Stephanie E Cassin1, Sanjeev Sockalingam2, Chau Du3, Susan Wnuk2, Raed Hawa2, Sagar V Parikh4. 1. Department of Psychology, Ryerson University, Toronto, Canada; Department of Psychiatry, University of Toronto, Toronto, Canada. Electronic address: stephanie.cassin@psych.ryerson.ca. 2. Department of Psychiatry, University of Toronto, Toronto, Canada; Bariatric Surgery Program, Toronto Western Hospital, Toronto, Canada. 3. Bariatric Surgery Program, Toronto Western Hospital, Toronto, Canada. 4. Department of Psychiatry, University of Toronto, Toronto, Canada; Department of Psychiatry, University of Michigan, Ann Arbor, USA.
Abstract
BACKGROUND:Psychosocial interventions can improve eating behaviours and psychosocial functioning in bariatric surgery candidates. However, those that involve face-to-face sessions are problematic for individuals with severe obesity due to mobility issues and practical barriers. OBJECTIVE: To examine the efficacy of a pre-operative telephone-based cognitive behavioural therapy (Tele-CBT) intervention versus standard pre-operative care for improving eating psychopathology and psychosocial functioning. METHODS:Preoperative bariatric surgery patients (N = 47) were randomly assigned to receive standard preoperative care (n = 24) or 6 sessions of Tele-CBT (n = 23). RESULTS:Retention was 74.5% at post-intervention. Intent-to-treat analyses indicated that the Tele-CBT group reported significant improvements on the Binge Eating Scale (BES), t (22) = 2.81, p = .01, Emotional Eating Scale (EES), t (22) = 3.44, p = .002, and Patient Health Questionnaire-9 (PHQ-9), t (22) = 2.71, p = .01, whereas the standard care control group actually reported significant increases on the EES, t (23) = 4.86, p < .001, PHQ-9, t (23) = 2.75, p = .01, and General Anxiety Disorder-7 (GAD-7), t (23) = 2.93, p = .008 over the same time period. CONCLUSIONS: Tele-CBT holds promise as a brief intervention for improving eating psychopathology and depression in bariatric surgery candidates.
RCT Entities:
BACKGROUND:Psychosocial interventions can improve eating behaviours and psychosocial functioning in bariatric surgery candidates. However, those that involve face-to-face sessions are problematic for individuals with severe obesity due to mobility issues and practical barriers. OBJECTIVE: To examine the efficacy of a pre-operative telephone-based cognitive behavioural therapy (Tele-CBT) intervention versus standard pre-operative care for improving eating psychopathology and psychosocial functioning. METHODS: Preoperative bariatric surgery patients (N = 47) were randomly assigned to receive standard preoperative care (n = 24) or 6 sessions of Tele-CBT (n = 23). RESULTS: Retention was 74.5% at post-intervention. Intent-to-treat analyses indicated that the Tele-CBT group reported significant improvements on the Binge Eating Scale (BES), t (22) = 2.81, p = .01, Emotional Eating Scale (EES), t (22) = 3.44, p = .002, and Patient Health Questionnaire-9 (PHQ-9), t (22) = 2.71, p = .01, whereas the standard care control group actually reported significant increases on the EES, t (23) = 4.86, p < .001, PHQ-9, t (23) = 2.75, p = .01, and General Anxiety Disorder-7 (GAD-7), t (23) = 2.93, p = .008 over the same time period. CONCLUSIONS: Tele-CBT holds promise as a brief intervention for improving eating psychopathology and depression in bariatric surgery candidates.
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