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Food Addiction Is Associated with Binge Eating and Psychiatric Distress among Post-Operative Bariatric Surgery Patients and May Improve in Response to Cognitive Behavioural Therapy.

Abstract
The current study examined clinical correlates of food addiction among post-operative bariatric surgery patients, compared the clinical characteristics of patients with versus without food addiction, and examined whether a brief telephone-based cognitive behavioural therapy (Tele-CBT) intervention improves food addiction symptomatology among those with food addiction. Participants (N = 100) completed measures of food addiction, binge eating, depression, and anxiety 1 year following bariatric surgery, were randomized to receive either Tele-CBT or standard bariatric post-operative care, and then, repeated the measure of food addiction at 1.25 and 1.5 years following surgery. Thirteen percent of patients exceeded the cut-off for food addiction at 1 year post-surgery, and this subgroup of patients reported greater binge eating characteristics and psychiatric distress compared to patients without food addiction. Among those with food addiction, Tele-CBT was found to improve food addiction symptomatology immediately following the intervention. These preliminary findings suggest that Tele-CBT may be helpful, at least in the short term, in improving food addiction symptomatology among some patients who do not experience remission of food addiction following bariatric surgery; however, these findings require replication in a larger sample.
AuthorsStephanie Cassin, Samantha Leung, Raed Hawa, Susan Wnuk, Timothy Jackson, Sanjeev Sockalingam
JournalNutrients (Nutrients) Vol. 12 Issue 10 (Sep 23 2020) ISSN: 2072-6643 [Electronic] Switzerland
PMID32977459 (Publication Type: Journal Article, Randomized Controlled Trial)
Topics
  • Adolescent
  • Adult
  • Aged
  • Anxiety
  • Bariatric Surgery (psychology)
  • Binge-Eating Disorder
  • Bulimia (complications, therapy)
  • Cognitive Behavioral Therapy (methods)
  • Female
  • Food Addiction (complications, therapy)
  • Humans
  • Male
  • Middle Aged
  • Postoperative Period
  • Surveys and Questionnaires
  • Telephone
  • Young Adult

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