Psychotherapeutische Interventionen nach Adipositaschirurgie: Implikationen aus der BaSE-Studie
Over the past few years the prevalence of class III obesity (i.e. body mass index, BMI, ≥40 kg/m2) has increased worldwide. Patients with class III obesity are considered a patient group with high somatic and psychological burdens, they frequently suffer from secondary chronic conditions, such as ty...
Gespeichert in:
| Hauptverfasser: | , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Deutsch |
| Veröffentlicht: |
2017
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| In: |
Psychotherapeut
Year: 2017, Jahrgang: 62, Heft: 3, Pages: 222-229 |
| ISSN: | 1432-2080 |
| DOI: | 10.1007/s00278-017-0192-x |
| Online-Zugang: | Verlag, Volltext: http://dx.doi.org/10.1007/s00278-017-0192-x Verlag, Volltext: https://link.springer.com/article/10.1007/s00278-017-0192-x 
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| Verfasserangaben: | Beate Wild, Katharina Hünnemeyer, Helene Sauer, Martin Teufel |
MARC
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| 520 | |a Over the past few years the prevalence of class III obesity (i.e. body mass index, BMI, ≥40 kg/m2) has increased worldwide. Patients with class III obesity are considered a patient group with high somatic and psychological burdens, they frequently suffer from secondary chronic conditions, such as type 2 diabetes mellitus or hypertension and the mortality is increased. Conservative weight loss programs, such as diet programs are often considered of limited value and short effect duration. Bariatric surgery (i.e. operative alteration of the stomach and intestinal tract) has proven to be an effective treatment method regarding weight loss for patients with class III obesity; however, there are patients who have difficulty adhering to nutritional and life style changes after surgery. It is also possible that after successful weight loss, psychosocial challenges more prominently emerge from other areas of life. The randomized controlled bariatric surgery and education (BaSE) study could show that following bariatric surgery a psychoeducational group program is effective with respect to both the reduction of depressive symptoms and the improvement of self-efficacy of the patients. Psychotherapeutic interventions following bariatric surgery should be adapted to the specific needs of the patients. The focus of the intervention should lie not only on psychosocial impairment but also on postoperative eating behavior. | ||
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