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The Impact of Telephone-Based Cognitive Behavioral Therapy on Mental Health Distress and Disordered Eating Among Bariatric Surgery Patients During COVID-19: Preliminary Results from a Multisite Randomized Controlled Trial.
Sockalingam, Sanjeev; Leung, Samantha E; Ma, Clement; Hawa, Raed; Wnuk, Susan; Dash, Satya; Jackson, Timothy; Cassin, Stephanie E.
  • Sockalingam S; Bariatric Surgery Program, University Health Network, Toronto, ON, M5T 2S8, Canada. sanjeev.sockalingam@camh.ca.
  • Leung SE; Department of Psychiatry, University of Toronto, Toronto, ON, M5T 1R8, Canada. sanjeev.sockalingam@camh.ca.
  • Ma C; Centre for Addiction and Mental Health, ON, M6J 1H4, Toronto, Canada. sanjeev.sockalingam@camh.ca.
  • Hawa R; Centre for Mental Health, University Health Network, Toronto, ON, M5G 2C4, Canada. sanjeev.sockalingam@camh.ca.
  • Wnuk S; Bariatric Surgery Program, University Health Network, Toronto, ON, M5T 2S8, Canada.
  • Dash S; Centre for Addiction and Mental Health, ON, M6J 1H4, Toronto, Canada.
  • Jackson T; Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, M5T 3M7, Canada.
  • Cassin SE; Bariatric Surgery Program, University Health Network, Toronto, ON, M5T 2S8, Canada.
Obes Surg ; 32(6): 1884-1894, 2022 06.
Article in English | MEDLINE | ID: covidwho-1712330
ABSTRACT

BACKGROUND:

Patients undergoing bariatric surgery have high rates of psychiatric comorbidity, which may increase their vulnerability to COVID-19-related mental health distress. Exacerbation of mental health distress and disordered eating could have significant negative effects on long-term weight management and quality of life for these patients if untreated.

OBJECTIVE:

To determine the efficacy of a telephone-based cognitive behavioral therapy (Tele-CBT) intervention in improving depressive, anxiety, and disordered eating symptoms during COVID-19.

METHODS:

Participants were recruited as part of a larger randomized controlled trial study (clinicaltrials.gov ID NCT03315247) between March 2020 and March 2021 and randomized 11 to receive Tele-CBT or standard bariatric care. Outcomes of Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Emotional Eating Scale (EES), and Binge Eating Scale (BES) were measured at baseline, immediately post-intervention, and 3 months post-intervention. Linear mixed models were used to test the effect of intervention group, time, and group-by-time interaction for each outcome.

RESULTS:

Eighty-one patients were included in the intention-to-treat analysis. Mean (SD) age of participants was 47.68 (9.36) years and 80.2% were female. There were significant group-by-time interactions for all outcomes and significant differences between groups across time. There were significant decreases in mean GAD-7 (p = 0.001), PHQ-9 (p < 0.001), EES-Total (p = 0.001), EES-Anger (p = 0.003), EES-Anxiety (p < 0.001), EES-Depression (p < 0.001), and BES (p = 0.002) scores for the Tele-CBT group at post-intervention and follow-up when compared to baseline and the control group.

CONCLUSION:

Tele-CBT is a feasible and effective treatment for improving psychological distress and disordered eating among post-operative bariatric surgery patients during the COVID-19 pandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Obesity, Morbid / Feeding and Eating Disorders / Cognitive Behavioral Therapy / Bariatric Surgery / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Female / Humans / Male / Middle aged Language: English Journal: Obes Surg Journal subject: Metabolism Year: 2022 Document Type: Article Affiliation country: S11695-022-05981-6

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Obesity, Morbid / Feeding and Eating Disorders / Cognitive Behavioral Therapy / Bariatric Surgery / COVID-19 Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Female / Humans / Male / Middle aged Language: English Journal: Obes Surg Journal subject: Metabolism Year: 2022 Document Type: Article Affiliation country: S11695-022-05981-6