The purpose of this study is to evaluate the effects of Mindfulness Based Eating Awareness Training (MB-EAT) for patients who have had bariatric surgery on their weight and mental and physical health compared to patients who do not do this group. All participants will complete questionnaires evaluating eating and mental health before and after the group and 6 and 12 months later. They will have blood pressure readings at these times and complete a questionnaire about their digestive health. Our hypothesis is that participants will maintain their weight loss after bariatric surgery and have improvements in the other outcomes.
MB-EAT may be helpful for reducing emotional eating, overeating and grazing, eating patterns that can lead to weight gain after bariatric surgery. Participants will receive MB-EAT 6 months or more following bariatric surgery. They will be randomly assigned to receive MB-EAT right away or 8 weeks later. Individuals in the group starting in 8 weeks will serve as a waitlist control group.The primary outcome measures will be changes in self-reported eating problems, depression, anxiety, and mindfulness. There will be a follow-up at 6 months and 12 months to establish stability of symptoms post-intervention. Participants will receive one introductory information session about the MB-EAT program, as well as 8 MB-EAT scheduled consecutively over eight weeks. Each session is approximately two hours in length. During MB-EAT, participants will practice mindfulness to help improve their decision making abilities about when and how much to eat. Through MB-EAT, participants will learn to address mindless or out-of-control eating, which can lead to weight gain. Homework will include daily meditations and mindful eating exercises.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
85
Eight sessions of Mindfulness Based Eating and Awareness Training (MB-EAT) will be delivered once per week over the course of 8 weeks, following an introductory session. The treatment uses general mindfulness meditation and eating meditation to help participants bring greater awareness and understanding to their relationship with food. Homework consists of weekly mindfulness exercises.
Toronto General Hospital
Toronto, Ontario, Canada
Change in Body Mass Index (BMI)
BMI as calculated by weight (kg) / height (cm)\^2
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Change in weight
Weight in kilograms will be obtained by weighing participants
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Height
Height in centimetres will be obtained by measuring participants
Time frame: Baseline
Patient Health Questionnaire (PHQ-9)
A 9-item self-report measure of depression severity that yields a total score. Items are scored from 0-3. Higher values mean more depression. The total score is obtained by summing the items.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Generalized Anxiety Disorder Questionnaire (GAD-7)
A 7-item self-report measure of anxiety severity that yields a total score. Items are scored from 0-3. Higher values mean more anxiety. The total score is obtained by summing the items.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
The Three Factor Eating Questionnaire -R18 (TFEQ-R18)
An 18 item self-report measure of eating behavior that yields a total score. Items are scored from 1-4. Higher values mean more anxiety. The total score is obtained by summing the items.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Five Facets of Mindfulness Questionnaire (FFMQ)
A 39-item self-report measuring mindfulness that yields a total score. Items are scored from 1-5. Higher values mean more mindfulness except in the case of the following reverse-scored items: 3, 5, 8, 10, 12, 13, 14, 16, 17, 18, 22, 23, 25, 28, 34, 38, 30, 35, 39. After reverse scoring these items a total score is obtained by summing the items. Average score can be computed by dividing the total score by 39.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Self-Compassion Scale (SCS)
A 26-item self-report measure of self-compassion that yields a total score. Items are scored from 1-5. Higher values mean more self-compassion except in the case of the following reverse-scored items: 1, 2, 4, 6, 8, 11, 13, 16, 18, 20, 21, 24, 25. After reverse scoring these items a total score is obtained by summing the items. Average score can be computed by dividing the total score by 26.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Difficulties in Emotion Regulation Scale (DERS)
A 36-item self-report questionnaire of emotional difficulties that yields a total score. Items are scored from 1-5. Higher values mean more difficulties in emotion regulation, except in the case of the following reverse-scored items: 1, 2, 6, 7, 8, 10, 17, 20, 22, 24, 34. After reverse scoring these items a total score is obtained by summing the items and an average score is obtained by dividing the sum by 36.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Body Satisfaction Questionnaire (BSQ)
A 34-item self-report measure of satisfaction with one's overall body that yields a total score. Items are scored from 0-5. Higher values mean more dissatisfaction with one's body. A total score is obtained by summing the items.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Body Parts Satisfaction Scale (BPSS)
An 11-item self-report measure of satisfaction with specific body parts that yields a total score. Items are scored from 0-5. Higher values mean more dissatisfaction. A total score is obtained by summing the items.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
The Dichotomous Thinking Scale (DTS)
An 11-item self-report scale that measures the cognitive distortions and yields a total score. Items are scored from 1-4 with higher scores indication more cognitive distortions. A total score is obtained by summing the items.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
The Obesity Cognitions Scale
A 15 item scale that measures cognitive distortions surrounding food, weight, and shape that yields a total score. Items are scored from 0-5 with higher scores indication more cognitive distortions. A total score is obtained by summing the items.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
Gastrointestinal Symptom Rating Scale (GSRS)
A 15 item self-report scale of gastrointestinal symptoms that yields a total score. Items are scored from 0 to 3 with higher scores indicated more frequent gastrointestinal discomfort. A total score is obtained by summing the items.
Time frame: Change from baseline to 8 weeks, 6 months, and 12 months
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