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Bariatric psychology

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https://www.readbyqxmd.com/read/29287756/qualifying-for-bariatric-surgery-is-preoperative-weight-loss-a-reliable-predictor-of-postoperative-weight-loss
#1
Raman D Krimpuri, James M Yokley, Eileen L Seeholzer, Ewald L Horwath, Charles L Thomas, Sergio J Bardaro
BACKGROUND: Over the last 20 years, bariatric surgery has emerged as a highly effective weight loss intervention that can also improve co-morbid medical conditions. However, some payors have required preoperative supervised diets and weight loss. OBJECTIVE: To determine if preoperative weight loss is the best predictor of postoperative weight loss. SETTING: Academic county hospital, United States. METHODS: A retrospective chart review of 218 patients...
January 2018: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29224241/cost-effectiveness-of-bariatric-surgery-in-adolescents-with-severe-obesity-in-the-uk
#2
M Panca, R M Viner, B White, T Pandya, H Melo, M Adamo, R Batterham, D Christie, S Kinra, S Morris
Evidence shows that surgery for severe obesity in adults improves health and psychological functioning, and is cost-effective. Data on bariatric surgery for adolescents with severe obesity are extremely limited, with no evidence on cost-effectiveness. We evaluated the lifetime cost-effectiveness of bariatric surgery compared with no surgery in adolescents with severe obesity from the UK's National Health Service perspective. Eighteen adolescents with body mass index ≥40 kg m-2 who underwent bariatric surgery (laparoscopic Roux en Y Gastric Bypass [RYGB] [N = 9], and laparoscopic Sleeve Gastrectomy [SG] [N = 9]) at University College London Hospitals between January 2008 and December 2013 were included...
December 10, 2017: Clinical Obesity
https://www.readbyqxmd.com/read/29207379/practical-recommendations-of-the-obesity-management-task-force-of-the-european-association-for-the-study-of-obesity-for-the-post-bariatric-surgery-medical-management
#3
Luca Busetto, Dror Dicker, Carmil Azran, Rachel L Batterham, Nathalie Farpour-Lambert, Martin Fried, Jøran Hjelmesæth, Johann Kinzl, Deborah R Leitner, Janine M Makaronidis, Karin Schindler, Hermann Toplak, Volkan Yumuk
Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient...
December 6, 2017: Obesity Facts
https://www.readbyqxmd.com/read/29178023/emotion-self-regulation-moderates-the-association-between-symptoms-of-adhd-and-weight-loss-after-bariatric-surgery
#4
Tamara M Williamson, Tavis S Campbell, Jo Ann Telfer, Joshua A Rash
BACKGROUND: This study aimed to examine the combined effect of pre-surgical emotion self-regulation (ESR) and symptoms of attention deficit hyperactivity disorder (sADHD, i.e., inattention, impulsivity, and hyperactivity) on weight loss 12 months following bariatric surgery independent of psychological distress and eating pathology. METHODS: Adults with obesity were recruited from a bariatric surgery specialty clinic in Canada. Patients completed measures of psychological distress (i...
November 24, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/29170543/long-term-effects-of-adolescent-obesity-time-to-act
#5
REVIEW
Thomas Reinehr
Obesity in adolescence will probably have major implications not only for the affected adolescents but also for society. Those who have obesity during adolescence usually have obesity into adulthood, which causes many medical and psychological issues that can result in premature death. Furthermore, obesity in adolescents is associated with a range of social problems, including difficulties securing an apprenticeship or a job or finding a partner. Adolescents with obesity are also at increased risk of having children with obesity later in life...
November 24, 2017: Nature Reviews. Endocrinology
https://www.readbyqxmd.com/read/29137697/the-readiness-to-change-for-bariatric-surgery-assessment-tool-validity-factor-structure-and-reliability
#6
Susan M S Carlson
BACKGROUND AND PURPOSE: Currently, there is no guideline or standard of practice for performing the psychiatric/psychological evaluation that is a requirement for approval for bariatric surgery. The Readiness to Change for Bariatric Surgery Assessment Tool (RCB-SAT) establishes a means for psychiatric evaluators to objectively assess the patient's cognition, beliefs, and motivation around the bariatric diet and lifestyle changes. Development of a clinical decision-making tool for assessing readiness to change in bariatric patients will be useful regarding The Strategic Plan for NIH Obesity Research...
November 1, 2017: Research and Theory for Nursing Practice
https://www.readbyqxmd.com/read/29079383/surgery-type-and-psychosocial-factors-contribute-to-poorer-weight-loss-outcomes-in-persons-with-a-body-mass-index-greater-than-60-kg-m-2
#7
Ryan J Marek, Gail A Williams, Samantha H Mohun, Leslie J Heinberg
BACKGROUND: The current investigation aims to predict 3-year postoperative percent total weight loss among a sample of bariatric surgery patients with super-super obesity. OBJECTIVE: Previous research implies that persons with presurgical super-super obesity (body mass index [BMI] ≥60 kg/m(2)) tend to have poorer loss outcomes compared with those with a lower presurgical BMI after bariatric surgery. SETTING: Cleveland Clinic, Bariatric & Metabolic Institute, Cleveland, OH...
September 14, 2017: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/29032488/how-do-individuals-develop-alcohol-use-disorder-after-bariatric-surgery-a-grounded-theory-exploration
#8
Ruth Yoder, Padraig MacNeela, Ronan Conway, Caroline Heary
BACKGROUND: Bariatric surgery is the most effective treatment for severe obesity. However, following Roux-en-Y gastric bypass (RYGB) surgery, a small minority of patients develop new-onset alcohol use disorder (AUD), the aetiology of which is poorly understood. AIM: The aim is to construct a theory to explain the development of AUD among a sample of individuals who reported problematic drinking following RYGB. METHOD: Semi-structured interviews were conducted with eight RYGB patients diagnosed with AUD attending a multi-disciplinary outpatient weight management service at a public hospital in the Republic of Ireland...
October 14, 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28976454/the-gut-and-its-microbiome-as-related-to-central-nervous-system-functioning-and-psychological-well-being-introduction-to-the-special-issue-of-psychosomatic-medicine
#9
Emeran A Mayer, Elaine Y Hsiao
Accumulating evidence indicates bidirectional associations between the brain and the gut microbiome with both top-down and bottom-up processes. This article describes new developments in brain-gut interactions as an introduction to a special issue of Psychosomatic Medicine, based on a joint symposium of the American Psychosomatic Society and the American Gastroenterological Association. Literature review articles indicate that several psychiatric disorders are associated with altered gut microbiota, whereas evidence linking functional gastrointestinal disorders and dysbiosis has not been firmly established...
October 2017: Psychosomatic Medicine
https://www.readbyqxmd.com/read/28971543/weight-loss-trajectories-in-bariatric-surgery-patients-and-psychopathological-correlates
#10
Amador García-Ruiz-de-Gordejuela, Zaida Agüera, Roser Granero, Trevor Steward, Asunción Llerda-Barberá, Elena López-Segura, Nuria Vilarrasa, Isabel Sanchez, Susana Jiménez-Murcia, Nuria Virgili, Rafael López-Urdiales, Mónica Montserrat-Gil de Bernabe, Pilar Garrido, Rosa Monseny, Carmen Monasterio, Neus Salord, Jordi Pujol-Gebelli, Jose M Menchón, Fernando Fernández-Aranda
This study aimed to explore the empirical trajectories of body mass index (BMI) 1 year following bariatric surgery (BS) and to identify the risk factors for each trajectory. The study included 115 patients with severe obesity who underwent BS. Assessment included metabolic variables, psychopathological and personality measures. Growth mixture modelling identified four separated trajectories for the percentage of total weight loss course shape (namely, T1 'good-fast', T2 'good', T3 'low' and T4 'low-slow')...
November 2017: European Eating Disorders Review: the Journal of the Eating Disorders Association
https://www.readbyqxmd.com/read/28958273/variation-in-clinical-characteristics-of-women-versus-men-preoperative-for-laparoscopic-roux-en-y-gastric-bypass-analysis-of-83-059-patients
#11
COMPARATIVE STUDY
Jandie Schwartz, Christopher Bashian, Leon Kushnir, Cristina Nituica, Gus J Slotman
Variation by sex in preoperative clinical characteristics of female and male laparoscopic Roux-en-Y gastric bypass (LRYGB) patients has not been evaluated comprehensively. The objective of our study was to identify clinical differences between morbidly obese women and men seeking LRYGB. Data from 83,059 patients in the Surgical Review Corporation's Bariatric Outcomes Longitudinal Database who were about to undergo LRYGB was analyzed in two groups: women (n = 65,325) and men (n = 17,734). Statistics were evaluated with analysis of variance and the χ2 equation...
September 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/28906072/-it-just-made-me-feel-so-desolate-patients-narratives-of-weight-gain-following-laparoscopic-insertion-of-a-gastric-band
#12
Frances Marjorie May Lloyd, Alistair Hewison, Nikolaos Efstathiou
AIMS AND OBJECTIVES: To describe the experiences of patients who have failed to maintain weight loss following the insertion of a laparoscopic adjustable gastric band (LAGB) for the treatment of morbid obesity. BACKGROUND: Obesity is a global health problem resulting in physical, psychological and economic problems and presenting challenges for health services. Surgical intervention is an increasingly common approach to treatment; however, some patients do not sustain their weight loss following bariatric surgery and little is known about people's longer-term experiences following LAGB insertion...
September 14, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28845829/reduction-mammoplasty-techniques-in-post-bariatric-patients-our-experience
#13
Susanna Polotto, Michele P Grieco, Francesco Simonacci, Nicolò Bertozzi, Federico Marchesi, Eugenio Grignaffini, Edoardo Raposio
BACKGROUND AND AIM OF THE WORK: Excessive body weight represents a huge problem affecting a wide part of world population, causing significant physical and psychological consequences. To solve their obesity-related problems, patients should begin a bariatric treatment to lose an adequate percentage of their body mass and therefore, they should be subjected to body contouring surgery. In this article we describe our experience in applying breast remodeling techniques to post-bariatric patients...
August 23, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/28840338/physiologic-and-psychological-gender-differences-in-bariatric-surgery
#14
Jeanne Kochkodan, Dana A Telem, Amir A Ghaferi
BACKGROUND: Bariatric surgery is a safe and effective treatment for clinically severe obesity, but inequity in male and female utilization is well recognized. Approximately 20% of patients undergoing bariatric surgery are male. This paper aims to describe differences in outcomes by gender and to understand the physiologic and psychological differences that may explain this gender gap. METHODS: We examined 61,708 patients from the Michigan Bariatric Surgery Collaborative (MBSC) undergoing primary bariatric surgery between 2006 and 2016...
August 24, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28831733/pre-surgical-pulmonary-rehabilitation-in-asthma-patients-undergoing-bariatric-surgery
#15
Yasemin Türk, Astrid van Huisstede, Pieter S Hiemstra, Christian Taube, Gert-Jan Braunstahl
This pilot study was performed to investigate the feasibility of pre-surgical pulmonary rehabilitation (PR) in morbidly obese patients with uncontrolled asthma, undergoing bariatric surgery. Four morbidly obese female patients with asthma participated in a 12-week PR program (exercise, diet, and psychological intervention) before undergoing bariatric surgery, and the outcomes were compared to a matched group of seven female controls (bariatric surgery only). In patients who participated in PR, asthma control and asthma quality of life improved dramatically after 3 months of PR...
November 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28815744/identifying-prebariatric-subtypes-based-on-temperament-traits-emotion-dysregulation-and-disinhibited-eating-a-latent-profile-analysis
#16
Lisa Schäfer, Claudia Hübner, Thomas Carus, Beate Herbig, Florian Seyfried, Stefan Kaiser, Tatjana Schütz, Arne Dietrich, Anja Hilbert
OBJECTIVE: The efficacy of bariatric surgery has been proven; however, a subset of patients fails to achieve expected long-term weight loss postoperatively. As differences in surgery outcome may be influenced by heterogeneous psychological profiles in prebariatric patients, previous subtyping models differentiated patients based on temperament traits. The objective of this study was to expand these models by additionally considering emotion dysregulation and disinhibited eating behaviors for subtyping, as these factors were associated with maladaptive eating behaviors and poor postbariatric weight loss outcome...
August 16, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28815388/guiding-patients-toward-the-appropriate-surgical-treatment-for-obesity-should-presurgery-psychological-correlates-influence-choice-between-roux-en-y-gastric-bypass-and-vertical-sleeve-gastrectomy
#17
Gretchen E Ames, Michael G Heckman, Nancy N Diehl, Dustin M Shepherd, Allison A Holgerson, Karen B Grothe, Todd A Kellogg, Steven P Bowers, Matthew M Clark
BACKGROUND: Helping patients determine which type of bariatric surgery, Roux-en-Y gastric bypass (RYGB) or vertical sleeve gastrectomy (VSG), may be the best treatment can be challenging. This study investigated psychological correlates and their influence on weight loss for patients who underwent RYGB or VSG. METHODS: Four hundred twenty-two patients (RYGB = 305; VSG = 117) completed screening questionnaires presurgery and underwent surgery between August 2012 and April 2015...
October 2017: Obesity Surgery
https://www.readbyqxmd.com/read/28795980/cognitive-behavioral-therapy-and-predictors-of-weight-loss-in-bariatric-surgery-patients
#18
Linda Paul, Colin van der Heiden, Hans W Hoek
PURPOSE OF REVIEW: Bariatric surgery is the most effective treatment for morbid obesity. However, 20-30% of patients undergoing bariatric surgery experience premature weight stabilization or weight regain postoperatively. We report on the recent literature of predictors of weight loss and the efficacy of cognitive behavioral therapy (CBT) in bariatric patients. RECENT FINDINGS: Preoperative disordered eating behaviors do not appear to be significantly predictive of postoperative weight loss...
November 2017: Current Opinion in Psychiatry
https://www.readbyqxmd.com/read/28791825/effect-of-bmi-on-quality-of-life-and-depression-levels-after-bariatric-surgery
#19
Regina Sierżantowicz, Jolanta Lewko, Hady Razak Hady, Bożena Kirpsza, Lech Trochimowicz, Jacek Dadan
BACKGROUND: Studies conducted in Poland have found that 1% (~300,000) of Polish adults are obese. The degree of weight loss and reduction of discomfort associated with severe obesity are used to evaluate bariatric surgery outcomes. From the patient's point of view, QoL and mental health are the most important determinants of successful surgery, which is why interest in QoL assessment has increased. OBJECTIVES: To assess the effect of BMI on quality of life and depression levels depending on the type of bariatric surgery...
May 2017: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/28791623/reoperative-bariatric-surgery-a-systematic-review-of-the-reasons-for-surgery-medical-and-weight-loss-outcomes-relevant-behavioral-factors
#20
REVIEW
Ana Pinto-Bastos, Eva M Conceição, Paulo P P Machado
Reoperative surgery following the failure of primary bariatric surgery is increasing due to the significant rates of patients experiencing poor weight loss or medical complications. This literature review was conducted to organize the emerging, but scattered, literature regarding the reasons for undergoing surgery, the best available options, the predictors of success, and the psychological characteristics of patients submitted to reoperative surgeries. Reoperative procedures are technically challenging, but the possible benefits of reoperation supplant the increased risks associated with these procedures...
October 2017: Obesity Surgery
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