Department of Psychiatry, Division of BioBehavioral Medicine, Medical University of South Carolina, Charleston, South Carolina.
Department of Psychiatry, Division of BioBehavioral Medicine, Medical University of South Carolina, Charleston, South Carolina.
Surg Obes Relat Dis. 2019 Nov;15(11):1917-1922. doi: 10.1016/j.soard.2019.07.009. Epub 2019 Jul 18.
Long-term medical and psychological follow-up after weight loss surgery is associated with improved patient outcomes. Weight regain after weight loss surgery is a common concern that has behavioral and psychological components; however, most patients do not attend behavioral medicine (BMED) follow-up appointments post-surgery. Innovative treatment models are needed to improve access to BMED to optimize long-term outcomes.
This study aimed to examine the feasibility and acceptability of an integrated BMED service within a bariatric surgery clinic.
University medical center, outpatient clinic.
Patients (n = 198) in a post-bariatric surgery clinic were screened for psychosocial/behavioral concerns and offered a same-day BMED consult, when appropriate. Patients rated their satisfaction with the consult and their confidence in being able to carry out the plan created during the consult.
The top 3 concerns identified during screenings were emotional eating, body image, and cravings. The top 3 concerns addressed during consults were emotional eating, mood, and cravings. The mean length of consult was 26.1 minutes. The mean severity of problems addressed was 7 of 10. Patients' confidence ratings had a mean of 9.4 of 10 (1 = low, 10 = high) and satisfaction ratings had a mean of 9.8 of 10.
In this clinic, the integration of a BMED service provided 40% of patients with behavioral intervention for psychosocial/behavioral concerns during routine surgery follow-up appointments. Patients indicated high satisfaction with consults and reported high confidence in being able to carry out the plan created during the consult.
减肥手术后的长期医疗和心理随访与改善患者预后相关。减肥手术后体重反弹是一个常见的问题，它涉及行为和心理因素；然而，大多数患者在手术后不会参加行为医学（BMED）随访预约。需要创新的治疗模式来改善获得 BMED 的机会，以优化长期结果。
本研究旨在检验减肥手术诊所内整合 BMED 服务的可行性和可接受性。
大学医疗中心，门诊诊所。
对减肥手术后诊所的患者（n=198）进行心理社会/行为问题筛查，并在适当情况下提供当天的 BMED 咨询。患者对咨询的满意度和对实施咨询中制定的计划的信心进行评分。
筛查中确定的前 3 个关注问题是情绪性进食、身体形象和渴望。咨询中解决的前 3 个问题是情绪性进食、情绪和渴望。咨询的平均时长为 26.1 分钟。平均解决问题的严重程度为 10 分制的 7 分。患者的信心评分平均为 10 分制的 9.4 分（1 分表示低，10 分表示高），满意度评分为 9.8 分。
在该诊所，整合 BMED 服务为 40%的患者在常规手术随访预约期间提供了针对心理社会/行为问题的行为干预。患者对咨询表示高度满意，并报告对实施咨询中制定的计划充满信心。
