Sanjeev Sockalingam1,2,3,4, Stephanie E Cassin5,6,7, Susan Wnuk8,5, Chau Du8, Timothy Jackson8,9, Raed Hawa8,5,6, Sagar V Parikh5,10. 1. Bariatric Surgery Program, Toronto Western Hospital, Toronto, ON, Canada. sanjeev.sockalingam@uhn.ca. 2. Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada. sanjeev.sockalingam@uhn.ca. 3. Centre for Mental Health, University Health Network, Toronto, ON, Canada. sanjeev.sockalingam@uhn.ca. 4. Toronto General Hospital, 200 Elizabeth Street-8EN-228, Toronto, ON, M5G 2C4, Canada. sanjeev.sockalingam@uhn.ca. 5. Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada. 6. Centre for Mental Health, University Health Network, Toronto, ON, Canada. 7. Department of Psychology, Ryerson University, Toronto, ON, M5B 2K3, Canada. 8. Bariatric Surgery Program, Toronto Western Hospital, Toronto, ON, Canada. 9. Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, ON, Canada. 10. Department of Psychiatry, University of Michigan, 500 S State St, Ann Arbor, MI, 48109, USA.
Abstract
OBJECTIVE: This study aimed to determine the feasibility and preliminary efficacy of a post-operative telephone-based cognitive behavioral therapy intervention (Tele-CBT) in improving eating pathology and psychosocial functioning. METHODS: Six-month post-operative bariatric surgery patients (n = 19) received six sessions of Tele-CBT. Study outcome variables included binge eating (BES), emotional eating (EES), depressive symptoms (PHQ-9), and anxiety symptoms (GAD-7). RESULTS:Retention was 73.7 % post-intervention. Tele-CBT resulted in significant reductions in mean difference scores on BES, EES-Total, EES-Anxiety, EES-Anger, PHQ9, and GAD7. Tele-CBT patients experienced a mean weight loss of 8.62 ± 15.02 kg between 6-months post-surgery (pre-Tele-CBT) and 12-months post-surgery. CONCLUSIONS: These preliminary results suggest that post-surgery Tele-CBT is feasible and can improve post-surgery symptoms of psychopathology in this uncontrolled study, supporting the need for a randomized controlled trial.
RCT Entities:
OBJECTIVE: This study aimed to determine the feasibility and preliminary efficacy of a post-operative telephone-based cognitive behavioral therapy intervention (Tele-CBT) in improving eating pathology and psychosocial functioning. METHODS: Six-month post-operative bariatric surgery patients (n = 19) received six sessions of Tele-CBT. Study outcome variables included binge eating (BES), emotional eating (EES), depressive symptoms (PHQ-9), and anxiety symptoms (GAD-7). RESULTS: Retention was 73.7 % post-intervention. Tele-CBT resulted in significant reductions in mean difference scores on BES, EES-Total, EES-Anxiety, EES-Anger, PHQ9, and GAD7. Tele-CBT patients experienced a mean weight loss of 8.62 ± 15.02 kg between 6-months post-surgery (pre-Tele-CBT) and 12-months post-surgery. CONCLUSIONS: These preliminary results suggest that post-surgery Tele-CBT is feasible and can improve post-surgery symptoms of psychopathology in this uncontrolled study, supporting the need for a randomized controlled trial.
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