Stop regain: a pilot psychological intervention for bariatric patients experiencing weight regain

Obesity Surgery
Susan M HimesMichael G Sarr

Abstract

A subset of bariatric patients fails to achieve or maintain long-term successful weight loss. Psychological and behavioral factors contributing to poor long-term outcomes include decreased adherence to surgical eating guidelines, life stressors that derail weight maintenance, unhealthy eating patterns, and substance use. A 6-week pilot group behavioral intervention utilizing techniques of cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) was developed to treat bariatric patients experiencing weight regain. Patients were treated at a large Midwestern academic medical center. Twenty-eight patients (93% female, 100% Caucasian) with a mean age of 53 and a mean BMI of 35.6 had regained an average of 17 kg or 37% of the weight lost after initially successful Roux-en-Y gastric bypass (RYGB). All patients completed the Structured Clinical Interview for DSM-IV-TR (SCID I) modules assessing mood and substance dependence, and completed a series of questionnaires before and after group treatment, with weekly assessment of depressive symptoms, binge eating, and alcohol use. Results were analyzed utilizing repeated measures ANOVA. Weight decreased during the intervention by an average of 1.6 ± 2.38 kg (p ≤ 0.01). Leve...Continue Reading

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Citations

Oct 16, 2015·Obesity Surgery·Afton M KoballKaren B Grothe
Sep 15, 2015·European Eating Disorders Review : the Journal of the Eating Disorders Association·Melissa A Kalarchian, Marsha D Marcus
Apr 9, 2017·Eating and Weight Disorders : EWD·Christiane EfferdingerReinhold Jagsch
Dec 5, 2017·Eating and Weight Disorders : EWD·Ana Carolina Maciel CancianMargareth da Silva Oliveira
Feb 22, 2018·Obesity Surgery·Gitanjali Srivastava, Cynthia Buffington
Aug 1, 2018·Expert Review of Endocrinology & Metabolism·Maria Letizia PetroniGiulio Marchesini
Nov 5, 2019·Obesity Surgery·Vera VoorwindeMaartje M van Stralen
Jan 24, 2020·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Lauren A DavidStephanie E Cassin
Aug 11, 2017·Current Opinion in Psychiatry·Linda PaulHans W Hoek
Mar 11, 2017·Surgical Endoscopy·Allison G McNickle, Steven R Bonomo
Sep 1, 2018·Current Nutrition Reports·Saketh R VelapatiManpreet S Mundi
Nov 11, 2019·Current Psychiatry Reports·Julianna N BrutmanJon F Davis
Feb 7, 2020·Psicologia, Reflexão E Crítica : Revista Semestral Do Departamento De Psicologia Da UFRGS·Lucas André Schuster de SouzaMargareth da Silva Oliveira
Apr 16, 2020·Expert Opinion on Pharmacotherapy·Kishore M Gadde, Katelyn D Atkins
Jun 12, 2020·Obesity Science & Practice·Tilman ReineltCarl-Peter Bauer
Jan 20, 2019·Current Obesity Reports·Melissa A Kalarchian, Marsha D Marcus
Jan 5, 2021·Obesity Surgery·Maria Paula Carlin CambiDiogo Turiani Hourneaux de Moura
Feb 7, 2021·Eating and Weight Disorders : EWD·Katy W Martin-FernandezLeslie J Heinberg
Mar 22, 2021·The Surgical Clinics of North America·Afton M KoballRachel E Goetze
Aug 17, 2021·Journal of Psychosomatic Research·Dominique Grohmann, Keith R Laws
Nov 14, 2021·Journal of Behavioral Medicine·Katy W Martin-FernandezLeslie M Schuh

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