Does Post-operative Psychotherapy Contribute to Improved Comorbidities in Bariatric Patients with Borderline Personality Disorder Traits and Bulimia Tendencies? A Prospective Study

Abstract

Our findings confirm the effectiveness of DBT in enhancing post-bariatric weight loss and reduction of comorbidities in patients showing BPD traits and bulimia tendencies. Further in-depth investigations and a longer follow-up are needed to strengthen these results.

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

“…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 …”

“…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 …”

“…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 . Kalarchian et al offered individual follow‐up phone calls subsequent to a group intervention …”

“…The intervention “dose” (calculated as the number of sessions multiplied by the mean session duration in minutes) varied widely across studies (minimum = 360 minutes; maximum = 10 920 minutes). 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 .…”

“…Thirty studies offered the psychosocial intervention in person . Thirteen studies utilized a combination of delivery methods, primarily in the form of in‐person interventions supplemented by telephone coaching calls . One RCT of post‐operative patients receiving acceptance and commitment therapy (ACT) employed telephone‐based and web‐based check‐ins .…”