Loss of Control Eating Following Weight Loss Surgery

Yale University140 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

140

Conditions

Loss of Control Eating

Interventions

Standard-of-CareBEHAVIORAL

Standard-of-Care with bariatric team. Participants will be encouraged to continue their care with their bariatric team.

Behavioral Weight Loss TreatmentBEHAVIORAL

Biweekly individual guided self-help sessions for 3 months

Cognitive Behavioral TherapyBEHAVIORAL

Biweekly individual guided self-help sessions for 3 months

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

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

Locations (1)

Yale Department of Psychiatry

New Haven, Connecticut, United States

Outcomes

Primary Outcomes

Loss of Control Eating Frequency (Categorical)

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).

Time frame: Post-treatment (at 3 months)

Loss of Control Eating Frequency (Categorical)

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).

Time frame: 24 month follow-up (an average of 24 months following treatment)

Loss of Control Eating Frequency (Continuous)

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).

Time frame: Post-treatment (at 3 months)

Loss of Control Eating Frequency (Continuous)

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).

Time frame: 24 month follow-up (an average of 24 months following treatment)

Body Mass Index (BMI)

BMI is calculated using measured height and weight.

Time frame: Post-treatment (at 3 months)

Body Mass Index (BMI)

BMI is calculated using measured height and weight.

Time frame: 24 month follow-up (an average of 24 months following treatment)

Data from ClinicalTrials.gov

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