for massive obesity: Current status . Am J Clin Nutr 1977;;30:103-108.
O'Leary JP:  An appraisal of the status of small bowel bypass in the treatment of morbid obesity . Clin Endocrinol Metabol 1976;;5:481-501.
Faloon WW, Flood MS, Anoesty S, et al:  Assessment of jejunoileostomy for obesity— some observations since 1976 . Am J Clin Nutr 1980;;33:431-439.
Saltzstein EC, Gutmann MC:  Gastric bypass for morbid obesity . Arch Surg 1980;; 115:21-28.
Kuldau JM, Rand CSW:  Jejunoileal bypass: General and psychiatric outcome after one year . Psychosomatics 1980;;21:534-539.
Crisp AH, Kalucy RS, Pilkington TRE, et al:  Some psychosocial consequences of jejunoileal bypass surgery . Am J Clin Nutr 1977;;20:109-120.
Neill JR, Marshall JR, Yale CE:  Marital changes after intestinal bypass surgery . JAMA 1978;;240:447-450.
Warheit GJ, Holzer CE III, Schwab JJ:  An analysis of social class and racial differences in depressive symptomatology: A community study . J Health Soc Behav 1973;;14:291-299.
Hollingshead AB, Redlich FC: Social Class and Mental Illness . New York, John Wiley & Sons, 1958;, pp 387-397.
Hollingshead AB: Two Factor Index of Social Position , New Haven, Yale Station, 1965;, pp 1-11.

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Bray GA, Benfield JR:  Intestinal bypass for obesity: A summary and perspective . Am J Clin Nutr 1977;;30:121-127.
Solow C:  Psychosocial aspects of intestinal bypass surgery for massive obesity: Current status . Am J Clin Nutr 1977;;30:103-108.
O'Leary JP:  An appraisal of the status of small bowel bypass in the treatment of morbid obesity . Clin Endocrinol Metabol 1976;;5:481-501.
Faloon WW, Flood MS, Anoesty S, et al:  Assessment of jejunoileostomy for obesity— some observations since 1976 . Am J Clin Nutr 1980;;33:431-439.
Saltzstein EC, Gutmann MC:  Gastric bypass for morbid obesity . Arch Surg 1980;; 115:21-28.
Kuldau JM, Rand CSW:  Jejunoileal bypass: General and psychiatric outcome after one year . Psychosomatics 1980;;21:534-539.
Crisp AH, Kalucy RS, Pilkington TRE, et al:  Some psychosocial consequences of jejunoileal bypass surgery . Am J Clin Nutr 1977;;20:109-120.
Neill JR, Marshall JR, Yale CE:  Marital changes after intestinal bypass surgery . JAMA 1978;;240:447-450.
Warheit GJ, Holzer CE III, Schwab JJ:  An analysis of social class and racial differences in depressive symptomatology: A community study . J Health Soc Behav 1973;;14:291-299.
Hollingshead AB, Redlich FC: Social Class and Mental Illness . New York, John Wiley & Sons, 1958;, pp 387-397.
Hollingshead AB: Two Factor Index of Social Position , New Haven, Yale Station, 1965;, pp 1-11.
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