PMID- 32116836
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240328
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 11
DP  - 2020
TI  - Cognitive-Behavioral Therapy for Postbariatric Surgery Patients With Mental 
      Disorders: A Pilot Study.
PG  - 14
LID - 10.3389/fpsyt.2020.00014 [doi]
LID - 14
AB  - BACKGROUND: Binge-eating disorder (BED) and major depressive disorder (MDD) 
      following bariatric surgery are significant predictors for less post-operative 
      weight loss and/or weight regain, however, cognitive-behavioral therapy (CBT) 
      addressing these disorders following surgery has not been investigated so far. 
      OBJECTIVE: This study examined feasibility of a short-term CBT based on 
      evidence-based manuals for BED and MDD that were adapted to patients following 
      bariatric surgery, and investigated its effectiveness in improving weight loss 
      outcome, psychopathology, and psychosocial functioning. MATERIALS AND METHODS: In 
      an uncontrolled proof-of-concept study, the CBT manual was piloted in N = 7 
      patients who had undergone roux-en-Y gastric bypass surgery at least 6 months 
      before. Weight loss, eating disorder psychopathology, depressive symptoms, and 
      self-esteem were assessed using clinical interviews and self-report 
      questionnaires at pre-treatment, post-treatment, and in a 3-month follow-up. 
      RESULTS: A significant reduction of body weight was found as well as medium to 
      large effects in the improvement of eating disorder psychopathology, depressive 
      symptoms, and self-esteem from pre-treatment to post-treatment were found. Most 
      of those changes remained stable during the 3-month follow-up period. Study 
      retention was 71.4%. CONCLUSIONS: Feasibility and effectiveness of CBT were 
      documented for patients with BED or MDD following bariatric surgery. Adaptations 
      of the study procedure for proof-of-efficacy in randomized-controlled studies are 
      discussed.
CI  - Copyright (c) 2020 Rudolph and Hilbert.
FAU - Rudolph, Almut
AU  - Rudolph A
AD  - Clinical Psychology and Psychotherapy, Department of Psychology, Faculty of Life 
      Sciences, University of Leipzig, Leipzig, Germany.
FAU - Hilbert, Anja
AU  - Hilbert A
AD  - Integrated Research and Treatment Center Adiposity Diseases, Departments of 
      Medical Psychology and Medical Sociology and Psychosomatic Medicine and 
      Psychotherapy, Leipzig University Medical Center, Leipzig, Germany.
LA  - eng
PT  - Journal Article
DEP - 20200212
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC7028699
OTO - NOTNLM
OT  - bariatric surgery
OT  - binge-eating disorder
OT  - cognitive-behavioral therapy
OT  - major depressive disorder
OT  - psychotherapy
EDAT- 2020/03/03 06:00
MHDA- 2020/03/03 06:01
PMCR- 2020/02/12
CRDT- 2020/03/03 06:00
PHST- 2019/09/23 00:00 [received]
PHST- 2020/01/07 00:00 [accepted]
PHST- 2020/03/03 06:00 [entrez]
PHST- 2020/03/03 06:00 [pubmed]
PHST- 2020/03/03 06:01 [medline]
PHST- 2020/02/12 00:00 [pmc-release]
AID - 10.3389/fpsyt.2020.00014 [doi]
PST - epublish
SO  - Front Psychiatry. 2020 Feb 12;11:14. doi: 10.3389/fpsyt.2020.00014. eCollection 
      2020.