Department of Surgery, Medical Research Institute, Alexandria University, 165 Horreya Avenue, Hadara, 21561, Alexandria, Egypt.
Psychiatry and Psychotherapy Clinic, Madina Women's Hospital, 290 St., Building Number 25 Smouha, Bariatric CentreAlexandria, Egypt.
Obes Surg. 2022 May;32(5):1570-1577. doi: 10.1007/s11695-022-05983-4. Epub 2022 Feb 25.
To assess the effect of dialectical behavior therapy (DBT) on emotional and mindless eating and, consequently, body mass index (BMI) loss, in patients who have undergone bariatric surgery.
A prospective exploratory cohort study was conducted with two groups of patients who had undergone bariatric surgery: the DBT group received DBT group skills training sessions, while the control group received no intervention. Outcome measurements included BMI and scores of the Emotional Eating Scale (EES) and Mindful Eating Questionnaire (MEQ).
The study included 36 women: 18 in each group. In the DBT group, the interval from surgery was 11.17 ± 7.12 months, and in the control group 10.89 ± 5.74. Laparoscopic sleeve gastrectomy was done in 88.9% and 83.3% of patients in the DBT and control groups respectively. The rest underwent Roux-en-Y gastric bypass. The DBT group showed significant changes in overall and subscale scores of the EES and MEQ and BMI in kg/m after 6 months of follow-up. BMI in kg/m changed from mean ± SD 35.45 ± 6.17 to 28.47 ± 4.28 in the DBT group, in control 35.88 ± 5.07 to 31.56 ± 3.71. The excess weight loss percentage (EWL%) in the DBT was mean ± SD 75.3 ± 17.9 and in the control was 63.6 ± 14.5. In the DBT group, the EES score and MEQ score changed from mean ± SD 45.06 ± 20.19 to 20.50 ± 13.40 and 11.52 ± 2.02 to 15.87 ± 1.92, respectively. The control group showed no significant change in scores.
DBT skills training can reduce emotional eating, increase mindful eating, and facilitate weight loss after bariatric surgery.
评估辩证行为疗法（DBT）对情绪性进食和无意识进食的影响，进而对减重手术后患者的体重指数（BMI）下降产生影响。
本研究为前瞻性探索性队列研究，纳入两组减重手术后的患者：DBT 组接受 DBT 技能训练课程，而对照组不接受任何干预。主要观察指标包括 BMI 和饮食情绪量表（EES）和正念饮食问卷（MEQ）的评分。
本研究共纳入 36 名女性患者，每组 18 名。DBT 组手术间隔为 11.17±7.12 个月，对照组为 10.89±5.74 个月。88.9%和 83.3%的患者分别接受了腹腔镜袖状胃切除术和 Roux-en-Y 胃旁路术。DBT 组 EES 和 MEQ 整体和子量表评分以及 BMI（kg/m²）在 6 个月随访后均有显著变化。DBT 组 BMI（kg/m²）从 35.45±6.17 均值±标准差降至 28.47±4.28，对照组从 35.88±5.07 降至 31.56±3.71。DBT 组的体重减轻百分比（EWL%）均值±标准差为 75.3±17.9，对照组为 63.6±14.5。DBT 组 EES 评分和 MEQ 评分分别从 45.06±20.19 均值±标准差降至 20.50±13.40 和 11.52±2.02 降至 15.87±1.92，对照组评分无显著变化。
DBT 技能训练可以减少减重手术后的情绪性进食，增加正念饮食，促进体重下降。
