The Impact of Telephone-Based Cognitive Behavioural Therapy on Mental Health Distress and Disordered Eating Among Bariatric Surgery Patients during COVID-19: Preliminary Results from a Multi-Site Randomized Controlled Trial
Surgery for Obesity and Related Diseases
; 18(8):S30-S31, 2022.
Article
in English
| EMBASE | ID: covidwho-2004508
ABSTRACT
Samantha Leung Toronto1, Sanjeev Sockalingam Toronto2, Clement Ma Toronto2, Raed Hawa Toronto1, Susan Wnuk Toronto1, Satya Dash 1, Timothy Jackson Toronto1, Stephanie Cassin Toronto3 University Health Network1 Centre for Addiction and Mental Health2 Ryerson University3 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 behavioural 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.
adult; anger; anxiety; bariatric surgery; cognitive behavioral therapy; conference abstract; controlled study; coronavirus disease 2019; depression; distress syndrome; eating disorder; emotional eating; female; follow up; Generalized Anxiety Disorder-7; human; male; mental health; mental stress; multicenter study (topic); pandemic; Patient Health Questionnaire 9; preliminary data; randomized controlled trial (topic); surgery; systematic review; telephone
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
/
Randomized controlled trials
Language:
English
Journal:
Surgery for Obesity and Related Diseases
Year:
2022
Document Type:
Article
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