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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
20
The intervention itself is based on the procedures of Functional Analytic Psychotherapy, a behavioral intervention focusing on improving social functioning.
Weight Loss Management Center at UWMC-Roosevelt
Seattle, Washington, United States
Patient Health Questionnaire-9 (PHQ-9)
based directly on the nine diagnostic criteria for major depressive disorder in the Diagnostic and Statistical Manual Diploma in Social Medicine-IV
Time frame: Baseline
Patient Health Questionnaire-9 (PHQ-9)
based directly on the nine diagnostic criteria for major depressive disorder in the Diagnostic and Statistical Manual Diploma in Social Medicine-IV
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
Patient Health Questionnaire-9 (PHQ-9)
based directly on the nine diagnostic criteria for major depressive disorder in the Diagnostic and Statistical Manual Diploma in Social Medicine-IV
Time frame: Follow Up (3 Months after Intervention)
World Health Organization Quality of Life
a measure of an individual's physical health, psychological state, personal beliefs, social relationships and their relationship to salient features of their environment.
Time frame: Baseline
World Health Organization Quality of Life
a measure of an individual's physical health, psychological state, personal beliefs, social relationships and their relationship to salient features of their environment.
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
World Health Organization Quality of Life
a measure of an individual's physical health, psychological state, personal beliefs, social relationships and their relationship to salient features of their environment.
Time frame: Follow Up (3 Months after Intervention)
Drug Abuse Screening Test
a sensitive screening instrument for the abuse of drugs other than alcohol
Time frame: Baseline
Drug Abuse Screening Test
a sensitive screening instrument for the abuse of drugs other than alcohol
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
Drug Abuse Screening Test
a sensitive screening instrument for the abuse of drugs other than alcohol
Time frame: Follow Up (3 Months after Intervention)
Paffenbarger Physical Activity Questionnaire
asks participants about their current and previous exercise habits
Time frame: Baseline
Paffenbarger Physical Activity Questionnaire
asks participants about their current and previous exercise habits
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
Paffenbarger Physical Activity Questionnaire
asks participants about their current and previous exercise habits
Time frame: Follow Up (3 Months after Intervention)
Proximal Change Variables
assesses participant's eating habits as well as tobacco and alcohol use
Time frame: Baseline
Proximal Change Variables
assesses participant's eating habits as well as tobacco and alcohol use
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
Proximal Change Variables
assesses participant's eating habits as well as tobacco and alcohol use
Time frame: Follow Up (3 Months after Intervention)
Weight Control Questionnaire
asks participants to report if they have ever used any weight control practices
Time frame: Baseline
Weight Control Questionnaire
asks participants to report if they have ever used any weight control practices
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
Weight Control Questionnaire
asks participants to report if they have ever used any weight control practices
Time frame: Follow Up (3 Months after Intervention)
Fear of Intimacy Scale (FIS)
The FIS is a 35 item measure of self-disclosure, social intimacy, and social desirability. All items are scored on a 5-point Likert scale
Time frame: Baseline
Fear of Intimacy Scale (FIS)
The FIS is a 35 item measure of self-disclosure, social intimacy, and social desirability. All items are scored on a 5-point Likert scale
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
Fear of Intimacy Scale (FIS)
The FIS is a 35 item measure of self-disclosure, social intimacy, and social desirability. All items are scored on a 5-point Likert scale
Time frame: Follow Up (3 Months after Intervention)
Social Support Survey
provides an assessment of several domains of social support including tangible support, emotional support, affective support, and positive support
Time frame: Baseline
Social Support Survey
provides an assessment of several domains of social support including tangible support, emotional support, affective support, and positive support
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
Social Support Survey
provides an assessment of several domains of social support including tangible support, emotional support, affective support, and positive support
Time frame: Follow Up (3 Months after Intervention)
University of California, Los Angeles Loneliness Scale
designed to measure one's subjective feelings of loneliness as well as feelings of social isolation
Time frame: Baseline
University of California, Los Angeles Loneliness Scale
designed to measure one's subjective feelings of loneliness as well as feelings of social isolation
Time frame: Post Intervention (Approximately 12 Weeks from Baseline)
University of California, Los Angeles Loneliness Scale
designed to measure one's subjective feelings of loneliness as well as feelings of social isolation
Time frame: Follow Up (3 Months after Intervention)
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