Affective Symptoms Clinical Trial
Official title:
Personality and Eating Behaviors in Morbidly Obese Patients
The aim of this randomized controlled trial is assess the effect of a psychological based
treatment model on eating behaviors and motivation for lifestyle changes in morbidly obese
patients undergoing bariatric surgery.
Hypothesis: As compared with usual care, Cognitive Behavioral Therapy and Motivational
interviewing-based (CBT/MI) intervention program will reduce dysfunctional eating behaviors
and increase pre-surgical intrinsic motivation for lifestyle changes.
Obesity is usually treated as a medical disease, prescribing interventions which adhere to
the theoretically sound principles.The prevalence of obesity is increasing, and, accordingly,
an increasing number of morbidly obese patients are eligible for Bariatric Surgery. This
surgical procedure is highly effective and is often followed by resolution or remission of
obesity related comorbidities (e.g. diabetes and obstructive sleep apnea). However, some
individuals may have psychological and motivational problems that reduce these beneficial
effects. Bariatric surgery represents a substantial part of total health care costs, and such
costs may increase in the future. Another issue is that it is important to prevent
post-surgical relapses. Hence, there is every reason to increase the effect and efficacy of
both conservative treatments and bariatric surgery.
Clinically the investigators meet patients who regain their weight post-surgically, and the
investigators have some experience that these patients may display more dysfunctional eating
than those who are able to maintain a lower target weight. Given the expected outcome of the
RCT, the autonomous motivation for lifestyle changes will be increased. Lowering
dysfunctional eating, as well as increasing the probability of better success in preoperative
weight loss, may help the patient to maintain a healthier weight after the surgical
procedure. Moreover, developing a more tailored intervention for surgery patients may enable
new evidence based treatments to be established for these patients.
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