Pre- and Postoperative Cognitive Behavior Therapy for Patients Accepted for Bariatric Surgery

Study Overview
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Brief Summary
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The purpose of this study is to investigate the relationship between the potential predictive psychological variables and success after bariatric surgery. The investigators will also investigate the purpose of a pre- and postoperative psychological intervention.

Detailed Description
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Bariatric surgery is the treatment of choice for morbid obesity, but it does not lead to equal results in every patients. Research about personality factors involved in successful outcome after bariatric surgery has led to contrasting results. The existing literature about potential predictors of success after bariatric surgery is far from conclusive. The investigators want to evaluate preoperatively by standardized diagnostic interviews (MINI, SCID-II) and rating scales and questionnaires to assess co-morbid psychopathology. The same evaluation will be done after 1,2 and 5 years. The investigators will look for a relationship between psychological variables and success after bariatric surgery, including amount of weight loss, psychiatric comorbidity, quality of life and employment. The investigators will also investigate the purpose of an pre- and postoperative psychological intervention. Patients on a waiting list for bariatric surgery are randomised to an intervention- and a control group. The intervention is based on cognitive behavior therapy and mindfulness, 6 weeks preoperative and two weeks postoperative programme. Outcome measures are amount of weight loss, psychiatric comorbidity, quality of life and employment.

Official Title
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Pre- and Postoperative Cognitive Behavior Therapy for Patients Accepted for Bariatric Surgery

Conditions
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Obesity, Morbid

Intervention / Treatment
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* Behavioral: psychotherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients on a waiting list for bariatric surgery at Haugesund hospital Exclusion Criteria: Patients with psychosis and suicidality Suicidal attempts the last two years Or suicidal thoughts or plans.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: psychotherapy|Cognitive Behavioral therapy|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| psychiatric comorbidity |  | five years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| weight loss |  | five years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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comorbidity, Quality of Life, Body Weight Changes