Preoperative and post-operative intensive interventions improved symptoms of depression and anxiety , quality of life , diastolic blood pressure , and resting heart rate but not lipids or glycaemic measures .
This systematic review and meta- analysis of intervention studies aims to evaluate the effect of preoperative and /or post-operative support for adults who elect bariatric surgery delivered by a multidisciplinary team ( MDT )  on post-operative body composition , mental health , co-morbidities , quality of life , and side effects .
The Impact of a Preoperative Cognitive Behavioural Therapy (CBT) on Dysfunctional Eating Behaviours, Affective Symptoms and Body Weight 1 Year after Bariatric Surgery: A Randomised Controlled Trial
Background To examine whether a preoperative cognitive behavioural therapy ( CBT ) intervention exceeds usual care in the improvements of dysfunctional eating behaviours , mood , affective symptoms and body weight 1 year after bariatric surgery . Methods This is a 1-year follow-up of a single centre parallel-group r and omised controlled trial ( http:// clinical trials.gov/ct2/show/NCT01403558 ) . A total of 80 ( 55 females ) patients mean ( SD ) age 44 ( 10 ) years were included . The intervention group received 10 weeks of CBT prior to bariatric surgery , and the control group received nutritional support and education . Both groups were assessed at baseline ( T0 ) , post CBT intervention/preoperatively ( T1 ) , and 1 year postoperatively ( T2 ) . Using a mixed modelling statistical approach , we examined if the CBT group improved more across time than the control group . Results Our hypothesis was not supported as both groups had comparable improvements in all outcomes except for anxiety symptoms . Body weight declined by 30.2 % ( 37.3 kg ) in the CBT group and by 31.2 % ( 40.0 kg ) in the control group from baseline to follow-up , p = 0.82.There were statistically significant reductions in anxiety and depression symptoms in the CBT group between T0 and T1 and between T1 and T2 for depression only . However , in the control group , the anxiety score did not change significantly . The CBT group showed an earlier onset of improvements in all eating behaviours and affective symptoms than the control group . Conclusion The 10-week CBT intervention showed beneficial effects preoperatively , but the non-significant group differences postoperatively indicate a genuine effect of surgery
Preoperative and post-operative intensive interventions improved symptoms of depression and anxiety , quality of life , diastolic blood pressure , and resting heart rate but not lipids or glycaemic measures .
This systematic review and meta- analysis of intervention studies aims to evaluate the effect of preoperative and /or post-operative support for adults who elect bariatric surgery delivered by a multidisciplinary team ( MDT )  on post-operative body composition , mental health , co-morbidities , quality of life , and side effects .