Loss of Control Eating
Conditions
Keywords
Bariatric surgery, Weight loss surgery, Behavioral weight loss treatment, Cognitive behavioral therapy, Behavioral treatment, Obesity, Morbid obesity, Binge eating, Binge eating disorder, Loss of control eating, Overeating
Brief summary
This study will test the effectiveness of two distinct behavioral treatments for loss of control eating following bariatric surgery: 1. Behavioral Weight Loss Treatment 2. Cognitive Behavioral Therapy These treatments will be compared to Standard-of-Care.
Interventions
BEHAVIORALStandard-of-Care
Standard-of-Care with bariatric team. Participants will be encouraged to continue their care with their bariatric team.
BEHAVIORALBehavioral Weight Loss Treatment
Biweekly individual guided self-help sessions for 3 months
BEHAVIORALCognitive Behavioral Therapy
Biweekly individual guided self-help sessions for 3 months
Sponsors
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Yale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Gastric bypass surgery or sleeve gastrectomy patients from Yale Bariatric/Gastrointestinal Surgery Program * 5-8 months post-bariatric surgery * Regular loss of control eating (once weekly during past month) * Read English proficiently enough to read patient self-care materials and study assessments * Available for duration of treatment plus follow-up period * Agree to study procedures
Exclusion criteria
* Current enrollment in a formal exercise program * Medical status judged by the surgeon as contraindication (rare instances of need for additional surgery or medical instability) * Unable to ambulate * Current medications that influence eating/weight * Current substance dependence or other severe psychiatric disturbance (e.g., suicidality) that requires immediate treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Loss of Control Eating Frequency (Categorical) | Post-treatment (at 3 months) | Loss of Control eating will be assessed by interview and self-report and the primary outcome is frequency. Frequency is defined categorically (presence or absence of loss of control eating). |
| Loss of Control Eating Frequency (Continuous) | Post-treatment (at 3 months) | Loss of Control eating will be assessed by interview and self-report and the primary outcome is frequency. Frequency also is defined continuously (analyzed dimensionally). |
| Body Mass Index (BMI) | Post-treatment (at 3 months) | BMI is calculated using measured height and weight. |
Countries
United States
Outcome results
None listed