Meta-Analysis of the Effects of Cognitive Behavioral Therapy on Dietary Habits and Emotional Outcomes in Patients With Obesity Undergoing Metabolic and Bariatric Surgery.
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引用次数: 0
Abstract
Introduction: To evaluate the effects of cognitive behavioral therapy (CBT) on physical, behavioral, and psychosocial outcomes in patients with obesity undergoing metabolic and bariatric surgery (MBS) through a meta-analysis.
Method: Randomized controlled trials assessing the therapeutic effects of CBT in patients undergoing MBS were searched in databases including PubMed, Embase, Cochrane Library, and Web of Science. The search cutoff date was February 7, 2025. Data analysis was performed using Stata (version 16.0, StataCorp, 2019).
Results: A total of 7 randomized controlled trials were included in the final analysis. The meta-analysis indicated that CBT appeared to significantly decrease anxiety, depressive symptoms, uncontrolled eating, and emotional eating immediately after the intervention, but these effects seemed to disappear at the 1-year follow-up. In addition, CBT seemed not to affect weight, body mass index, physical quality of life, and mental quality of life at any time.
Discussion: CBT may alleviate anxiety, depressive symptoms, uncontrolled eating, and emotional eating in the short term.
Implications and conclusions: Our findings suggest that CBT may enhance psychosocial and behavioral health among patients with obesity undergoing MBS. Future randomized controlled trials with larger sample sizes and longer follow-ups are needed to evaluate their long-term impacts.
前言：通过荟萃分析评估认知行为疗法（CBT）对接受代谢和减肥手术（MBS）的肥胖患者的身体、行为和社会心理结局的影响。方法：在PubMed、Embase、Cochrane Library和Web of Science等数据库中检索评估CBT对MBS患者治疗效果的随机对照试验。搜索截止日期是2025年2月7日。数据分析使用Stata（版本16.0,StataCorp, 2019）。结果：最终分析共纳入7项随机对照试验。荟萃分析表明，CBT似乎在干预后立即显著减少焦虑、抑郁症状、不受控制的饮食和情绪性饮食，但这些影响似乎在1年随访后消失。此外，CBT似乎在任何时候都不会影响体重、体重指数、身体生活质量和精神生活质量。讨论：CBT可以在短期内缓解焦虑、抑郁症状、不受控制的饮食和情绪性饮食。意义和结论：我们的研究结果表明，CBT可能会改善接受MBS的肥胖患者的社会心理和行为健康。未来需要更大样本量和更长随访时间的随机对照试验来评估其长期影响。
期刊介绍：
The Journal of Nutrition Education and Behavior (JNEB), the official journal of the Society for Nutrition Education and Behavior, is a refereed, scientific periodical that serves as a global resource for all professionals with an interest in nutrition education; nutrition and physical activity behavior theories and intervention outcomes; complementary and alternative medicine related to nutrition behaviors; food environment; food, nutrition, and physical activity communication strategies including technology; nutrition-related economics; food safety education; and scholarship of learning related to these areas.
The purpose of JNEB is to document and disseminate original research and emerging issues and practices relevant to these areas worldwide. The Journal of Nutrition Education and Behavior welcomes evidence-based manuscripts that provide new insights and useful findings related to nutrition education research, practice and policy. The content areas of JNEB reflect the diverse interests in nutrition and physical activity related to public health, nutritional sciences, education, behavioral economics, family and consumer sciences, and eHealth, including the interests of community-based nutrition-practitioners. As the Society''s official journal, JNEB also includes policy statements, issue perspectives, position papers, and member communications.
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