A behavioral rating system predicts weight loss and quality of life after bariatric surgery

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
William HilgendorfDimitrios Stefanidis

Abstract

Bariatric surgery represents the most effective intervention for severe obesity available today; however, significant variability in postoperative outcomes exists. Effective tools that predict postoperative outcomes are needed for decision-making and patient counseling. We hypothesized that a validated behavioral assessment tool, the Cleveland Clinic Behavioral Rating Scale (CCBRS), would predict excess weight loss, health-related quality of life, depression, anxiety, and alcohol use after bariatric surgery. Hospital in the United States. A prospective observational study with 2-year planned follow-up was conducted with patients who completed a psychological clinical interview, the Short Form 36 (SF-36) v.2 Health Survey and brief self-report questionnaires measuring depression (PHQ-9), anxiety (GAD-7), and alcohol use (AUDIT) preoperatively. At the conclusion of the preoperative psychological evaluation, the psychologist completed the CCBRS. All questionnaires were readministered at 6, 12, 18, and 24 months after surgery. Generalized estimating equations were used to assess whether any CCBRS ratings predicted surgery outcomes. One hundred seventy-nine patients (113 Roux-en-Y gastric bypass and 66 sleeve gastrectomy) were inclu...Continue Reading

Citations

Sep 2, 2019·Journal of Clinical Psychology in Medical Settings·Andrew R Block, Ryan J Marek
Oct 7, 2020·Clinical Obesity·William HilgendorfDimitrios Stefanidis
Nov 16, 2019·Brain, Behavior, and Immunity·Célia FourrierNathalie Castanon

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