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Cognitive-Behavioral Therapy for Postbariatric Surgery Patients With Mental Disorders: A Pilot Study
1Clinical Psychology and Psychotherapy, Department of Psychology, Faculty of Life Sciences, University of Leipzig, Leipzig, Germany.
Frontiers in Psychiatry
|March 3, 2020
Summary
Cognitive-behavioral therapy (CBT) is feasible and effective for patients with binge-eating disorder (BED) or major depressive disorder (MDD) after bariatric surgery, improving weight loss and mental health.
Area of Science:
- Bariatric Surgery Outcomes
- Psychological Interventions
- Eating Disorders & Mood Disorders
Background:
- Binge-eating disorder (BED) and major depressive disorder (MDD) negatively impact bariatric surgery outcomes.
- Cognitive-behavioral therapy (CBT) has not been previously studied for these conditions post-surgery.
Purpose of the Study:
- Examine the feasibility of short-term CBT adapted for post-bariatric surgery patients with BED or MDD.
- Investigate CBT's effectiveness on weight loss, psychopathology, and psychosocial functioning.
Main Methods:
- An uncontrolled proof-of-concept study involving 7 patients post-roux-en-Y gastric bypass.
- Assessed weight loss, eating disorder psychopathology, depressive symptoms, and self-esteem pre- and post-treatment, with 3-month follow-up.
Main Results:
- Significant body weight reduction observed.
- Medium to large improvements in eating disorder psychopathology, depressive symptoms, and self-esteem.
- Treatment gains remained stable at 3-month follow-up; 71.4% study retention.
Conclusions:
- Short-term CBT is feasible and effective for BED or MDD patients post-bariatric surgery.
- The study supports adaptations for future randomized-controlled efficacy trials.
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