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Cognitive Behavioral Therapy Versus Usual Care Before Bariatric Surgery
- Source :
- Obesity Surgery, 31. SPRINGER, Obesity Surgery, 31(3), 970-979. Springer New York, Obesity Surgery
- Publication Year :
- 2021
- Publisher :
- Springer New York, 2021.
-
Abstract
- BackgroundAlthough early results of bariatric surgery are beneficial for most patients, some patients regain weight later. Cognitive behavioral therapy (CBT) has been suggested as a way to improve patients’ psychological health and maintaining weight loss in the longer term. The added value of preoperative CBT to bariatric surgery was examined. Pre- and posttreatment and 1-year follow-up data are presented.MethodsIn a multi-center randomized controlled trial, CBT was compared to a treatment-as-usual (TAU) control group. Measurements were conducted pre- and posttreatment/pre-surgery (T0 and T1) and at 1-year post-surgery (T2). Patients in the intervention group received 10 individual, weekly sessions of preoperative CBT focused on modifying thoughts and behaviors regarding eating behavior, physical exercise, and postoperative life style. Outcome measures included weight change, eating behavior, eating disorders, depression, quality of life, and overall psychological health.ResultsThough no significant differences between conditions were found per time point, in the CBT, condition scores on external eating, emotional eating, depressive symptoms, and psychological distress decreased significantly more over time between pre- (T0) and posttreatment (T1) pre-surgery compared to TAU. No significant time x condition differences were found at 1-year post-surgery (T2).ConclusionsCompared to TAU, preoperative CBT showed beneficial effects on eating behavior and psychological symptoms only from pretreatment to posttreatment/pre-surgery, but not from pre-surgery to 1-year post-surgery. Preoperative CBT does not seem to contribute to better long-term outcomes post-surgery. Recent studies suggest that the optimal time to initiate psychological treatment may be early in the postoperative period, before significant weight regain has occurred.Trial Registrationhttps://www.trialregister.nlIdentifier: Trial NL3960.
- Subjects :
- Quality of life
medicine.medical_specialty
Weight loss
Original Contributions
Endocrinology, Diabetes and Metabolism
medicine.medical_treatment
EXAMINATION-QUESTIONNAIRE
WEIGHT-LOSS
Physical exercise
GASTRIC BYPASS-SURGERY
law.invention
Randomized controlled trial
law
medicine
Humans
Eating behavior
Bariatric surgery
OUTCOMES
Nutrition and Dietetics
business.industry
Depression
Weight change
PSYCHIATRIC-DISORDERS
EATING-DISORDER EXAMINATION
Emotional eating
medicine.disease
Obesity, Morbid
Surgery
Cognitive behavioral therapy
Eating disorders
Treatment Outcome
PSYCHOMETRIC PROPERTIES
OBESITY
medicine.symptom
EDE-Q
business
INTERVENTION
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 17080428 and 09608923
- Volume :
- 31
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Obesity Surgery
- Accession number :
- edsair.doi.dedup.....34e274a1ab4a5f6fc6dbef6703cc8533