A Randomized-Controlled Trial Examining Telephone-Based Cognitive Behavioral Therapy for Patients After Metabolic and Bariatric Surgery: 18 Month Follow-up Results - Summary - MDSpire

A Randomized-Controlled Trial Examining Telephone-Based Cognitive Behavioral Therapy for Patients After Metabolic and Bariatric Surgery: 18 Month Follow-up Results

  • By

  • Stephanie E. Cassin

  • Katey E. Park

  • Samantha E. Leung

  • Clement Ma

  • George Tomlinson

  • Raed Hawa

  • Susan Wnuk

  • Timothy Jackson

  • David Urbach

  • Allan Okrainec

  • Jennifer Brown

  • Daniella Sandre

  • Sanjeev Sockalingam

  • September 1, 2025

  • 0 min

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Objective:

To evaluate the long-term effects of telephone-based cognitive behavioral therapy (Tele-CBT) on weight loss, disordered eating, and psychological distress in patients at 18 months post metabolic and bariatric surgery (MBS).

Key Findings:
  • Tele-CBT led to significant improvements in disordered eating, depressive, and anxiety symptoms at 3 months post-intervention.
  • Improvements in psychological functioning were sustained at 18 months.
  • Weight outcomes did not significantly differ between Tele-CBT and standard care groups.
Interpretation:

The sustained psychological benefits of Tele-CBT may help in addressing disordered eating and psychological distress, which are critical for long-term weight maintenance post-MBS, highlighting the need for further research.

Limitations:
  • Weight outcomes were not significantly different between Tele-CBT and standard care.
  • Participants were only from three centers, which may limit generalizability and introduce selection bias.
Conclusion:

Tele-CBT provides valuable psychological support for post-MBS patients, potentially aiding in the management of disordered eating and psychological distress, though further research is needed to assess its impact on weight maintenance specifically.

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