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Surgery for Obesity and Related Diseases

To our knowledge, no previous controlled studies have tested the efficacy of a CBT-intervention aimed at reducing DE in obese patients selected to BS. However, several sources of knowledge indicate that such an intervention could be feasible. The convincing body of knowledge from controlled trials has established CBT as the treatment of choice for the spectrum of eating disorders according to diagnoses and clinical severity [22] including binge eating disorder (BED) [21]. DE may be considered as a milder variant of BED. Hence, a treatment working for the severe variant should logically also work for the milder one. Other sources of knowledge come from a case study of a patient admitted to BS [23] as well as from uncontrolled pre-post studies of larger series of patients, indicating that CBT might be an appropriate approach [2124].

Using a randomized controlled design, the purpose of this study was to examine the efficacy of a CBT-intervention in improving DE as well as affective symptoms. We hypothesized that the intervention would be superior to usual care, particularly with respect to reducing emotional and uncontrolled eating and increasing cognitive restraint of eating.Go to:

2. Methods

2.1. Participants

A total of 102 eligible (69 females and 33 males) consecutive morbidly obese patients admitted for bariatric surgery agreed to participate. All patients participated based on informed consent.

2.2. Study Design

This randomized controlled trial ( used a mixed design: one between-group factor (intervention versus usual care) and one within-group factor (pre- and postmeasures). The time-interval between pre- and postmeasurements was 10 weeks.