Cognitive Behavioral Therapy for Bariatric Surgery Patients: Preliminary Evidence for Feasibility, Acceptability, and Effectiveness

Abstract

El objetivo de la presente investigación fue identificar los rasgos de personalidad característicos de pacientes del Hospital Militar Central de Bogotá, Colombia, candidatos a cirugía Bariátrica. Para ello se revisaron las historias clínicas de 430 pacientes que asistieron a valoración psicológica como candidatos a cirugía Bariátrica, se aplicó inventario MMPI2 y se desarrolló una entrevista semi-estructurada diseñada con base en el formato de evaluación para pacientes con diagnóstico de obesidad mórbida. Se encontró que los rasgos predominantes son las combinaciones 1-2 Hipocondriasis-Depresión para los participantes que presentaban obesidad tipo I y II, y 1-8 Hipocondriasis-Esquizofrenia para los participantes que presentaban súper obesidad. Se concluye una relación entre los perfiles y los comportamientos que caracterizan a las personas obesas, pero no se evidencian dificultades en el desempeño social, tal y como lo corrobora la literatura sobre el tema a nivel mundial. Palabras claves: Obesidad, Rasgos de personalidad, Cirugía Bariátrica, Salud

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

“…The strengths of this study include the use of a specific CBT intervention designed for bariatric surgery patients and previously studied in pre-surgery patient populations [11]. However, the study results should be interpreted in the context of the following limitations.…”

“…Tele-CBT sessions were delivered by two Master's-level psychologists who were trained on the Tele-CBT protocol and supervised by two doctoral level registered clinical psychologists. Full details of the Tele-CBT protocol has been previously described [11].…”

“…During their study of a brief (15-min) dietary counseling intervention, Sarwer and colleagues offered a telephone version of their face-to-face counseling intervention for those patients who could attend in person after bariatric surgery and demonstrated significant improvement in eating behaviors postintervention [10]. Our research group previously developed a Telephone CBT (Tele-CBT) manual and 6-session intervention for bariatric surgery patients to address these delivery challenges [11]. Despite this preliminary evidence, no studies to date have examined the efficacy of a Tele-CBT only intervention in bariatric surgery patients during the postoperative phase.…”

“…We used a previously developed 6-session Tele-CBT only intervention for bariatric surgery patients, which showed efficacy in reducing eating psychopathology and depressive symptoms prior to surgery in a randomized-controlled trial [11,12]. These previous studies did not focus on Tele-CBT feasibility and acceptability at 6 months post-surgery, which was the rationale for this study.…”

Can Body Group Therapy after Bariatric Surgery be Effective to Avoid Weight Regain? A Clinical Experience

“…The persistence of body shape concern and uneasiness after weight loss determining the inability to recognize one-self as an individual with own desire and capacity, is considered a risk factor for weight regain [2]. Psychotherapy is the most useful instrument to reconstruct body image and achieve weight maintenance [3][4][5][6][7].…”