British Obesity Metabolic Surgery Society endorsed guidelines for psychological support pre- and post-bariatric surgery.
Jane OgdenDenise RatcliffeVanessa Snowdon-CarrPublished in: Clinical obesity (2019)
Research teams have argued that some bariatric patients require psychological input pre- and post-surgery and that weight loss surgery should only be undertaken by a multidisciplinary team (MDT) that can provide psychological support. To date, no guidelines exist for the provision of psychological support pre- and post-bariatric surgery. The authors were approached by British Obesity Metabolic Surgery Society (BOMSS) in September 2017 to produce guidelines for the provision of psychological support for patients pre- and post-bariatric surgery. These guidelines were developed using seven stages: (a) review of evidence base; (b) expert input; (c) feedback from BOMSS delegates; (d) feedback from the special interest group; (e) service user feedback; (f) presentation to BOMSS council; and (g) presentation to the Association for the Study of Obesity. The guidelines describe two stepped care service models for the delivery of psychological support pre-surgery and 6 to 9 months post-surgery involving online resources, group workshops and one-to-one with a clinical psychologist. They are founded upon the following principles: (a) a living document to be modified over time; (b) flexible and pragmatic; (c) advisory not prescriptive; (d) broad based content; (e) skills based delivery. These guidelines are feasible for use across all services and should minimize patient risk and maximize patient health outcomes.
Keyphrases
- weight loss
- bariatric surgery
- minimally invasive
- coronary artery bypass
- clinical practice
- end stage renal disease
- palliative care
- roux en y gastric bypass
- metabolic syndrome
- obese patients
- ejection fraction
- insulin resistance
- chronic kidney disease
- mental health
- gastric bypass
- type diabetes
- newly diagnosed
- randomized controlled trial
- prognostic factors
- coronary artery disease
- high fat diet induced
- study protocol
- adipose tissue
- glycemic control
- skeletal muscle
- social media
- double blind
- affordable care act