Cognitive behavioral therapy and predictors of weight loss in bariatric surgery patients
Bariatric surgery is the most effective treatment for morbid obesity. However, 20-30% of patients undergoing bariatric surgery experience premature weight stabilization or weight regain postoperatively. We report on the recent literature of predictors of weight loss and the efficacy of cognitive beh...
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| Veröffentlicht in: | Current opinion in psychiatry 2017-11, Vol.30 (6), p.474-479 |
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| creator | Paul, Linda van der Heiden, Colin Hoek, Hans W |
| description | Bariatric surgery is the most effective treatment for morbid obesity. However, 20-30% of patients undergoing bariatric surgery experience premature weight stabilization or weight regain postoperatively. We report on the recent literature of predictors of weight loss and the efficacy of cognitive behavioral therapy (CBT) in bariatric patients.
Preoperative disordered eating behaviors do not appear to be significantly predictive of postoperative weight loss. Postoperative disordered eating behaviors, eating disorders, and depressive symptoms have been found to be associated with less optimal weight loss results. Recent studies show that CBT can contribute in reducing disordered eating behaviors and depressive symptoms. Some studies also show that pre and postoperative CBT interventions can promote weight loss. New applications of CBT such as by telephone, internet, or virtual reality might contribute to more accessible and low-cost treatments for the large group of bariatric patients worldwide.
CBT seems to be effective in reducing risk factors for weight regain after bariatric surgery, such as disordered eating behavior and depression. Controlled studies with long-term follow-up and larger sample sizes are needed to investigate the long-term effect of CBT interventions on weight loss results and psychological well-being. |
| doi_str_mv | 10.1097/YCO.0000000000000359 |
| format | Article |
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Preoperative disordered eating behaviors do not appear to be significantly predictive of postoperative weight loss. Postoperative disordered eating behaviors, eating disorders, and depressive symptoms have been found to be associated with less optimal weight loss results. Recent studies show that CBT can contribute in reducing disordered eating behaviors and depressive symptoms. Some studies also show that pre and postoperative CBT interventions can promote weight loss. New applications of CBT such as by telephone, internet, or virtual reality might contribute to more accessible and low-cost treatments for the large group of bariatric patients worldwide.
CBT seems to be effective in reducing risk factors for weight regain after bariatric surgery, such as disordered eating behavior and depression. Controlled studies with long-term follow-up and larger sample sizes are needed to investigate the long-term effect of CBT interventions on weight loss results and psychological well-being.</description><identifier>ISSN: 0951-7367</identifier><identifier>EISSN: 1473-6578</identifier><identifier>DOI: 10.1097/YCO.0000000000000359</identifier><identifier>PMID: 28795980</identifier><language>eng</language><publisher>United States: Lippincott Williams & Wilkins Ovid Technologies</publisher><subject>Bariatric Surgery - adverse effects ; Bariatric Surgery - methods ; Bariatric Surgery - psychology ; Behavior modification ; Body weight loss ; Cognitive ability ; Cognitive behavioral therapy ; Cognitive therapy ; Cognitive Therapy - methods ; Computer applications ; Eating disorders ; Feeding and Eating Disorders - physiopathology ; Feeding and Eating Disorders - therapy ; Feeding Behavior ; Gastrointestinal surgery ; Humans ; Mental depression ; Obesity, Morbid - psychology ; Obesity, Morbid - surgery ; Postoperative Care - methods ; Risk factors ; Secondary Prevention - methods ; Surgery ; Weight control ; Well being</subject><ispartof>Current opinion in psychiatry, 2017-11, Vol.30 (6), p.474-479</ispartof><rights>Copyright Lippincott Williams & Wilkins Ovid Technologies Nov 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a404t-c88c4021e83d2788e1e99a00ad45b15548a92096c87355456a13dedb89566ef43</citedby><cites>FETCH-LOGICAL-a404t-c88c4021e83d2788e1e99a00ad45b15548a92096c87355456a13dedb89566ef43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28795980$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paul, Linda</creatorcontrib><creatorcontrib>van der Heiden, Colin</creatorcontrib><creatorcontrib>Hoek, Hans W</creatorcontrib><title>Cognitive behavioral therapy and predictors of weight loss in bariatric surgery patients</title><title>Current opinion in psychiatry</title><addtitle>Curr Opin Psychiatry</addtitle><description>Bariatric surgery is the most effective treatment for morbid obesity. However, 20-30% of patients undergoing bariatric surgery experience premature weight stabilization or weight regain postoperatively. We report on the recent literature of predictors of weight loss and the efficacy of cognitive behavioral therapy (CBT) in bariatric patients.
Preoperative disordered eating behaviors do not appear to be significantly predictive of postoperative weight loss. Postoperative disordered eating behaviors, eating disorders, and depressive symptoms have been found to be associated with less optimal weight loss results. Recent studies show that CBT can contribute in reducing disordered eating behaviors and depressive symptoms. Some studies also show that pre and postoperative CBT interventions can promote weight loss. New applications of CBT such as by telephone, internet, or virtual reality might contribute to more accessible and low-cost treatments for the large group of bariatric patients worldwide.
CBT seems to be effective in reducing risk factors for weight regain after bariatric surgery, such as disordered eating behavior and depression. Controlled studies with long-term follow-up and larger sample sizes are needed to investigate the long-term effect of CBT interventions on weight loss results and psychological well-being.</description><subject>Bariatric Surgery - adverse effects</subject><subject>Bariatric Surgery - methods</subject><subject>Bariatric Surgery - psychology</subject><subject>Behavior modification</subject><subject>Body weight loss</subject><subject>Cognitive ability</subject><subject>Cognitive behavioral therapy</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>Computer applications</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders - physiopathology</subject><subject>Feeding and Eating Disorders - therapy</subject><subject>Feeding Behavior</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Mental depression</subject><subject>Obesity, Morbid - psychology</subject><subject>Obesity, Morbid - surgery</subject><subject>Postoperative Care - methods</subject><subject>Risk factors</subject><subject>Secondary Prevention - methods</subject><subject>Surgery</subject><subject>Weight control</subject><subject>Well being</subject><issn>0951-7367</issn><issn>1473-6578</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkN9LwzAQx4Mobk7_A5GAL750Jk3SJo9S_AWDvSjoU0nb65bRtTVJJ_vvzdgU2b0cB5_7cPdF6JqSKSUqvf_M5lPyv5hQJ2hMecqiRKTyFI2JEjRKWZKO0IVzq8BwGqtzNIplqoSSZIw-sm7RGm82gAtY6o3prG6wX4LV_RbrtsK9hcqUvrMOdzX-BrNYetx0zmHT4kJbo701JXaDXYDd4l57A613l-is1o2Dq0OfoPenx7fsJZrNn1-zh1mkOeE-KqUsOYkpSFbFqZRAQSlNiK64KKgQXGoVE5WUMmVhEommrIKqkEokCdScTdDd3tvb7msA5_O1cSU0jW6hG1xOVdCyWAgW0NsjdNUNtg3XBUpKwqSkOyHfU6UNT1qo896atbbbnJJ8l3weks-Pkw9rNwf5UKyh-lv6jZr9AAtVfdU</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Paul, Linda</creator><creator>van der Heiden, Colin</creator><creator>Hoek, Hans W</creator><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201711</creationdate><title>Cognitive behavioral therapy and predictors of weight loss in bariatric surgery patients</title><author>Paul, Linda ; van der Heiden, Colin ; Hoek, Hans W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a404t-c88c4021e83d2788e1e99a00ad45b15548a92096c87355456a13dedb89566ef43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Bariatric Surgery - adverse effects</topic><topic>Bariatric Surgery - methods</topic><topic>Bariatric Surgery - psychology</topic><topic>Behavior modification</topic><topic>Body weight loss</topic><topic>Cognitive ability</topic><topic>Cognitive behavioral therapy</topic><topic>Cognitive therapy</topic><topic>Cognitive Therapy - methods</topic><topic>Computer applications</topic><topic>Eating disorders</topic><topic>Feeding and Eating Disorders - physiopathology</topic><topic>Feeding and Eating Disorders - therapy</topic><topic>Feeding Behavior</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Mental depression</topic><topic>Obesity, Morbid - psychology</topic><topic>Obesity, Morbid - surgery</topic><topic>Postoperative Care - methods</topic><topic>Risk factors</topic><topic>Secondary Prevention - methods</topic><topic>Surgery</topic><topic>Weight control</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paul, Linda</creatorcontrib><creatorcontrib>van der Heiden, Colin</creatorcontrib><creatorcontrib>Hoek, Hans W</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Current opinion in psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paul, Linda</au><au>van der Heiden, Colin</au><au>Hoek, Hans W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cognitive behavioral therapy and predictors of weight loss in bariatric surgery patients</atitle><jtitle>Current opinion in psychiatry</jtitle><addtitle>Curr Opin Psychiatry</addtitle><date>2017-11</date><risdate>2017</risdate><volume>30</volume><issue>6</issue><spage>474</spage><epage>479</epage><pages>474-479</pages><issn>0951-7367</issn><eissn>1473-6578</eissn><abstract>Bariatric surgery is the most effective treatment for morbid obesity. However, 20-30% of patients undergoing bariatric surgery experience premature weight stabilization or weight regain postoperatively. We report on the recent literature of predictors of weight loss and the efficacy of cognitive behavioral therapy (CBT) in bariatric patients.
Preoperative disordered eating behaviors do not appear to be significantly predictive of postoperative weight loss. Postoperative disordered eating behaviors, eating disorders, and depressive symptoms have been found to be associated with less optimal weight loss results. Recent studies show that CBT can contribute in reducing disordered eating behaviors and depressive symptoms. Some studies also show that pre and postoperative CBT interventions can promote weight loss. New applications of CBT such as by telephone, internet, or virtual reality might contribute to more accessible and low-cost treatments for the large group of bariatric patients worldwide.
CBT seems to be effective in reducing risk factors for weight regain after bariatric surgery, such as disordered eating behavior and depression. Controlled studies with long-term follow-up and larger sample sizes are needed to investigate the long-term effect of CBT interventions on weight loss results and psychological well-being.</abstract><cop>United States</cop><pub>Lippincott Williams & Wilkins Ovid Technologies</pub><pmid>28795980</pmid><doi>10.1097/YCO.0000000000000359</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Bariatric Surgery - adverse effects Bariatric Surgery - methods Bariatric Surgery - psychology Behavior modification Body weight loss Cognitive ability Cognitive behavioral therapy Cognitive therapy Cognitive Therapy - methods Computer applications Eating disorders Feeding and Eating Disorders - physiopathology Feeding and Eating Disorders - therapy Feeding Behavior Gastrointestinal surgery Humans Mental depression Obesity, Morbid - psychology Obesity, Morbid - surgery Postoperative Care - methods Risk factors Secondary Prevention - methods Surgery Weight control Well being |
| title | Cognitive behavioral therapy and predictors of weight loss in bariatric surgery patients |
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