Depression Clinical Trial
Official title:
A Social Functioning Intervention to Target Depression Post Bariatric Surgery
The current study proposes an open clinical trial to investigate the effectiveness of a social functioning intervention on bariatric surgery outcomes and depression. The treatment will be administered in a group format over 10 weekly/biweekly sessions and will take place at the University of Washington Weight Loss Management Clinic (WLMC) at the Roosevelt Clinic location. Effects of the intervention will be measured with self-report questionnaires and by self-report of behaviors outside of assessment sessions (via questionnaires and self-report of adherence to treatment). Data collection will occur at specific time points including before treatment, after treatment, and two months after treatment.
As of 2009, 344,000 bariatric procedures were performed annually . Although some studies
report depressive symptoms decrease in the 6 months after bariatric surgery, there is growing
body of literature suggesting there exists a subgroup of patients whose depressive symptoms
worsen after surgery and the likelihood of developing depressive symptoms increases
longitudinally. Depression can be an indicator of an increased risk of self-harm and
additional studies have found that the risk of suicide may increase post bariatric surgery
compared to obese individuals who have not undergone surgery.
Research supports that psychosocial factors contribute to successful postoperative outcomes.
Functional Analytic Psychotherapy shows potential to impact social variables that may be
relevant to bariatric surgery outcomes including depression. In this context, FAP aims to
improve interpersonal relationships through experientially teaching skills intended to
increase social connection. FAP also seeks to increase awareness, which includes the ability
to view interpersonal interactions from multiple perspectives, allowing new interpersonal
skills to emerge.
The present study seeks to evaluate the use of a FAP group to enhance interpersonal relating
with a sample of post-bariatric surgery patients. Measures will be collected on quality of
life and variables involved in interpersonal connectedness.
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