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 .
Effectiveness of a Cognitive Behavioral Therapy for Dysfunctional Eating among Patients Admitted for Bariatric Surgery: A Randomized Controlled Trial
Objective . To examine whether cognitive behavioral therapy ( CBT ) alleviates dysfunctional eating ( DE ) patterns and symptoms of anxiety and depression in morbidly obese patients planned for bariatric surgery . Design and Methods . A total of 98 ( 68 females ) patients with a mean ( SD ) age of 43 ( 10 ) years and BMI 43.5 ( 4.9 ) kg/m2 were r and omly assigned to a CBT-group or a control group receiving usual care ( i.e. , nutritional support and education ) . The CBT-group received ten weekly intervention sessions . DE , anxiety , and depression were assessed by the TFEQ R-21 and HADS , respectively . Results . Compared with controls , the CBT- patients showed significantly less DE , affective symptoms , and a larger weight loss at follow-up . The effect sizes were large ( DE-cognitive restraint , g = −.92 , P ≤ .001 ; DE-uncontrolled eating , g = −.90 , P ≤ .001 ) , moderate ( HADS-depression , g = −.73 , P ≤ .001 ; DE-emotional eating , g = −.67 , P ≤ .001 ; HADS-anxiety , g = −.62 , P = .003 ) , and low ( BMI , g = −.24 , P = .004 ) . Conclusion . This study supports the use of CBT in helping patients preparing for bariatric surgery to reduce DE and to improve mental health . This clinical trial is registered with NCT01403558
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 .