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• W2008773012 abstract "To analyze changes in the general and specific psychopathology of morbidly obese bariatric surgery (BS) candidates after cognitive behavioral therapy (CBT) and assess differences between patients with and without binge eating disorder (BED) and between patients with obesity grades III and IV, studying their influence on weight loss.110 consecutive morbidly obese BS candidates [77 females; aged 41 ± 9 yrs; body mass index 49.1 ± 9.0 kg/m²] entered a three-month CBT program (12 two-hour sessions) before BS. Participants were assessed with general and specific psychopathology tests pre- and post-CBT. Data were analyzed according to the degree of obesity and presence/ absence of BED.At baseline, BED patients were more anxious and depressive with lower self-esteem and quality of life versus non-BED patients (p < 0.05) and were more concerned with food, weight and figure, felt greater hunger, fear and guilt, and were more influenced by contextual cues (p < 0.005). Post-CBT, these differences in self-esteem, depression, and eating disorders disappeared due to significant improvements in BED patients. No difference between OIII and OIV groups was found in any psychopathology test pre- or post-CBT. Multivariate analysis demonstrated that CBT was effective to treat psychological comorbidity regardless of the presence/ absence of BED or degree of obesity. At 1 yr post-CBT, weight loss versus baseline (before CTT) was > 10% in 61%, with no intergroup differences.CBT is effective to treat psychological comorbidity in BS candidates, regardless of the presence of BED and degree of obesity.Objetivo: Analizar cambios en la psicopatología general y específica de pacientes con obesidad mórbida (OM) candidatos a Cirugía Bariátrica (CB) tras aplicación de terapia cognitiva-conductual(TCC) y evaluar diferencias entre pacientes con y sin trastorno por atracón (TA y NTA respectivamente), y entre grados de obesidad III y IV; estudiando su influencia en la pérdida peso. Material y métodos: Se incluyeron110 pacientes candidatos a CB [77mujeres; con 41 ± 9 años e IMC 49,1 ± 9,0 kg/m2] que recibieron TCC preoperatoria (12-sesiones de 2 horas) Se evalúo comorbolidad psicológica pre-post-TCC mediante test validados para la población española. Resultados: Basalmente los pacientes con TA mostraron mayor ansiedad y depresión y menor autoestima y calidad de vida que aquellos NTA (p < 0,05). También mostraron mayor preocupación por la comida, el peso y la figura revelando sentir más hambre, temor y culpa, importándoles más el contexto (p < 0,005). Tras TCC, las diferencias en autoestima, depresión y desordenes alimentarios desaparecieron, asociado a una significativa mejoría en pacientes con TA. No hubo diferencias entre grados de obesidad III y IV en ninguno de los test pre y post-TCC aplicados. El análisis multivariante demostró efectividad de la TCC para tratar la psicopatología independientemente de la presencia de TA o del grado de obesidad. Tras 1 año post-TCC, la pérdida de peso con respecto a la basal fue > 10% en 67 pacientes. Sin diferencia entre los grupos de estudio. Conclusiones: La TCC es efectiva en el tratamiento de la comorbilidad psicológica, independientemente de la presencia de TA y del grado de obesidad." @default.
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• W2008773012 date "2013-10-29" @default.
• W2008773012 modified "2023-09-28" @default.
• W2008773012 title "Effectiveness of cognitive-behavioral therapy in morbidity obese candidates for bariatric surgery with and without binge eating disorder." @default.
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• W2008773012 doi "https://doi.org/10.3305/nh.2013.28.5.6699" @default.
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