Mental Health Assessment and Psychosocial Interventions for Bariatric Surgery PDF Download

Author: Paul G. Shekelle
Publisher:
ISBN:
Category :
Languages : en
Pages : 78

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Book Description
Obesity rates in the US have risen to near epidemic levels. While caloric restriction, exercise, and behavioral modification remain mainstays for the treatment of overweight individuals (BMI 25 to

Author: James E. Mitchell
Publisher: Taylor & Francis
ISBN: 113662273X
Category : Psychology
Languages : en
Pages : 288

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Book Description
Bariatric surgery plays an important role in the treatment of obesity; in this comprehensive resource the worldwide leaders of the field provide the most up-to-date information on the psychosocial issues that affect their patients. Included is an overview and history of surgical procedures, complete with illustrations, practical advice on topics such as physical activity and nutritional care after surgery, and essential information that allows clinicians to assist their clients as much as possible; for example, how pre-weight loss surgery psychosocial evaluations can serve as clinical interventions in their own right, and how structured interviews and questionnaires can be used in multiple contexts such as screening, treatment planning, and prognostic assessment. A distinctive chapter includes an overview of the special issues present in treating adolescents, who increasingly are the target of bariatric surgery procedures. This book is an essential reference for clinicians from the evaluation through the follow-up and aftercare of bariatric surgery patients.

Author: James E. Mitchell
Publisher: Routledge
ISBN: 1135412359
Category : Psychology
Languages : en
Pages : 184

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Book Description
This book provides mental health professionals with a basic overview of the types of procedures involved in bariatric surgery and the specific psychological impacts such operations can have on their patients. It also serves as a valuable resource to surgeons, nurses, doctors, and support staff who are involved in the medical treatment of obesity, but who may have little background in the psychosocial implications of their work. An accompanying questionnaire is available at http://www.eatingdisordersarena.com/resources/EDQ.pdf

Author: Sanjeev Sockalingam
Publisher: Springer
ISBN: 3319425366
Category : Medical
Languages : en
Pages : 351

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Book Description
This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients’ obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease’s prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.

Author: Christina Escuder
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 47

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Book Description
Obesity is a chronic disease defined as having a body mass index (BMI) of at least 30 kg/m2. Current data indicate that over 30% of U.S. adults are obese. Obesity is a public health concern due to its considerable increase in recent decades and its adverse effects on physical and psychological wellness. Currently, bariatric surgery is identified as the most effective treatment for obesity and long-term weight loss/weight maintenance despite post-surgical treatment failure rates of up to 30%. Few psychological interventions have been implemented pre- or post-surge1y in order to address treatment failure. The current standard of care includes a pre-surgical psychological evaluation aimed at identifying any factors that may interfere with long-term success. There continues to be a lack of consensus regarding the effects of a pre- or post-psychological intervention on those who undergo bariatric surgery. Therefore, the purpose of this literature review is to clarify which interventions have led to changes in psychosocial or weight loss outcomes in this population. Additionally, this reviewed examined when the intervention was provided, whether it was preoperatively, postoperatively, or both pre and postoperatively. A total of 15 empirical articles met criteria for inclusion in this systematic literature review. Results showed that interventions provided pre or postoperatively resulted in decreased psychological distress, reduced depressive symptoms, increased dietary consistency and physical activity, and improvements in eating disordered behavior and body image. Results from the two studies that examined the benefit of a psychosocial intervention provided to patients both pre and postoperatively did not demonstrate significant changes in weight loss or BMI. Studies that had a relatively short-term follow-up period and did not find statistically significant changes should be interpreted carefully since weight loss is likely to occur rapidly immediately after surgery; often termed the "honeymoon period." Studies that limited their follow-up to this period of time might yield results that may lead consumers to underestimate the value of a psychological intervention in helping the patient to lose weight and improve overall functioning. The lack of standardization among programs, participants, and assessment protocols limits the ability to generalize these findings.Future research should aim to conduct more longitudinal studies with larger samples who underwent surgeries that are more commonly utilized today (e.g., sleeve gastrectomy).Additionally, future studies should work towards standardizing the following: "treatment as usual," assessment measures, duration of intervention, as well as an effort to replicate previous studies so as to bolster support for the effectiveness of psychosocial interventions for change in psych-social outcomes and weight with this population.

Author: Andrew Block
Publisher: Amer Psychological Assn
ISBN: 9781433812422
Category : Medical
Languages : en
Pages : 296

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Book Description
The success of many surgical procedures depends not only on the skill of the surgeon and the use of state-of-the-art technology, but also on the actions and characteristics of the patient. Patients' emotional and psychosocial concerns, health-related behaviours, outcome expectations, and compliance with treatment regimen can all strongly influence the ultimate effectiveness of surgery. Thus, mental health professionals are increasingly called upon to perform presurgical psychological screening (PPS) to ensure that patients are given the treatments most likely to be effective, while reducing the chances of worsening their conditions. This book presents PPS procedures for a wide range of surgery types, such as spinal surgery, organ transplantation, bariatric surgery, and plastic surgery. Drawing on both research and clinical experience, the authors explain how to conduct PPS, communicate results to patients and surgeons, and identify possible pre- or post-surgery interventions to mitigate risk factors and maximise the likelihood of surgical success. Case studies and a discussion of bioethics are included

Author: Haley Marie Kiser
Publisher:
ISBN:
Category : Obesity
Languages : en
Pages : 0

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Book Description
According to the American Society of Metabolic and Bariatric Surgery (ASMBS) clinical practice guidelines, all patients seeking bariatric surgery are required to have a preoperative psychological evaluation. The purpose of the psychological evaluation is to assess current and untreated mental health diagnoses, disordered eating, substance use and psychosocial history prior to surgery (Mechanick et al., 2020). However, there is no clear guidance on how these areas should be assessed within the evaluation. These guidelines also do not provide guidance on how providers should assess family/relational contexts that may also influence the patients’ ability to modify and maintain health behaviors. This is critical information that is needed to establish consistency of the preoperative psychological evaluation process between centers to ensure equity for bariatric patients in the evaluation process between centers. This current dissertation presents the results of three studies which investigated associations between psychological evaluation pass/delay rates, demographics, current diagnoses (mental health, disordered eating, substance use), postoperative outcomes, impairment/no impairment on that piloted relational screener, and whether a patient completed the behavioral health consultation once screening as impaired. It also explored the preliminary feasibility of piloting a brief relational screener alongside the standard psychological evaluation and referral pathways. The first study provides evidence about which mental health, disordered eating, and substance use diagnoses associate with patient pass and delay rates from the bariatric surgery preoperative psychological evaluation. It also investigated reasons, recommendations, and referrals for delay and denial after the postoperative psychological evaluation. Significant associations between pass/delay rates and demographics, current mental health treatment, and having a current mental health, disordered eating, or substance use diagnosis were found. The second study sought to determine if there were differences between patients who received a pass or delay from their initial preoperative psychological evaluation and postoperative outcomes following bariatric surgery. It also sought to detect how the combination of pass/delay and select mental health diagnoses and patient demographics associate with postoperative weight- related outcomes. Significant associations between pass/delay rates with demographics and mental health, disordered eating, and substance use were found. No significant differences were found between pass/delay and postoperative complications, readmissions, and ER visits. Patients who received a delay from their initial preoperative psychological evaluation had higher weights over 12-months. The third study piloted a voluntary brief family relational screener, delivered at the same time as the standard psychological evaluation, to identify impaired family factors (i.e., family functioning, family support, relationship security, and family life events) and their associations with self-efficacy for making health behavior change and psychological evaluation pass/delay clinical decisions, and ensuing referral to a behavioral health consultation. The study interest rate was 51.1%, and the response/completion rate after determining interest was 85.1%. The majority (75.4%) of patients in the study screened as impaired on at least one assessment within the screener and were eligible for the behavioral health consultation. Forty-eight percent of patients with noted impairment) completed the behavioral health consultation. Multiple assessments within the relational screener were also significantly associated with self-efficacy scores.

Author: Alfonso Troisi
Publisher: Springer Nature
ISBN: 3030448347
Category : Medical
Languages : en
Pages : 155

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Book Description
This book offers a step-by-step guide to mental health assessment for bariatric surgery patients. A general introduction explains the concepts of bariatric psychology and psychiatry, their relevance in contemporary bariatric surgery, and reasons to include psychologists and psychiatrists in multidisciplinary teams taking care of bariatric patients. The following four chapters address the aspects of mental health that are investigated by bariatric psychology. The psychological processes analyzed here play a major role in influencing patients’ perception of the outcomes of bariatric surgery and in determining their commitment to lifestyle changes and follow-up programs. The second part of the book includes nine chapters addressing the clinical conditions relevant to bariatric psychiatry. For each condition, the major focus is on the impact of psychopathology on bariatric surgery outcomes (weight loss, weight regain, quality of life) and the impact of surgery on its course (remission, worsening, de novo onset). Each chapter in this part includes a discussion of the diagnostic instruments (i.e., structured interviews, clinician-rated tests, and patient-rated tests) that should be used to obtain a valid assessment of the patient’s mental status. Separate chapters focus on psychiatric complications (e.g., suicide and addiction transfer) and psychological problems related to quality of life (e.g., body image dissatisfaction) that may emerge postoperatively. Data on these postsurgery conditions has been reported only recently and, therefore, no published book deals with them. The final chapter offers an overview of unsolved issues in bariatric psychology and psychiatry and reviews emerging research findings that are likely to change assessment and care of bariatric patients’ mental health in the near future. Given its scope—and its wealth of tables, diagrams, mnemonics, and key fact boxes—the book will be an invaluable reference tool for clinicians.

Author: Deborah Young-Hyman
Publisher: American Diabetes Association
ISBN: 1580404391
Category : Psychology
Languages : en
Pages : 330

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Book Description
Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

Author: Roberto Cattivelli
Publisher:
ISBN:
Category : Electronic books
Languages : en
Pages : 0

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Book Description
Obesity management requires a multidisciplinary, integrated treatment composed of medical, nutritional, physical, and psychological interventions. Currently, bariatric surgery is the most suitable treatment available in case of severe obesity, or obesity with comorbid medical conditions. Despite bariatric surgery results in a significant weight loss in most of the cases, a not-inconsiderable portion of patients does not achieve relevant outcomes, in terms of limited weight loss or weight regain due to psychological problems. The pre-operative evaluation of the psychological conditions of the candidates for bariatric interventions and pre/post-surgical psychological support is required in order to achieve the desired post-operative outcomes for a long time. In this chapter, we will elucidate the core components of the psychological assessment of bariatric candidates. Moreover, the main directions for the pre/post-surgery psychological support will be provided.