Contributing of Cognitive-Behavioral Therapy in the Context of Bariatric Surgery: a Review of the Literature
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REVIEW
Contributing of Cognitive-Behavioral Therapy in the Context of Bariatric Surgery: a Review of the Literature Cynthia Cheroutre 1,2
&
Alain Guerrien 1 & Amélie Rousseau 1
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Bariatric surgery is the most effective treatment for obesity. Reported benefits include major weight loss, improvement in diseases associated with obesity, and better quality of life. Nevertheless, there is a long-term risk of deleterious physical and psychological effects: regained weight (30% of patients), depression, and body image dissatisfaction. The purpose of this review of the literature is to identify the contribution of cognitive-behavioral therapy (CBT) in the context of bariatric surgery. Eligible articles and published since 2003 were systematically searched in electronic databases (PsychoINFO, MEDLINE, PubMed and Academic Search). Among the 98 citations, eleven cross-sectional and longitudinal studies concerning bariatric surgery patients who participated in CBT programs fulfilled the inclusion criteria. The therapeutic efficacy of CBT was demonstrated in ten of the eleven studies. An improvement in eating behavior, comorbid psychological conditions, and body weight were reported in patients who participated in CBT group sessions before and/or after bariatric surgery. The beneficial effect of CBT in the context of bariatric surgery suggests interesting therapeutic perspectives. Further research is however needed to consolidate these early findings and to provide longitudinal follow-up data beyond 2 years post-surgery. Keywords Obesity . Bariatric surgery . Cognitive-behavioral therapy
Introduction Social Media Do you provide permission for Obesity Surgery to re-post links to your published article? Yes Please provide any of your social media accounts that you would like included: linkedin.com/in/cynthia-cheroutre-1494531a6 Do you consent to the journal tagging you on social media platforms to increase visibility to your work? Yes * Cynthia Cheroutre [email protected] Alain Guerrien [email protected] Amélie Rousseau [email protected] 1
PSITEC - Psychologie : Interactions Temps Émotions Cognition, Univ. Lille, ULR 4072, 59000 Lille, France
2
Endocrinology Department,, Lille Catholic Hospitals, 59000 Lille, France
Obesity is recognized as a major public health concern due to its high prevalence and its short, mid-, and long-term impact on general health status [1, 2]. According to the most recent estimations from the World Health Organization, more than 1.9 billion adults are overweight worldwide (including 650 million who are obese). This prevalence increased three-fold from 1975 to 2016 [3]. At the present time, bariatric surgery appears to be the most effective treatment for obesity, compared with conventional weight-loss interventions, such as nutritional counseling, exercise, and pharmacological treatments [4, 5]. Depending on the surgical procedure performed, patients can lose up to 40–75% of their e
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