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Obesity Surgery
Published in: Obesity Surgery 10/2016

01-10-2016 | Original Contributions

A Pilot Study of an Acceptance-Based Behavioral Intervention for Weight Regain After Bariatric Surgery

Authors: Lauren E. Bradley, Evan M. Forman, Stephanie G. Kerrigan, Meghan L. Butryn, James D. Herbert, David B. Sarwer

Published in: Obesity Surgery | Issue 10/2016

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Abstract

Background

Tens of thousands of bariatric surgery patients each year experience sub-optimal weight loss, significant regain, or both. Weight regain can contribute to a worsening of weight-related co-morbidities, and for some, leads to secondary surgical procedures. Poor weight outcomes have been associated with decreased compliance to the recommended postoperative diet. Decreased compliance may be partially due to a lack of psychological skills necessary to engage in healthy eating behaviors over the long term, especially as the effects of surgery (on appetite, hunger, and desire for food) decrease. Many behavioral interventions do not sufficiently address these challenges and often have limited effectiveness. The study aimed to evaluate the feasibility, acceptability, and preliminary effectiveness of a novel 10-week acceptance-based behavioral intervention to stop postoperative weight regain.

Methods

A sample of bariatric surgery patients (n = 11) who regained at least 10 % of their maximum lost postoperative weight was recruited. All participants received the intervention, which emphasized psychological skills thought to be integral to successful weight control post-surgery.

Results

The intervention was shown to be feasible and acceptable, with 72 % retention and high mean rating (4.25 out of 5.00) of program satisfaction among completers. Weight regain was stopped, and even reversed, with a mean total body weight loss of 3.58 ± 3.02 % throughout the 10-week intervention. There were also significant improvements in eating-related and acceptance-related variables.

Conclusions

These findings provide initial support for the use of a psychological acceptance-based intervention for weight regain in bariatric surgery patients.
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Metadata
Title
A Pilot Study of an Acceptance-Based Behavioral Intervention for Weight Regain After Bariatric Surgery
Authors
Lauren E. Bradley
Evan M. Forman
Stephanie G. Kerrigan
Meghan L. Butryn
James D. Herbert
David B. Sarwer
Publication date
01-10-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 10/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-016-2125-0

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