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A Pilot Study on Telephone Cognitive Behavioral Therapy for Patients Six-Months Post-Bariatric Surgery

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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.

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References

  1. Beck NN, Johannsen M, Stoving RK, et al. Do postoperative psychotherapeutic interventions and support groups influence weight loss following bariatric surgery? A systematic review and meta-analysis of randomized and nonrandomized trials. Obes Surg. 2012;22(11):1790–7.

    Article  PubMed  Google Scholar 

  2. 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.

    Article  CAS  PubMed  Google Scholar 

  3. Stewart F, Avenell A. Behavioural interventions for severe obesity before and/or after bariatric surgery: a systematic review and meta-analysis. Obes Surg. 2016;26(6):1203–14.

    Article  PubMed  Google Scholar 

  4. Lara MD, Baker MT, Larson CJ, et al. Travel distance, age, and sex as factors in follow-up visit compliance in the post-gastric bypass population. Surg Obes Relat Dis. 2005;1(1):17–21.

    Article  PubMed  Google Scholar 

  5. Bee PE, Bower P, Lovell K, et al. Psychotherapy mediated by remote communication technologies: a meta-analytic review. BMC Psychiatry. 2008;8:60.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Arnedt JT, Cuddihy L, Swanson LM, et al. Randomized controlled trial of telephone-delivered cognitive behavioral therapy for chronic insomnia. Sleep. 2013;36(3):353–62.

    PubMed  PubMed Central  Google Scholar 

  7. Fann JR, Bombardier CH, Vannoy S, et al. Telephone and in-person cognitive behavioral therapy for major depression after traumatic brain injury: a randomized controlled trial. J Neurotrauma. 2015;32(1):45–57.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Dobkin RD, Menza M, Allen LA, et al. Telephone-based cognitive-behavioral therapy for depression in Parkinson disease. J Geriatr Psychiatry Neurol. 2011;24(4):206–14.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Gade H, Friborg O, Rosenvinge JH, et al. The impact of a preoperative cognitive behavioural therapy (CBT) on dysfunctional eating Behaviours, affective symptoms and body weight 1 Year after bariatric surgery: a randomised controlled trial. Obes Surg. 2015;25(11):2112–9.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Sarwer DB, Moore RH, Spitzer JC, et al. A pilot study investigating the efficacy of postoperative dietary counseling to improve outcomes after bariatric surgery. Surg Obes Relat Dis. 2012;8(5):561–8.

    Article  PubMed  Google Scholar 

  11. Cassin SE, Sockalingam S, Wnuk S, et al. Cognitive behavioral therapy for bariatric surgery patients: preliminary evidence for feasibility, acceptability, and effectiveness. Cognitive and Behavioral Practice. 2013;20(4):529–43.

    Article  Google Scholar 

  12. Cassin SE, Sockalingam S, Du C, et al. A pilot randomized controlled trial of telephone-based cognitive behavioural therapy for preoperative bariatric surgery patients. Behav Res Ther. 2016;80:17–22.

    Article  PubMed  Google Scholar 

  13. Gormally J, Black S, Daston S, et al. The assessment of binge eating severity among obese persons. Addict Behav. 1982;7(1):47–55.

    Article  CAS  PubMed  Google Scholar 

  14. 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.

    Article  CAS  PubMed  Google Scholar 

  15. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606–13.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Spitzer RL, Kroenke K, Williams JB, et al. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7.

    Article  PubMed  Google Scholar 

  17. Sockalingam S, Wnuk S, Kantarovich K, et al. Employment outcomes one year after bariatric surgery: the role of patient and psychosocial factors. Obes Surg. 2015;25(3):514–22.

    Article  PubMed  Google Scholar 

  18. Muller I, Yardley L. Telephone-delivered cognitive behavioural therapy: a systematic review and meta-analysis. J Telemed Telecare. 2011;17(4):177–84.

    Article  PubMed  Google Scholar 

  19. Leahey TM, Bond DS, Irwin SR, et al. When is the best time to deliver behavioral intervention to bariatric surgery patients: before or after surgery? Surg Obes Relat Dis. 2009;5(1):99–102.

    Article  PubMed  Google Scholar 

  20. Himes SM, Grothe KB, Clark MM, et al. Stop regain: a pilot psychological intervention for bariatric patients experiencing weight regain. Obes Surg. 2015;25(5):922–7.

    Article  PubMed  Google Scholar 

  21. Gourash WF, Lockhart JS, Kalarchian MA, et al. Retention and attrition in bariatric surgery research: an integrative review of the literature. Surg Obes Relat Dis. 2016;12(1):199–209.

    Article  PubMed  Google Scholar 

  22. Wells AM, Garvin V, Dohm FA, et al. Telephone-based guided self-help for binge eating disorder: a feasibility study. Int J Eat Disord. 1997;21(4):341–6.

    Article  CAS  PubMed  Google Scholar 

  23. Mohr DC, Hart SL, Julian L, et al. Telephone-administered psychotherapy for depression. Arch Gen Psychiatry. 2005;62(9):1007–14.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Bariatric Surgery Program, Toronto Western Hospital, Toronto, ON, Canada

    Sanjeev Sockalingam, Susan Wnuk, Chau Du, Timothy Jackson & Raed Hawa

  2. Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada

    Sanjeev Sockalingam, Stephanie E. Cassin, Susan Wnuk, Raed Hawa & Sagar V. Parikh

  3. Centre for Mental Health, University Health Network, Toronto, ON, Canada

    Sanjeev Sockalingam, Stephanie E. Cassin & Raed Hawa

  4. Department of Psychology, Ryerson University, Toronto, ON, M5B 2K3, Canada

    Stephanie E. Cassin

  5. Department of Surgery, Faculty of Medicine, University of Toronto, Toronto, ON, Canada

    Timothy Jackson

  6. Department of Psychiatry, University of Michigan, 500 S State St, Ann Arbor, MI, 48109, USA

    Sagar V. Parikh

  7. Toronto General Hospital, 200 Elizabeth Street-8EN-228, Toronto, ON, M5G 2C4, Canada

    Sanjeev Sockalingam

Authors
  1. Sanjeev Sockalingam
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  2. Stephanie E. Cassin
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  3. Susan Wnuk
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  4. Chau Du
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  5. Timothy Jackson
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  6. Raed Hawa
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  7. Sagar V. Parikh
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Corresponding author

Correspondence to Sanjeev Sockalingam.

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Conflicts of Interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Sockalingam, S., Cassin, S.E., Wnuk, S. et al. A Pilot Study on Telephone Cognitive Behavioral Therapy for Patients Six-Months Post-Bariatric Surgery. OBES SURG 27, 670–675 (2017). https://doi.org/10.1007/s11695-016-2322-x

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  • DOI: https://doi.org/10.1007/s11695-016-2322-x

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