Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT

Weineland, Sandra; Arvidsson, Dag; Kakoulidis, Thanos P.; Dahl, JoAnne

doi:10.1016/j.orcp.2011.04.004

Cited by 109 publications

(193 citation statements)

References 52 publications

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“…In this medical framing, patients attributed minimal or no weight loss as failure, exemplified by reported feelings of disappointment. Obesity surgery literature shows that although the procedure is the best evidence-based obesity treatment for weight loss and weight loss maintenance to date, 20-30% of people start to regain weight within 24 months [29]. Numbers of patients requiring revision surgery due to weight regain following their first procedures are growing with incident rates ranging from 5 to 56% [30,31].…”

Section: Discussionmentioning

confidence: 99%

Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study

Jumbe

Meyrick

2018

OBES SURG

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Background The superiority of obesity surgery for improving medical and weight outcomes in severely obese patients when compared to other weight loss interventions remains undisputed. However, knowledge about the psychological impact of the procedure on patients' lives is limited. Systematic reviews indicate persisting psychological distress after surgery compared to control groups especially longer term, suggesting the need for postoperative psychological support and assessment. Research literature also infers limited knowledge regarding the postoperative patient experience of obesity surgery. This may form a barrier in health practitioners' understanding of these patients' ongoing needs. Methods Ten patients who had obesity surgery two or more years ago and eight obesity surgery practitioners were recruited within hospital settings and individually interviewed by the researcher to capture their accounts of the postoperative experience. Concordance between the two groups was explored to gauge awareness of patients' subsequent health needs. Results Thematic analysis of transcribed interviews elicited a key finding around 'post-surgical cliffs in patient care' within a heavily structured service. Participants reported some unmet needs, namely, psychological aftercare to facilitate adjustment following drastic weight loss and excess skin, acceptance of their non-obese self and perceived stigma. The impact of contrasting views of success between patients and practitioners on postoperative care within the service context was highlighted. Conclusions Obesity surgery is a great weight loss catalyst for severe obesity. However, lack of psychological aftercare may threaten early gains in health outcomes over the longer term. More qualitative and quantitative studies are needed to validate current study results.

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Section: Discussionmentioning

confidence: 99%

Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study

Jumbe

Meyrick

2018

OBES SURG

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“…The analysis featured a high degree of heterogeneity (Q = 12.12, 95% CI [2.89, 21.35], I 2 = 75.24). Excluding two studies (Hesser et al, 2012;Weineland et al, 2012) with high standardized residuals did not remove this heterogeneity (Q = 5.07,95% CI [0.80,9.34], I 2 = 80.27).…”

Section: Quality Of Lifementioning

confidence: 94%

“…Therapist guidance was provided in eight of these studies (Buhrman et al, 2013;Hesser et al, 2012;Kristjánsdóttir et al, 2013;Lappalainen et al, 2014;Lappalainen, Langrial, Oinas-Kukkonen, Tolvanen, & Lappalainen, 2015;Pots et al, 2015;Trompetter, Bohlmeijer, Veehof, & Schreurs, 2015;Weineland, Arvidsson, Kakoulidis, & Dahl, 2012), the duration FIGURE 1 Flow diagram of study selection. Note.…”

Section: Interventionsmentioning

confidence: 99%

The Efficacy and Acceptability of Third-Wave Behavioral and Cognitive eHealth Treatments: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

et al. 2018

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eHealth is an innovative method of delivering therapeutic content with the potential to improve access to third-wave behaviural and cognitive therapies. This systematic review and meta-analysis aimed to determine the efficacy and acceptability of third-wave eHealth treatments in improving mental health outcomes. A comprehensive search of electronic bibliographic databases including PubMed, PsycINFO, Web of Science, and CENTRAL was conducted to identify randomized controlled trials of third-wave treatments in which eHealth was the main component. Twenty-one studies were included in the review. Meta-analyses revealed that thirdwave eHealth significantly outperformed inactive control conditions in improving anxiety, depression, and quality-oflife outcomes and active control conditions in alleviating anxiety and depression with small to medium effect sizes. No statistically significant differences were found relative to comparison interventions. Findings from a narrative synthesis of participant evaluation outcomes and meta-analysis of participant attrition rates provided preliminary support for the acceptability of third-wave eHealth.Third-wave eHealth treatments are efficacious in improving mental health outcomes including anxiety, depression, and quality of life, but not more so than comparison interventions. Preliminary evidence from indices of participant evaluation and attrition rates supports the acceptability of these treatments.

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“…Por otro lado, para las personas con un índice de masa corporal (IMC) de más de 40, o mayores de 35 con comorbilidades, la cirugía bariátrica ha sido considerada como el mejor tratamiento médico, teniendo en cuenta los criterios de la pérdida y mantenimiento del peso (10) , así como la reversión de los efectos adversos de la obesidad (11) .…”

Section: Introductionunclassified

“…Sin embargo, entre el 20 a 30% de los pacientes sometidos a cirugía comienzan a recuperar peso después de 24 meses (promedio) (10) , poniéndose de manifiesto la necesidad de intervenciones psicosociales…”

Section: Introductionunclassified

Intervención psicológica a candidatos de cirugía bariátrica en un hospital público de Brasil

Mensorio

Costa-Júnior

2016

Rev Peru Med Exp Salud Publica

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Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT

Cited by 109 publications

References 52 publications

Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study

Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study

The Efficacy and Acceptability of Third-Wave Behavioral and Cognitive eHealth Treatments: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Intervención psicológica a candidatos de cirugía bariátrica en un hospital público de Brasil

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