title: Psychosocial Interventions Pre and Post Bariatric Surgery.
abstract: Despite positive results overall, a substantial number of patients experience poor long-term outcomes following bariatric surgery. One reason for variability in weight loss may be difficulty in making and sustaining changes in dietary intake and physical activity; post-surgery binge eating has also been associated with poorer weight outcomes. In this paper, we review available evidence on adjunctive psychosocial interventions for bariatric surgery patients. Although the literature is limited, evidence suggests that bariatric surgery patients may benefit from a comprehensive approach targeting diet, activity and psychological factors. We think the optimal time to initiate adjunctive intervention is after surgery, but before significant weight regain has occurred. Adaptive interventions incorporating advances in technology may prove to be effective for promoting behavioural self-management and psychosocial adjustment following bariatric surgery. For some patients, pharmacotherapy and reoperation may also play a role in a personalized approach to post-surgery care.
authors.affiliation: School of Nursing, Duquesne University, USA.
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Kalarchian
authors.affiliation: Department of Psychiatry, University of Pittsburgh School of Medicine, USA.
authors.forename: Marsha D
authors.initials: MD
authors.lastname: Marcus
mesh_terms: D050110:Bariatric Surgery / Q000523:psychology*; D002032:Bulimia; D000066498:Emotional Adjustment; D006801:Humans; D009767:Obesity, Morbid / Q000523:psychology / Q000601:surgery*; D011182:Postoperative Care; D011300:Preoperative Care; D011613:Psychotherapy / Q000379:methods*; D012648:Self Care / Q000523:psychology; D016896:Treatment Outcome; D015431:Weight Loss
keywords: bariatric surgery; lifestyle intervention; psychological intervention; weight loss