An Acceptance-Based Intervention to Minimize Weight Regain After Bariatric Surgery PDF Download
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Author: Lauren Elizabeth Bradley
Publisher:
ISBN:
Category : Clinical psychology
Languages : en
Pages : 310
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Book Description
Bariatric surgery is regarded as the most effective obesity treatment to date; however, tens of thousands of patients each year experience sub-optimal weight losses and/or significant regain. Poor outcomes have been associated with decreased compliance to the recommended postoperative diet, which is quite restrictive in nature. This decreased compliance may be due in part to a lack of psychological skills necessary to continuously engage in healthy eating behaviors over the long-term, especially as the effects of the surgery (on appetite, hunger, and desire for food) decreases. As a result, significant weight regain can occur, which can result in poorer health outcomes and, in more extreme cases, secondary surgical procedures. The current study aimed to develop an acceptance-based intervention to stop weight regain in bariatric surgery patients and to establish its feasibility, acceptability, and preliminary effectiveness. A group of postoperative patients (n = 153) were surveyed to assess their current status as well as interest and preferences for postoperative programs to promote long term success. An open trial was then conducted of a newly-developed, 10-week, acceptance-based behavioral weight control intervention modified for bariatric surgery patients. The intervention emphasized skills thought to be integral to successful weight control postsurgery, i.e., a commitment to engaging in behaviors (e.g., healthy eating, physical activity) that are in accordance with one's values (e.g., living a healthy life) despite difficulty doing so (e.g., due to the return of food cravings, hunger). Eleven bariatric surgery patients who had regained at least 10% of their lost weight since their lowest postoperative weight were recruited and enrolled in groups to evaluate this program. The intervention was shown to be feasible and acceptable, with 72% retention (100% retention in those who attended more than 1 session) and high mean rating (4.25 out of 5.00) of program satisfaction among completers. In addition, weight regain was stopped, and even reversed, with a mean weight loss of 3.58 ± 3.02% throughout the 10-week intervention. There were also significant improvements in acceptance-based and eatingrelated process variables. Overall, these pilot data provide initial support for the feasibility and acceptability of an acceptance-based intervention for the post-bariatric surgery population. In addition, preliminary effectiveness in stopping and reversing weight regain was demonstrated.
Author: Lauren Elizabeth Bradley
Publisher:
ISBN:
Category : Clinical psychology
Languages : en
Pages : 310
Get Book Here
Book Description
Bariatric surgery is regarded as the most effective obesity treatment to date; however, tens of thousands of patients each year experience sub-optimal weight losses and/or significant regain. Poor outcomes have been associated with decreased compliance to the recommended postoperative diet, which is quite restrictive in nature. This decreased compliance may be due in part to a lack of psychological skills necessary to continuously engage in healthy eating behaviors over the long-term, especially as the effects of the surgery (on appetite, hunger, and desire for food) decreases. As a result, significant weight regain can occur, which can result in poorer health outcomes and, in more extreme cases, secondary surgical procedures. The current study aimed to develop an acceptance-based intervention to stop weight regain in bariatric surgery patients and to establish its feasibility, acceptability, and preliminary effectiveness. A group of postoperative patients (n = 153) were surveyed to assess their current status as well as interest and preferences for postoperative programs to promote long term success. An open trial was then conducted of a newly-developed, 10-week, acceptance-based behavioral weight control intervention modified for bariatric surgery patients. The intervention emphasized skills thought to be integral to successful weight control postsurgery, i.e., a commitment to engaging in behaviors (e.g., healthy eating, physical activity) that are in accordance with one's values (e.g., living a healthy life) despite difficulty doing so (e.g., due to the return of food cravings, hunger). Eleven bariatric surgery patients who had regained at least 10% of their lost weight since their lowest postoperative weight were recruited and enrolled in groups to evaluate this program. The intervention was shown to be feasible and acceptable, with 72% retention (100% retention in those who attended more than 1 session) and high mean rating (4.25 out of 5.00) of program satisfaction among completers. In addition, weight regain was stopped, and even reversed, with a mean weight loss of 3.58 ± 3.02% throughout the 10-week intervention. There were also significant improvements in acceptance-based and eatingrelated process variables. Overall, these pilot data provide initial support for the feasibility and acceptability of an acceptance-based intervention for the post-bariatric surgery population. In addition, preliminary effectiveness in stopping and reversing weight regain was demonstrated.
Author: Lauren Elizabeth Bradley
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 226
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Book Description
Bariatric surgery is regarded as the most effective treatment for obesity; however, weight regain is common. The inability to maintain weight loss following bariatric surgery is largely attributed to poor compliance to dietary recommendations made during the preoperative psychoeducation process. This decreased compliance may be due in part to a lack of psychological skills necessary to continuously engage in healthy eating behaviors over the long-term, especially as the effects of the surgery (on appetite, hunger) decreases. As a result, significant weight regain can occur, which can result in poorer health outcomes and, in more extreme cases, secondary surgical procedures. However, a significant barrier to implementing behavioral interventions is the fact that patients are unwilling or unable to physically return to their bariatric surgery clinics for follow-up care. Internet-delivered treatments, in contrast, can be conveniently delivered in the home, and have been found efficacious for a number of health problems, including obesity. The current study aimed to develop and evaluate a 10-week, remotely-delivered, acceptance-based behavioral intervention for individuals who have experienced weight regain post-surgery via an open trial. Twenty-two participants at least 1.5 years out from surgery and who experienced weight regain were enrolled. The intervention was shown to be feasible and acceptable, with 70% retention in those who started the program and a high mean rating (4.7 out of 5.0) of program satisfaction among those who completed the study. On average, weight regain was stopped and even reversed, with a mean weight change of -5.1% ℗ł 5.5% throughout the 10-week intervention. There were also significant improvements in acceptance-based and eating-related process variables. Overall, these pilot data provide initial support for the feasibility, acceptability, and preliminary effectiveness of a remotely-delivered acceptance-based intervention for individuals who have undergone bariatric surgery.
Author: Thomas A. Wadden
Publisher: Guilford Publications
ISBN: 1462535569
Category : Psychology
Languages : en
Pages : 737
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Book Description
The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook has given thousands of practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews the state of the science of evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, pharmacological treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.
Author: Thomas A. Wadden
Publisher: Guilford Publications
ISBN: 1462535577
Category : Psychology
Languages : en
Pages : 738
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Book Description
The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook gives practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, family-based behavioral weight loss treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946370X
Category : Medical
Languages : en
Pages : 117
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Book Description
The Roundtable on Obesity Solutions of the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, on April 6, 2017, titled The Challenge of Treating Obesity and Overweight: A Workshop. The discussions covered treatments for obesity, overweight, and severe obesity in adults and children; emerging treatment opportunities; the development of a workforce for obesity treatments; payment and policy considerations; and promising paths to move forward. This publication summarizes the presentations and discussions from the workshop.
Author: Ann F. Haynos
Publisher: New Harbinger Publications
ISBN: 1626252718
Category : Psychology
Languages : en
Pages : 331
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Book Description
Disordered eating, negative body image, and problems with weight have become an epidemic—and research shows that traditional treatments are not always effective. This professional resource offers proven-effective interventions using mindfulness and acceptance for treating clients with disordered eating, body image, or weight issues—and for whom other treatments have failed. Millions of people in the United States suffer from eating disorders, and dissatisfaction with weight and body type—even in individuals whose weight is considered normal—is similarly widespread. In addition, more than half of Americans could benefit from healthy weight loss. Unfortunately, not all people with eating disorders or weight concerns respond to traditional therapeutic interventions; many continue to suffer significant symptoms even after treatment. What these clients need is an integrated therapeutic approach that will prove effective in the long run—like the scientifically backed methods in this much-needed clinical guide. Edited by Ann F. Haynos, Jason Lillis, Evan M. Forman, and Meghan L. Butryn; and with contributors including Kay Segal, Debra Safer, and Hugo Alberts; Mindfulness and Acceptance for Treating Eating Disorders and Weight Concerns is the first professional resource to incorporate a variety of proven-effective acceptance- and mindfulness-based approaches—such as acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and mindfulness-based cognitive therapy (MBCT)—into the treatment of persistent disordered eating, body image issues, and weight problems. With these evidence-based interventions, you’ll be ready to help your clients move beyond their problems with disordered eating, body dissatisfaction, and weight management once and for all.
Author: Andrew Block
Publisher: Amer Psychological Assn
ISBN: 9781433812422
Category : Medical
Languages : en
Pages : 296
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Book Description
The success of many surgical procedures depends not only on the skill of the surgeon and the use of state-of-the-art technology, but also on the actions and characteristics of the patient. Patients' emotional and psychosocial concerns, health-related behaviours, outcome expectations, and compliance with treatment regimen can all strongly influence the ultimate effectiveness of surgery. Thus, mental health professionals are increasingly called upon to perform presurgical psychological screening (PPS) to ensure that patients are given the treatments most likely to be effective, while reducing the chances of worsening their conditions. This book presents PPS procedures for a wide range of surgery types, such as spinal surgery, organ transplantation, bariatric surgery, and plastic surgery. Drawing on both research and clinical experience, the authors explain how to conduct PPS, communicate results to patients and surgeons, and identify possible pre- or post-surgery interventions to mitigate risk factors and maximise the likelihood of surgical success. Case studies and a discussion of bioethics are included
Author: Salman Al-Sabah
Publisher: Springer Nature
ISBN: 3030573737
Category : Medical
Languages : en
Pages : 674
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Book Description
This book provides a complete guide to laparoscopic sleeve gastrectomy and the management of obesity. The chapters discuss guidelines for healthcare providers for the management of patients with obesity, the rationale behind choosing patients, performing the procedure in line with the patient’s condition, the perioperative period, postoperative requirements, and postoperative complications. This book aims to give readers an understanding of the surgical techniques involved in laparoscopic sleeve gastrectomy and the wider treatment options available. It is relevant to bariatric, metabolic, and general surgeons, physicians, clinical nutritionists as well as students.
Author: Jason Lillis
Publisher: New Harbinger Publications
ISBN: 1608827119
Category : Health & Fitness
Languages : en
Pages : 192
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Book Description
Have you tried every diet or weight loss plan under the sun, but still can’t manage to lose weight and keep it off? You aren’t alone. Each year, Americans spend billions of dollars on weight-loss products, yet we continue to have the highest obesity rate in the world. After trying and failing countless times, you have to begin to wonder, “What am I doing wrong?” The problem with most fad diets is that they only attack the symptom of the problem, not the cause. No matter how much you try to deny yourself the food you crave, you always end up reverting back to bad habits. You might even lose weight initially, but more often than not you’ll gain it back—with a couple extra pounds to boot! In order to make real change in your life, you need to change the way you think about food, weight, and what’s most important to you. The Diet Trap offers proven-effective methods based in acceptance and commitment therapy (ACT) to help you develop mindful eating habits, self-compassion, and a greater understanding of what it means to live a valued life. ACT is a values-based therapy that has been proven effective for the treatment of weight loss. Because ACT encourages you to accept and experience uncomfortable emotions—rather than succumb to emotional eating—it helps you to stay on your path to lose weight, while also helping you develop compassion toward yourself, no matter how much you weigh. Written by two researchers in the field of ACT, this book offers evidence-based solutions to help you fundamentally change the way you think about food, so that you can successfully lose weight, get healthy, and live a happy, fulfilling life without costly and frustrating fad diets.
Author: Sanjay Agrawal
Publisher: Springer Nature
ISBN: 3030605965
Category : Medical
Languages : en
Pages : 1486
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Book Description
This comprehensive guide with over 100 chapters covers all the aspects of bariatric and metabolic surgery including perioperative management, surgical techniques of common as well as newer procedures, complications, controversies and outcomes. All the chapters have been revised in this second edition with addition of new chapters and sections on OAGB/MGB Surgery & Metabolic Surgery. There are dedicated sections on revisional surgery and innovative endoscopic procedures. The book is well illustrated with photos and video clips along with step-by-step guidance for a complete range of Bariatric procedures. Medical aspects of obesity and metabolic syndrome are included in the introductory sections, and the last two sections cover diverse topics in this exciting field of bariatric surgery. Written by leading experts, Obesity, Bariatric and Metabolic Surgery - A Comprehensive Guide serves as an excellent reference manual for a wide range of healthcare professionals involved within the Bariatric Multidisciplinary Team including Bariatric Surgeons, General Surgeons, Trainees, Physicians, Anaesthesiologists, Dieticians, Psychologists, Psychiatrists, Radiologists and Nursing staff.
