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Bariatric psychology

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https://www.readbyqxmd.com/read/27887932/assessing-national-provision-of-care-variability-in-bariatric-clinical-care-pathways
#1
Dana A Telem, Saniea F Majid, Kinga Powers, Eric DeMaria, John Morton, Daniel B Jones
BACKGROUND: The American Society for Metabolic and Bariatric Surgery (ASMBS) Quality Improvement and Patient Safety (QIPS) Committee hypothesized that collecting and sharing clinical pathways could provide a valuable resource to new and existing bariatric programs. OBJECTIVE: To shed light on the variability in practice patterns across the country by analyzing pathways. SETTING: United States Centers of Excellence METHODS: From June 2014 to April 2015, clinical pathways pertaining to preoperative, intraoperative, and postoperative management of bariatric patients were solicited from the ASMBS executive council (EC), QIPS committee members, and state chapter presidents...
August 3, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27860058/patient-experiences-of-a-bariatric-group-programme-for-managing-obesity-a-qualitative-interview-study
#2
Mark Tarrant, Sammyh S Khan, Claire V Farrow, Pooja Shah, Mark Daly, Katarina Kos
OBJECTIVES: People with obesity experience a range of physical and psychological ill-health outcomes. This study examined patients' experiences of a group-based programme for the management of morbid obesity delivered within the UK National Health Service. The focus of the study was on the emerging dynamic of the group and patients' perceptions of its impact on health outcomes. DESIGN: A qualitative interview study was conducted and involved patients recruited from a Tier 3 bariatric service in South West England...
November 17, 2016: British Journal of Health Psychology
https://www.readbyqxmd.com/read/27854246/the-impact-of-impulsivity-on-weight-loss-four-years-after-bariatric-surgery
#3
Kathrin Schag, Isabelle Mack, Katrin E Giel, Sabrina Ölschläger, Eva-Maria Skoda, Maximilian von Feilitzsch, Stephan Zipfel, Martin Teufel
Bariatric surgery has serious implications on metabolic health. The reasons for a failure of bariatric surgery, i.e., limited weight loss, are multifactorial and include psychological factors. We established a theoretical model of how impulsivity is related to weight loss outcome. We propose that depressive symptoms act as a mediator between impulsivity and pathological eating behavior, and that pathological eating behavior has a direct impact on weight loss outcome. We calculated excessive weight loss (%EWL) and assessed self-reported impulsivity (using the Baratt Impulsiveness Scale (BIS-15) total score), depressive symptoms (the Patient Health Questionnaire (PHQ-9) score), and pathological eating behavior (the Eating Disorder Inventory 2 (EDI-2) total score) in 65 patients four years after laparoscopic sleeve gastrectomy...
November 14, 2016: Nutrients
https://www.readbyqxmd.com/read/27852888/the-influence-of-preoperative-psychological-factors-on-weight-loss-after-bariatric-surgery-a-preliminary-report
#4
Carlo Lai, Paola Aceto, Ilaria Petrucci, Gianluca Castelnuovo, Cosimo Callari, Piero Giustacchini, Liliana Sollazzi, Geltrude Mingrone, Rocco Bellantone, Marco Raffaelli
Aim of this study was to investigate relationship between preoperative psychological factors and % total weight loss after gastric bypass. 76 adult patients scheduled for bariatric surgery were preoperatively asked to complete anxiety and depression Hamilton scales and Toronto Alexithymia Scale. At 3- and 6-month follow-up, body weight was assessed. At 6-month follow-up, alexithymic patients showed a poorer % total weight loss compared with non-alexithymic patients (p = .017), and moderately depressed patients showed a lower % total weight loss compared with non-depressed patients (p = ...
November 15, 2016: Journal of Health Psychology
https://www.readbyqxmd.com/read/27822277/comparison-between-marital-satisfaction-and-self-esteem-before-and-after-bariatric-surgery-in-patients-with-obesity
#5
Atefeh Ghanbari Jolfaei, Tahereh Lotfi, Abdolreza Pazouki, Azadeh Mazaheri Meybod, Fahimeh Soheilipour, Fatemeh Jesmi
BACKGROUND: Obesity is one of the most common chronic diseases with important medical effects, as well as mental and social health problems. Bariatric surgery is one of the most effective treatments of morbid obesity. OBJECTIVES: Because of the possible psychological changes, and its effects on weight loss after surgery, the current study aimed to compare marital satisfaction and self-confidence in patients with obesity before and after bariatric surgery in Rasoul-e-Akram hospital in 2013...
September 2016: Iranian Journal of Psychiatry and Behavioral Sciences
https://www.readbyqxmd.com/read/27792969/body-mass-index-depression-and-suicidality-the-role-of-self-esteem-in-bariatric-surgery-candidates
#6
Miryam Yusufov, Kristy Dalrymple, Michael H Bernstein, Emily Walsh, Lia Rosenstein, Iwona Chelminski, Mark Zimmerman
BACKGROUND: Previous research suggests a relationship between weight and depression/suicidality, although few studies have examined the mechanisms underlying this association. This study examined the mediating role of self-esteem in the relationship between BMI and depression/suicidality, as well as the moderating role of gender in the mediated pathways. METHODS: As part of a screening process in consideration for bariatric surgery, 3,101 adults (81.4% female, 18...
October 17, 2016: Journal of Affective Disorders
https://www.readbyqxmd.com/read/27771315/associations-between-psychological-test-results-and-failure-to-proceed-with-bariatric-surgery
#7
Ryan J Marek, Anthony M Tarescavage, Yossef S Ben-Porath, Kathleen Ashton, Leslie J Heinberg, Julie Merrell Rish
BACKGROUND: The reasons why some patients who begin the presurgical process for bariatric surgery fail to complete the procedure are understudied. Previous research implies that psychological factors play a role. OBJECTIVES: To examine whether scores from baseline psychological testing incrementally predict failure to proceed with bariatric surgery beyond demographic information in patients' medical charts and data derived from a clinical interview. SETTING: Cleveland Clinic Bariatric and Metabolic Institute...
September 16, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27757346/complications-of-lower-body-lift-surgery-in-postbariatric-patients
#8
Ingrid G M Poodt, Martine M van Dijk, Steven Klein, Maarten M Hoogbergen
: There is an exponential rise of patients with massive weight loss because of bariatric surgery or lifestyle changes. The result is an increase of patients with folds of redundant skin that may cause physical and psychological problems. The lower body lift is a procedure to correct deformities in the abdomen, mons, flanks, lateral thighs, and buttocks. Complication rates are quite high and could negatively affect the positive outcomes. The purpose of this study is to assess complication rates and to identify predictors of complications to optimize outcomes for patients after lower body lift surgery...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27752806/initial-approach-to-childhood-obesity-in-spain-a-multisociety-expert-panel-assessment
#9
Ramon Vilallonga, José Manuel Moreno Villares, Diego Yeste Fernández, Raquel Sánchez Santos, Felipe Casanueva Freijo, Francisco Santolaya Ochando, Nuria Leal Hernando, Albert Lecube Torelló, Luis Antonio Castaño González, Albert Feliu, Gontrand Lopez-Nava, Dolores Frutos, Antonio J Torres Garcia, Juan Carlos Ruiz de Adana
PURPOSE: In recent years, the incidence of childhood obesity in Europe, and Spain in particular, has increased dramatically. Bariatric surgery could play a major role in treating of adolescents with severe obesity. However, no specific guidelines for bariatric surgery currently exist in Spain. METHODS: The Board of the Spanish Society for Obesity Surgery and Metabolic Diseases (SECO) proposed a study of childhood obesity by using the Delphi method. This prospective study involved 60 experts from nine national societies...
October 17, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27744739/the-role-of-exercise-in-a-weight-loss-program-on-clinical-control-in-obese-adults-with-asthma-a-rct
#10
Patricia D Freitas, Palmira G Ferreira, Aline G Silva, Rafael Stelmach, Regina M Carvalho-Pinto, Frederico L A Fernandes, Marcio C Mancini, Maria N Sato, Milton A Martins, Celso R F Carvalho
RATIONALE: Clinical control is difficult to achieve in obese patients with asthma. Bariatric surgery has been recommended for weight-loss and to improve asthma control; however, the benefits of nonsurgical interventions have been poorly investigated. OBJECTIVE: To examine the effect of exercise training in a weight-loss program on asthma control, quality of life, inflammatory biomarkers and lung function. METHODS: Fifty-five obese patients with asthma were randomly assigned to either a weight-loss program + exercise (WL+E group, n=28) or a weight-loss program + sham (WL+S group, n=27) group, where the weight-loss program included nutrition (caloric restriction) and psychological therapies...
July 19, 2016: American Journal of Respiratory and Critical Care Medicine
https://www.readbyqxmd.com/read/27720223/bariatric-surgery-and-intellectual-disability-furthering-evidence-based-practice
#11
Emma Gibbons, Amanda Faith Casey, Keith Z Brewster
BACKGROUND: Rates of morbid obesity are higher for individuals with intellectual disability (ID). Individuals with ID may find nutritional guidelines difficult to follow and many face personal and environmental barriers for physical activity. Bariatric surgery may reduce obesity related health comorbidities while promoting sustained weight loss in diverse populations. Yet no study has reviewed the feasibility of conducting bariatric surgery on individuals with ID. OBJECTIVES: To conduct a scoping review of literature on bariatric procedures performed on individuals with ID...
September 16, 2016: Disability and Health Journal
https://www.readbyqxmd.com/read/27703353/splitting-impulsivity-and-intimate-partnerships-in-young-obese-women-seeking-bariatric-treatment
#12
Jana Zmolikova, Dita Pichlerova, Petr Bob, Denisa Schückova, Jitka Herlesova, Petr Weiss
BACKGROUND: Splitting represents a defense mechanism that describes fragmentation of conscious experience that may occur in various psychopathological conditions. The purpose of this study was to examine the relationship of splitting with disturbed cognitive and affective functions related to impulsivity and intimate partnerships in a group of obese patients indicated for bariatric treatment and compare the results with other obese patients and patients with bulimia nervosa. METHODS: In this clinical study, we assessed 102 young women...
2016: Neuropsychiatric Disease and Treatment
https://www.readbyqxmd.com/read/27701686/-adipositas-new-aspects-in-internistic-care-before-and-after-bariatric-surgery
#13
Clarissa Schulze Zur Wiesch, Anne Lautenbach, Jens Aberle
Indication for bariatric or metabolic surgery depends primarily on body mass index. Recent study results however suggest, that other markers are more reliable predictors of metabolic success. A revision of indication criteria is therefore necessary especially for surgical therapy of type 2 diabetes mellitus. Postoperative management should include screening for postbariatric hypoglycemia and bone density. Furthermore psychologic surveillance is recommended.
September 2016: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/27686795/emerging-treatments-for-severe-obesity-in-children-and-adolescents
#14
Nicole Coles, Catherine Birken, Jill Hamilton
Severe obesity in childhood is increasing in prevalence and is associated with considerable morbidity. Studies into pediatric obesity have focused largely on interventions that do not necessarily target the unique biologic or psychological underpinnings for the weight gain in the individual child or adolescent. Outcomes show modest improvement and are of questionable benefit for patients with severe obesity. Although weight is a commonly used outcome, other psychological and metabolic parameters including normalization of physical activity and eating behaviors should be primary outcome goals...
September 29, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27683771/psychological-profile-of-patients-eligible-for-bariatric-surgery
#15
Graziela Aparecida Nogueira de Almeida Ribeiro, Helenice Brizolla Giampietro, Lídia Barbieri Belarmino, Wilson Salgado-Júnior
Background: The psychologist who works in bariatric surgery has a role to receive, evaluate, prepare and educate the patient who will undergo the surgical procedure. Psychological evaluation becomes important in so far as allows us to obtain data on personal and familiar history and allow tracing of possible psychopathology. Aim: To collect data on psychological evaluations of patients in a bariatric surgery service of a public hospital in order to describe the psychological profile of patients in this service...
2016: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
https://www.readbyqxmd.com/read/27679429/psychological-impact-of-severe-obesity
#16
Jennifer Collins, Chelsea Meng, Anna Eng
The causes of severe obesity are multifactorial and include metabolic, dietary, physical, and psychological aspects. Additionally, the impact of severe obesity affects more than one's physical health. This article attempts to explore the psychological impact of severe obesity specifically in the areas of mood, eating disorders, sleep disturbance, chronic pain, and quality of life. Additionally, obesity treatment options of lifestyle modification and bariatric surgery that include psychological assessment and/or cognitive behavioral intervention are discussed...
September 27, 2016: Current Obesity Reports
https://www.readbyqxmd.com/read/27663821/liaison-psychiatry-and-bariatric-surgery-double-standards-what-are-the-possibilities-for-the-systematization-of-the-pre-operative-psychiatric-assessment-in-belgium
#17
Denis Jacques, Christine Reynaert, Nicolas Zdanowicz
BACKGROUND: In the context of health care in Belgium, the psychological or psychiatric opinion of a multidisciplinary team is required in the assessment of bariatric surgery candidates. In clinical practice, a wide variety of liaison psychiatry assessment methods exist. SUBJECTS AND METHODS: On the basis of a post-operative psychiatric comorbidity case report and a literature review on "liaison psychiatry and bariatric surgery" we aim to identify opportunities for the systematization of bariatric pre-surgery psychiatric evaluation...
September 2016: Psychiatria Danubina
https://www.readbyqxmd.com/read/27639985/psychological-contributors-to-noncompletion-of-an-adolescent-preoperative-bariatric-surgery-program
#18
Megan J Cohen, Jennifer L Curran, Thao-Ly T Phan, Kirk Reichard, George A Datto
BACKGROUND: Noncompletion of preoperative bariatric programs is a significant problem among adolescents. Adult studies suggest that psychological factors contribute to noncompletion of preoperative bariatric programs. OBJECTIVE: The aim of this study was to determine the association between adolescent psychological functioning and completion of the preoperative phase of a bariatric program. SETTING: The study was conducted at a tertiary care children's hospital affiliated with a university medical center...
August 18, 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/27605376/systematic-review-and-meta-analysis-of-occupational-outcomes-after-bariatric-surgery
#19
Alistair J Sharples, Chandra V N Cheruvu
INTRODUCTION: Obesity has been linked with reduced productivity in the workplace and is associated with higher levels of unemployment and absenteeism. Studies have shown improvement in functioning and enhanced activity levels in patients after bariatric surgery. OBJECTIVES: We perform a systematic review and meta-analysis of the literature to assess the impact of bariatric surgery on occupational outcomes. METHODS: Medline, Embase, The Cochrane Library and NHS Evidence were searched for English language studies assessing factors related to employment both preoperatively and postoperatively...
September 8, 2016: Obesity Surgery
https://www.readbyqxmd.com/read/27586525/project-help-a-remotely-delivered-behavioral-intervention-for-weight-regain-after-bariatric-surgery
#20
Lauren E Bradley, Evan M Forman, Stephanie G Kerrigan, Stephanie P Goldstein, Meghan L Butryn, J Graham Thomas, James D Herbert, David B Sarwer
BACKGROUND: Weight regain following bariatric surgery is common and potentially compromises the health benefits initially attained after surgery. Poor compliance to dietary and physical activity prescriptions is believed to be largely responsible for weight regain. Patients may benefit from developing specialized psychological skills necessary to engage in positive health behaviors over the long term. Unfortunately, patients often face challenges to physically returning to the bariatric surgery program for support in developing and maintaining these behaviors...
September 1, 2016: Obesity Surgery
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