#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

The feasibility of a behavioral group intervention after weight-loss surgery: A randomized pilot trial


Autoři: Michelle R. Lent aff001;  Laura K. Campbell aff002;  Mackenzie C. Kelly aff002;  Jessica L. Lawson aff002;  Jessica M. Murakami aff002;  Sasha Gorrell aff002;  G. Craig Wood aff002;  Marianne M. Yohn aff002;  Stephanie Ranck aff002;  Anthony T. Petrick aff002;  Krystal Cunningham aff002;  Megan E. LaMotte aff002;  Christopher D. Still aff002
Působiště autorů: Clinical Psychology, Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania, United States of America aff001;  Geisinger Clinic, Geisinger, Danville, Pennsylvania, United States of America aff002
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0223885

Souhrn

Background

Formal psychosocial support programs after weight-loss surgery are limited in scope and availability.

Objective

This randomized pilot study evaluated the feasibility of a postoperative behavioral intervention program.

Materials and methods

Postoperative weight-loss surgery patients (N = 50) were recruited from February 2017–July 2017 and randomized to a four-month behavioral program or usual care wait-list. Outcomes evaluated in addition to feasibility included health-related quality of life (Short Form -36), psychosocial functioning and adherence. Secondary outcomes included within-group changes for each outcome.

Results

Out of eight possible sessions, intervention participants attended a mean of 4.2 sessions. Intervention group participants experienced greater improvements in the social functioning domain of health-related quality of life compared to usual care. Self-reported dietary adherence in the intervention group remained stable, while usual care group dietary adherence declined. Within the intervention group, participants also reported gains in the physical function, pain and general health aspects of quality life from baseline to post-treatment. No differences in weight, mood or other eating behaviors (e.g., loss of control, emotional eating) were evident between groups.

Conclusion

Though participation in a postoperative behavioral intervention varied, the program helped participants to maintain aspects of quality of life and self-reported adherence to dietary recommendations.

Trial registration

ClinicalTrials.gov NCT03092479

Klíčová slova:

Behavior – Digestive system procedures – Eating – Emotions – Physical activity – Psychological and psychosocial issues – Quality of life – Surgical and invasive medical procedures


Zdroje

1. Buchwald H, Avidor Y, Braunwald E, Jensen MD, Pories W, Fahrbach K, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37. doi: 10.1001/jama.292.14.1724 15479938.

2. Mechanick JI, Youdim A, Jones DB, Timothy Garvey W, Hurley DL, Molly McMahon M, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, the Obesity Society, and American Society for Metabolic & Bariatric Surgery. Surg Obes Relat Dis. 2013;9(2):159–91. doi: 10.1016/j.soard.2012.12.010 23537696.

3. Livhits M, Mercado C, Yermilov I, Parikh JA, Dutson E, Mehran A, et al. Preoperative predictors of weight loss following bariatric surgery: systematic review. Obes Surg. 2012;22(1):70–89. doi: 10.1007/s11695-011-0472-4 21833817.

4. Herpertz S, Kielmann R, Wolf AM, Hebebrand J, Senf W. Do Psychosocial Variables Predict Weight Loss or Mental Health after Obesity Surgery? A Systematic Review. Obesity Research. 2004;12(10):1554–69. doi: 10.1038/oby.2004.195 15536219

5. Kalarchian MA, Marcus MD. Psychosocial Interventions Pre and Post Bariatric Surgery. Eur Eat Disord Rev. 2015;23(6):457–62. doi: 10.1002/erv.2392 26364715.

6. Livhits M, Mercado C, Yermilov I, Parikh JA, Dutson E, Mehran A, et al. Behavioral factors associated with successful weight loss after gastric bypass. Am Surg. 2010;76(10):1139–42. Epub 2010/11/26. 21105629.

7. Sarwer DB, Cohn NI, Gibbons LM, Magee L, Crerand CE, Raper SE, et al. Psychiatric diagnoses and psychiatric treatment among bariatric surgery candidates. Obes Surg. 2004;14(9):1148–56. doi: 10.1381/0960892042386922 15527626.

8. Mitchell JE, Selzer F, Kalarchian MA, Devlin MJ, Strain GW, Elder KA, et al. Psychopathology before surgery in the longitudinal assessment of bariatric surgery-3 (LABS-3) psychosocial study. Surg Obes Relat Dis. 2012;8(5):533–41. doi: 10.1016/j.soard.2012.07.001 22920965; PubMed Central PMCID: PMC3584713.

9. Pekkarinen T, Koskela K, Huikuri K, Mustajoki P. Long-term Results of Gastroplasty for Morbid Obesity: Binge-Eating as a Predictor of Poor Outcome. Obes Surg. 1994;4(3):248–55. doi: 10.1381/096089294765558467 10742782.

10. Courcoulas AP, Christian NJ, Belle SH, Berk PD, Flum DR, Garcia L, et al. Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity. JAMA. 2013;310(22):2416–25. doi: 10.1001/jama.2013.280928 24189773; PubMed Central PMCID: PMC3955952.

11. Adams TD, Davidson LE, Litwin SE, Kolotkin RL, LaMonte MJ, Pendleton RC, et al. Health benefits of gastric bypass surgery after 6 years. JAMA. 2012;308(11):1122–31. doi: 10.1001/2012.jama.11164 22990271; PubMed Central PMCID: PMC3744888.

12. Munoz DJ, Lal M, Chen EY, Mansour M, Fischer S, Roehrig M, et al. Why patients seek bariatric surgery: a qualitative and quantitative analysis of patient motivation. Obes Surg. 2007;17(11):1487–91. 18219776.

13. King WC, Chen JY, Mitchell JE, Kalarchian MA, Steffen KJ, Engel SG, et al. Prevalence of alcohol use disorders before and after bariatric surgery. JAMA. 2012;307(23):2516–25. doi: 10.1001/jama.2012.6147 22710289; PubMed Central PMCID: PMC3682834.

14. Sarwer DB, Wadden TA, Fabricatore AN. Psychosocial and behavioral aspects of bariatric surgery. Obes Res. 2005;13(4):639–48. doi: 10.1038/oby.2005.71 15897471.

15. Hagedorn JC, Encarnacion B, Brat GA, Morton JM. Does gastric bypass alter alcohol metabolism? Surg Obes Relat Dis. 2007;3(5):543–8; discussion 8. Epub 2007/10/02. doi: 10.1016/j.soard.2007.07.003 17903777.

16. Steffen KJ, Engel SG, Pollert GA, Li C, Mitchell JE. Blood alcohol concentrations rise rapidly and dramatically after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2013;9(3):470–3. Epub 2013/03/20. doi: 10.1016/j.soard.2013.02.002 23507629; PubMed Central PMCID: PMC4487806.

17. Bradley LE, Forman EM, Kerrigan SG, Butryn ML, Herbert JD, Sarwer DB. A Pilot Study of an Acceptance-Based Behavioral Intervention for Weight Regain After Bariatric Surgery. Obesity surgery. 2016;26(10):2433–41. doi: 10.1007/s11695-016-2125-0 26964997.

18. Bradley LE, Forman EM, Kerrigan SG, Goldstein SP, Butryn ML, Thomas JG, et al. Project HELP: a Remotely Delivered Behavioral Intervention for Weight Regain after Bariatric Surgery. Obesity surgery. 2017;27(3):586–98. doi: 10.1007/s11695-016-2337-3 27586525.

19. Saunders R. Post-surgery group therapy for gastric bypass patients. Obesity surgery. 2004;14(8):1128–31. doi: 10.1381/0960892041975532 15479605.

20. Himes SM, Grothe KB, Clark MM, Swain JM, Collazo-Clavell ML, Sarr MG. Stop regain: a pilot psychological intervention for bariatric patients experiencing weight regain. Obesity surgery. 2015;25(5):922–7. doi: 10.1007/s11695-015-1611-0 25750006.

21. Kalarchian MA, Marcus MD, Courcoulas AP, Lutz C, Cheng Y, Sweeny G. Structured dietary intervention to facilitate weight loss after bariatric surgery: A randomized, controlled pilot study. Obesity (Silver Spring). 2016;24(9):1906–12. doi: 10.1002/oby.21591 27466039.

22. Caniato D, Skorjanec B. The role of brief strategic therapy on the outcome of gastric banding. Obesity surgery. 2002;12(5):666–71. doi: 10.1381/096089202321019657 12448389.

23. Beck NN, Johannsen M, Støving RK, Mehlsen M, Zachariae R. Do Postoperative Psychotherapeutic Interventions and Support Groups Influence Weight Loss Following Bariatric Surgery? A Systematic Review and Meta-analysis of Randomized and Nonrandomized Trials. Obesity surgery. 2012;22(11):1790–7. doi: 10.1007/s11695-012-0739-4 22930073

24. Rudolph A, Hilbert A. Post-operative behavioural management in bariatric surgery: a systematic review and meta-analysis of randomized controlled trials. Obes Rev. 2013;14(4):292–302. doi: 10.1111/obr.12013 23294936.

25. Still CD, Wood GC, Chu X, Manney C, Strodel W, Petrick A, et al. Clinical factors associated with weight loss outcomes after Roux-en-Y gastric bypass surgery. Obesity (Silver Spring). 2014;22(3):888–94. doi: 10.1002/oby.20529 23804287; PubMed Central PMCID: PMC3819407.

26. McHorney CA, Ware JE Jr., Lu JF, Sherbourne CD. The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care. 1994;32(1):40–66. Epub 1994/01/01. doi: 10.1097/00005650-199401000-00004 8277801.

27. McHorney CA, Ware JE Jr., Raczek AE. The MOS 36-Item Short-Form Health Survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Med Care. 1993;31(3):247–63. Epub 1993/03/01. doi: 10.1097/00005650-199303000-00006 8450681.

28. Ware JE Jr., Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473–83. Epub 1992/06/11. 1593914.

29. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16(9):606–13. doi: 10.1046/j.1525-1497.2001.016009606.x 11556941; PubMed Central PMCID: PMC1495268.

30. Spielberger CD, Gorsuch R. L., Lushene R., Vagg P. R., Jacobs G. A. Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press; 1983.

31. Maruthur NM, Bolen SD, Brancati FL, Clark JM. The association of obesity and cervical cancer screening: a systematic review and meta-analysis. Obesity (Silver Spring). 2009;17(2):375–81. doi: 10.1038/oby.2008.480 18997682; PubMed Central PMCID: PMC3008358.

32. Latner JD, Mond JM, Kelly MC, Haynes SN, Hay PJ. The Loss of Control Over Eating Scale: development and psychometric evaluation. Int J Eat Disord. 2014;47(6):647–59. Epub 2014/05/28. doi: 10.1002/eat.22296 24862351.

33. Stefano EC, Wagner AF, Mond JM, Cicero DC, Latner JD. Loss of Control Over Eating Scale (LOCES): Validation in undergraduate men and women with and without eating disorder symptoms. Eat Behav. 2016;23:137–40. Epub 2016/09/30. doi: 10.1016/j.eatbeh.2016.09.005 27679970.

34. Arnow B, Kenardy J, Agras WS. The Emotional Eating Scale: the development of a measure to assess coping with negative affect by eating. Int J Eat Disord. 1995;18(1):79–90. Epub 1995/07/01. 7670446.

35. Sarwer DB, Wadden TA, Moore RH, Baker AW, Gibbons LM, Raper SE, et al. Preoperative eating behavior, postoperative dietary adherence, and weight loss after gastric bypass surgery. Surg Obes Relat Dis. 2008;4(5):640–6. Epub 2008/07/01. doi: 10.1016/j.soard.2008.04.013 18586571; PubMed Central PMCID: PMC2610859.

36. Paffenbarger RS Jr., Wing AL, Hyde RT. Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol. 1978;108(3):161–75. Epub 1978/09/01. doi: 10.1093/oxfordjournals.aje.a112608 707484.

37. Bond DS, Jakicic JM, Unick JL, Vithiananthan S, Pohl D, Roye GD, et al. Pre- to postoperative physical activity changes in bariatric surgery patients: self report vs. objective measures. Obesity (Silver Spring). 2010;18(12):2395–7. doi: 10.1038/oby.2010.88 20379143; PubMed Central PMCID: PMC3909967.

38. Ware JE Jr., Kosinski M, Dewey JE, Gandek B. SF-36 health survey: manual and interpretation guide: Quality Metric Inc.; 2000.

39. de Zwaan M, Lancaster KL, Mitchell JE, Howell LM, Monson N, Roerig JL, et al. Health-related quality of life in morbidly obese patients: effect of gastric bypass surgery. Obes Surg. 2002;12(6):773–80. doi: 10.1381/096089202320995547 12568181.

40. Kalarchian MA, Marcus MD, Courcoulas AP, Cheng Y, Levine MD, Josbeno D. Optimizing long-term weight control after bariatric surgery: a pilot study. Surg Obes Relat Dis. 2012;8(6):710–5. Epub 2011/07/02. doi: 10.1016/j.soard.2011.04.231 21719357; PubMed Central PMCID: PMC3189441.

41. Strain GW, Kolotkin RL, Dakin GF, Gagner M, Inabnet WB, Christos P, et al. The effects of weight loss after bariatric surgery on health-related quality of life and depression. Nutr Diabetes. 2014;4:e132. Epub 2014/09/02. doi: 10.1038/nutd.2014.29 25177912; PubMed Central PMCID: PMC4183970.

42. Tindle HA, Omalu B, Courcoulas A, Marcus M, Hammers J, Kuller LH. Risk of suicide after long-term follow-up from bariatric surgery. Am J Med. 2010;123(11):1036–42. doi: 10.1016/j.amjmed.2010.06.016 20843498; PubMed Central PMCID: PMC4296730.


Článek vyšel v časopise

PLOS One


2019 Číslo 10
Nejčtenější tento týden
Nejčtenější v tomto čísle
Kurzy

Zvyšte si kvalifikaci online z pohodlí domova

Svět praktické medicíny 1/2024 (znalostní test z časopisu)
nový kurz

Koncepce osteologické péče pro gynekology a praktické lékaře
Autoři: MUDr. František Šenk

Sekvenční léčba schizofrenie
Autoři: MUDr. Jana Hořínková

Hypertenze a hypercholesterolémie – synergický efekt léčby
Autoři: prof. MUDr. Hana Rosolová, DrSc.

Význam metforminu pro „udržitelnou“ terapii diabetu
Autoři: prof. MUDr. Milan Kvapil, CSc., MBA

Všechny kurzy
Kurzy Podcasty Doporučená témata Časopisy
Přihlášení
Zapomenuté heslo

Zadejte e-mailovou adresu, se kterou jste vytvářel(a) účet, budou Vám na ni zaslány informace k nastavení nového hesla.

Přihlášení

Nemáte účet?  Registrujte se

#ADS_BOTTOM_SCRIPTS#