A Pilot Study on Telephone Cognitive Behavioral Therapy for Patients Six-Months Post-Bariatric Surgery

Sockalingam, Sanjeev; Cassin, Stephanie E.; Wnuk, Susan; Du, Chau; Jackson, Timothy; Hawa, Raed; Parikh, Sagar V.

doi:10.1007/s11695-016-2322-x

Cited by 41 publications

(60 citation statements)

References 24 publications

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“…Of the studies reviewed, 16 focused on preoperative interventions and 24 on post‐operative interventions . One study offered the intervention either before or after surgery, and three studies examined interventions delivered at time points both before and after surgery …”

Section: Resultsmentioning

confidence: 99%

“…Of the reviewed articles, 13 studies examined a cognitive‐behavioural intervention, and 13 examined behavioural modification techniques . Many selected studies examined a cognitive, cognitive‐behavioural, or behavioural modification intervention in conjunction with various other approaches, including motivational techniques, mindfulness‐based approaches, acceptance‐based treatments, dialectical behavioural therapy (DBT), virtual reality, dynamic guidance psychotherapy, exercise programmes, and meal delivery programmes …”

Section: Resultsmentioning

confidence: 99%

“…Of the selected studies, 24 conducted group‐based interventions, and 16 conducted the interventions individually . Galle et al offered participants DBT, which included both individual and group therapy components .…”

Section: Resultsmentioning

confidence: 99%

“…The psychosocial interventions examined in the selected studies included a wide range of therapeutic strategies. The most common strategies employed across studies included psychoeducation, self‐monitoring, goal setting, mechanical/normalized eating, stimulus control, cognitive restructuring, addressing ambivalence, problem solving, using reinforcements,…”

Section: Resultsmentioning

confidence: 99%

“…Galle and colleagues provided the largest treatment dose, with weekly 1‐hour individual sessions in addition to weekly 2 to 2.5‐hour DBT skills groups for 1 year . The least intensive treatments consisted of four 90‐minute group sessions or six 60‐minute individual sessions . The treatment dose could not be calculated for 14 studies …”

Section: Resultsmentioning

confidence: 99%

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Preoperative and post‐operative psychosocial interventions for bariatric surgery patients: A systematic review

2020

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Summary Psychosocial interventions are increasingly being utilized to help patients prepare for, and adjust to changes following, bariatric surgery in order to optimize psychosocial adjustment and weight loss. The current systematic review examined the impact of preoperative and post‐operative psychosocial interventions with a behavioural and/or cognitive focus on weight, dietary behaviours, eating pathology, lifestyle behaviours, and psychological functioning. A PsycINFO and Medline search of publications was conducted in March 2019. Two authors assessed retrieved titles and abstracts to determine topic relevance and rated the quality of included studies using a validated checklist. Forty‐four articles (representing 36 studies) met the study inclusion criteria. The current evidence is strongest for the impact of psychosocial interventions, particularly cognitive behavioural therapy, on eating behaviours (eg, binge eating and emotional eating) and psychological functioning (eg, quality of life, depression, and anxiety). The evidence for the impact of psychosocial interventions on weight loss, dietary behaviours (eg, dietary intake), and lifestyle behaviours (eg, physical activity) is relatively weak and mixed. Psychosocial interventions can improve eating pathology and psychosocial functioning among bariatric patients, and the optimal time to initiate treatment appears to be early in the post‐operative period before significant problematic eating behaviours and weight regain occur.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Preoperative and post‐operative psychosocial interventions for bariatric surgery patients: A systematic review

2020

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Cognitive‐behavioral therapy in the time of coronavirus: Clinician tips for working with eating disorders via telehealth when face‐to‐face meetings are not possible

Waller

Pugh

Mulkens

et al. 2020

Intl J Eating Disorders

133

107

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Objective: The coronavirus pandemic has led to a dramatically different way of working for many therapists working with eating disorders, where telehealth has suddenly become the norm. However, many clinicians feel ill equipped to deliver therapy via telehealth, while adhering to evidence-based interventions. This article draws together clinician experiences of the issues that should be attended to, and how to address them within a telehealth framework.Method: Seventy clinical colleagues of the authors were emailed and invited to share their concerns online about how to deliver cognitive-behavioral therapy for eating disorders (CBT-ED) via telehealth, and how to adapt clinical practice to deal with the problems that they and others had encountered. After 96 hr, all the suggestions that had been shared by 22 clinicians were collated to provide timely advice for other clinicians.Results: A range of themes emerged from the online discussion. A large proportion were general clinical and practical domains (patient and therapist concerns about telehealth; technical issues in implementing telehealth; changes in the environment), but there were also specific considerations and clinical recommendations about the delivery of CBT-ED methods.Discussion: Through interaction and sharing of ideas, clinicians across the world produced a substantial number of recommendations about how to use telehealth to work with people with eating disorders while remaining on track with evidencebased practice. These are shared to assist clinicians over the period of changed practice.

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24‐Monthfollow‐upof randomized controlled trial of guided‐self‐helpfor loss‐of‐controleating after bariatric surgery

Grilo

Ivezaj

Duffy

et al. 2022

Intl J Eating Disorders

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Background Loss‐of‐control (LOC)‐eating postoperatively predicts suboptimal longer‐term outcomes following bariatric surgery. This study examined longer‐term effects through 24‐month follow‐ups after completing treatments in a randomized controlled trial testing guided‐self‐help treatments (cognitive‐behavioral therapy [gshCBT] and behavioral weight‐loss [gshBWL]) and control (CON) delivered postoperatively for LOC‐eating. Methods 140 patients with LOC‐eating 6 months after bariatric surgery were randomized (5:5:2 ratio) to 3‐months of gshCBT (n = 56), gshBWL (n = 60), or CON (n = 24) delivered by trained allied‐health clinicians. Independent assessments were performed throughout/after treatments and at 6‐, 12‐, 18‐, and 24‐month follow‐ups; 83% of patients were assessed at 24‐month follow‐up. Results Intention‐to‐treat analyses comparing the three groups (gshCBT vs. gshBWL vs. CON) in LOC‐eating abstinence at posttreatment (30%, 27%, 38%), 12‐month follow‐up (34%, 32%, 42%), and 24‐month follow‐up (45%, 32%, 38%) revealed no significant differences. Mixed‐models revealed significantly reduced LOC‐eating frequency through posttreatment, no significant changes in LOC‐eating frequency during follow‐up, and no differences between the three groups. Weight reduced significantly, albeit modestly, through posttreatment but increased significantly and substantially during follow‐ups, with no differences between groups. Conclusions Overall, the 12‐week scalable guided‐self‐help treatments did not differ from each other or control, were associated with significantly reduced frequency of LOC‐eating and modest weight loss at posttreatment but were followed by significant weight gain during the 24‐month follow‐up. Weight gain was substantial and nearly universal whereas the frequency of LOC‐eating did not change over time (i.e., LOC‐eating reductions and abstinence rates were well maintained through 24‐moth follow‐ups). Patients with postoperative LOC‐eating require more intensive adjunctive treatments. Public significance Loss‐of‐control (LOC) eating postoperatively predicts poorer bariatric surgery outcomes and the longer‐term effects of postoperative adjunctive postoperative interventions for LOC eating are unknown. In this 24‐month follow‐up of a controlled study of scalable guided‐self‐help treatments and a control condition, improvements in LOC‐eating frequency, eating‐disorder psychopathology, and depression during treatment were maintained well, with no differences between the three groups. Proportion of patients achieving abstinence from LOC‐eating at the 24‐month follow‐up ranged from 38% to 45% across the three groups. In contrast, weight increased significantly during the 24‐month follow‐ups, with no differences between the three groups. Findings suggest LOC‐eating following bariatric surgery might represent a “marker” for a subgroup of patients that are at risk for substantial weight gains over time. LOC eating following bariatric surgery is challenging to treat with low‐intensity scalable treatments and...

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A Pilot Study on Telephone Cognitive Behavioral Therapy for Patients Six-Months Post-Bariatric Surgery

Cited by 41 publications

References 24 publications

Preoperative and post‐operative psychosocial interventions for bariatric surgery patients: A systematic review

Preoperative and post‐operative psychosocial interventions for bariatric surgery patients: A systematic review

Cognitive‐behavioral therapy in the time of coronavirus: Clinician tips for working with eating disorders via telehealth when face‐to‐face meetings are not possible

24‐Monthfollow‐upof randomized controlled trial of guided‐self‐helpfor loss‐of‐controleating after bariatric surgery

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