Pilot evaluation of a substance abuse prevention group intervention for at-risk bariatric surgery candidates

Ashton, Kathleen; Heinberg, Leslie J.; Merrell, Julie; Lavery, Megan; Windover, Amy; Alcorn, Kathleen

doi:10.1016/j.soard.2013.01.016

Cited by 22 publications

(26 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients’ education should incorporate prevention materials of substance use to reduce relapse among substance users and to prevent substance use initiation among never-users of substance after surgery. For example, Ashton et al (2013) conducted a pilot intervention study in a group of 86 patients with a history of substance abuse or at-risk substance use applying for bariatric surgery (mean age=46.2 years). The 90-minutes group intervention consisted of “psycho-education” and “discussion about the effects of substances and addictions after surgery”.…”

Section: Discussionmentioning

confidence: 99%

Substance use after bariatric surgery: A review

2016

Journal of Psychiatric Research

View full text Add to dashboard Cite

Background Prevalence of obesity has increased dramatically. Obese individuals may undergo bariatric surgery to lose excessive body fat and mitigate obesity-related comorbidities. However, bariatric patients are particularly vulnerable to substance use problems. We conducted a review to examine the prevalence change and factors associated with substance use and determine the association between substance use and health status after weight loss among bariatric patients. Methods We searched peer-reviewed articles published between January 1990 and January 2015 in several databases (PubMed, PsycINFO, Cochrane Library, Google Scholar) using different keywords combinations. Studies that focused on pre-surgery substance use only or without reported effect measurements were excluded. Results Overall, 40 studies were included in the review. Preoperative history of substance use was a reliable correlate of postoperative substance use. The prevalence of postoperative alcohol use was higher among patients with preoperative history of alcohol use than those without. Postoperative prevalence of alcohol use ranged from 7.6% to 11.8%. No significant prevalence change in cigarette smoking from pre- to postoperative period was observed. Time effect was not observed on smoking or drug use prevalence, while an increase in alcohol consumption was inconsistent across studies. The proportion of new-onset substance users among bariatric patients after surgery ranged from 34.3% to 89.5%. Conclusion Substance use is associated with poor health among bariatric patients. Preoperative assessment and postoperative follow-up should include interventions to reduce relapse among users and prevent substance use initiation.

show abstract

Section: Discussionmentioning

confidence: 99%

Substance use after bariatric surgery: A review

2016

Journal of Psychiatric Research

View full text Add to dashboard Cite

show abstract

“…Moreover, vitamin deficiencies after GBP, especially thiamine, can result in the onset of acute Wernicke’s encephalopathy and/or Korsakoff syndrome [225]. Studies on the effects of cognitive behavioral therapy before surgery for obesity to reduce dependence on alcohol showed no significant effect in the long-term follow-up of patients with substance dependence [226]. Furthermore, there is a concern that some individuals with a history of substance abuse or dependence prior to surgery may postoperatively develop other compulsive or addictive behaviors, such as binging, compulsive shopping, gambling and, more rarely, drug abuse [227].…”

Section: Chapter 3: Specific Considerations and Indications For Surgementioning

confidence: 99%

Indications for Surgery for Obesity and Weight-Related Diseases: Position Statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)

Luca

Angrisani

Himpens³

et al. 2016

OBES SURG

252

122

View full text Add to dashboard Cite

show abstract

“…En relación a estos cambios, existen reportes de aumento en la incidencia del uso inadecuado y abuso de alcohol en aquellos pacientes sometidos a cirugía bariátrica 10 . Se ha estimado que entre un 2 a 6% de los ingresos a centros de tratamiento para adicciones tendrían historia de cirugía bariátrica anterior 11 .…”

Section: Discussionunclassified

“…Producto de las diferencias en el riesgo de uso de alcohol que representan las distintas técnicas quirúrgicas, se ha sugerido que los cambios anátomo-funcionales podrían verse relacionados con las alteraciones farmacocinéticas que llevan a la intoxicación. Se ha reportado un aumento en la velocidad de absorción, disminución del intervalo de tiempo para alcanzar concentraciones máximas, aumento de las concentraciones máximas y un incremento de los tiempos de eliminación de alcohol 10 . Estudios realizados en Chile, en pacientes sometidos a gastrectomía vertical ("manga gástrica") han sido coincidentes en demostrar que los cambios anató-micos digestivos modifican considerablemente la absorción de alcohol alcanzando niveles plasmá-ticos más altos y persistentes 14 .…”

Section: Discussionunclassified

“…Se han sugerido recomendaciones con énfasis en el tamizaje inicial, reconocimiento de subgrupos de mayor riesgo, consideración de la historia familiar, consentimiento informado y sesiones psicoeducativas respecto al riesgo del uso de sustancias postcirugía 10 . Esta última intervención siendo especialmente reconocida como necesaria por los propios pacientes 20 .…”

Section: Discussionunclassified

See 1 more Smart Citation