A Social Functioning Intervention to Target Depression Post Bariatric Surgery
试验速览
- 阶段
- 不适用
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Patient Health Questionnaire-9 (PHQ-9)
研究概览
简要总结
The current study proposes an open clinical trial to investigate the effectiveness of a social functioning intervention on bariatric surgery outcomes and depression. The treatment will be administered in a group format over 10 weekly/biweekly sessions and will take place at the University of Washington Weight Loss Management Clinic (WLMC) at the Roosevelt Clinic location. Effects of the intervention will be measured with self-report questionnaires and by self-report of behaviors outside of assessment sessions (via questionnaires and self-report of adherence to treatment). Data collection will occur at specific time points including before treatment, after treatment, and two months after treatment.
详细描述
As of 2009, 344,000 bariatric procedures were performed annually . Although some studies report depressive symptoms decrease in the 6 months after bariatric surgery, there is growing body of literature suggesting there exists a subgroup of patients whose depressive symptoms worsen after surgery and the likelihood of developing depressive symptoms increases longitudinally. Depression can be an indicator of an increased risk of self-harm and additional studies have found that the risk of suicide may increase post bariatric surgery compared to obese individuals who have not undergone surgery.
Research supports that psychosocial factors contribute to successful postoperative outcomes. Functional Analytic Psychotherapy shows potential to impact social variables that may be relevant to bariatric surgery outcomes including depression. In this context, FAP aims to improve interpersonal relationships through experientially teaching skills intended to increase social connection. FAP also seeks to increase awareness, which includes the ability to view interpersonal interactions from multiple perspectives, allowing new interpersonal skills to emerge.
The present study seeks to evaluate the use of a FAP group to enhance interpersonal relating with a sample of post-bariatric surgery patients. Measures will be collected on quality of life and variables involved in interpersonal connectedness.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Older than 18
- •Speak English as a primary language
- •Had Bariatric Surgery in the past 6-24 months (bypasses (Roux-en-Y) or sleeves)
- •Yes to one or both of the first two PHQ-9 Questions
- •Not pregnant
- •Not traveling anywhere in the next 6 months
- •No surgeries scheduled in the next 12 months
排除标准
- •No exclusion criteria are utilized in the present study.
研究组 & 干预措施
Control Group
The clients in the control group will take their assessments at the same time as those in the FAP intervention group.
FAP Intervention Group
All of the clients in the FAP intervention group will begin treatment at the same time and complete 3 assessments.
干预措施: Functional Analytical Psychotherapy (FAP) (Behavioral)
结局指标
主要结局
Patient Health Questionnaire-9 (PHQ-9)
时间窗: Follow Up (3 Months after Intervention)
based directly on the nine diagnostic criteria for major depressive disorder in the Diagnostic and Statistical Manual Diploma in Social Medicine-IV
次要结局
- World Health Organization Quality of Life(Follow Up (3 Months after Intervention))
- Drug Abuse Screening Test(Follow Up (3 Months after Intervention))
- Paffenbarger Physical Activity Questionnaire(Follow Up (3 Months after Intervention))
- Proximal Change Variables(Follow Up (3 Months after Intervention))
- Weight Control Questionnaire(Follow Up (3 Months after Intervention))
- Fear of Intimacy Scale (FIS)(Follow Up (3 Months after Intervention))
- Social Support Survey(Follow Up (3 Months after Intervention))
- University of California, Los Angeles Loneliness Scale(Follow Up (3 Months after Intervention))
研究者
Jonathan Kanter
Associate Professor
University of Washington