No Weight Benefits With Phone-Based CBT a Year After Bariatric Surgery

Telephone-based cognitive behavioral therapy (CBT) 1 year after bariatric surgery did not improve weight outcomes, but did improve psychological outcomes, a randomized clinical trial showed.

Patients who participated in the seven weekly sessions of CBT lost a mean 1.44% of their total body weight compared with 1.11% among controls who received standard postoperative bariatric care, which was not significantly different, reported Sanjeev Sockalingam, MD, MHPE, of the Centre for Addiction and Mental Health in Toronto, and colleagues.

At 3 months — approximately 18 months after bariatric surgery — total weight loss still was not significantly different between the groups (1.08% vs 0.86%), the authors noted in JAMA Network Open.

However, the CBT group did have improvements in disordered eating and psychological distress, with significant differences compared with control patients at all time points for mean Binge Eating Scale and Emotional Eating Scale scores (P
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