Cognitive behavioral therapy and predictors of weight loss in bariatric surgery patients

Linda Paul*, Colin van der Heiden, Hans W. Hoek

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    21 Citations (Scopus)

    Abstract

    Purpose of review

    Bariatric surgery is the most effective treatment for morbid obesity. However, 20-30% of patients undergoing bariatric surgery experience premature weight stabilization or weight regain postoperatively. We report on the recent literature of predictors of weight loss and the efficacy of cognitive behavioral therapy (CBT) in bariatric patients.

    Recent findings

    Preoperative disordered eating behaviors do not appear to be significantly predictive of postoperative weight loss. Postoperative disordered eating behaviors, eating disorders, and depressive symptoms have been found to be associated with less optimal weight loss results. Recent studies show that CBT can contribute in reducing disordered eating behaviors and depressive symptoms. Some studies also show that pre and postoperative CBT interventions can promote weight loss. New applications of CBT such as by telephone, internet, or virtual reality might contribute to more accessible and low-cost treatments for the large group of bariatric patients worldwide.

    Summary

    CBT seems to be effective in reducing risk factors for weight regain after bariatric surgery, such as disordered eating behavior and depression. Controlled studies with long-term follow-up and larger sample sizes are needed to investigate the long-term effect of CBT interventions on weight loss results and psychological well-being.

    Original languageEnglish
    Pages (from-to)474-479
    Number of pages6
    JournalCurrent opinion in psychiatry
    Volume30
    Issue number6
    DOIs
    Publication statusPublished - Nov-2017

    Keywords

    • bariatric surgery
    • cognitive behavioral therapy
    • obesity
    • predictors
    • weight loss
    • RANDOMIZED CONTROLLED-TRIAL
    • MALADAPTIVE EATING BEHAVIORS
    • GASTRIC BYPASS-SURGERY
    • FOLLOW-UP
    • PSYCHOLOGICAL-ASPECTS
    • MORBID-OBESITY
    • GLOBAL BURDEN
    • OUTCOMES
    • INTERVENTION
    • METAANALYSIS

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