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Effectiveness and factors predicting success of therapeutic patient education in obese patients candidates for bariatric surgery

Published online by Cambridge University Press:  23 March 2020

D. Piacentino ,
E. Prosperi ,
G. Guidi ,
R. Asprino ,
A. Pinto ,
L. Gnessi  and
A. Lenzi
D. Piacentino*
Affiliation:
Sapienza - university of Rome, NESMOS neuroscience- mental health- and sensory organs department, Rome, Italy
E. Prosperi
Affiliation:
Sapienza - university of Rome, C.A.S.C.O–center of high specialization for the cure of obesity EASO collaborating centres for obesity management COMs- experimental medicine department- food science and human nutrition research unit, Rome, Italy
G. Guidi
Affiliation:
Sapienza - university of Rome, C.A.S.C.O–center of high specialization for the cure of obesity EASO collaborating centres for obesity management COMs- experimental medicine department- food science and human nutrition research unit, Rome, Italy
R. Asprino
Affiliation:
Sapienza - university of Rome, C.A.S.C.O–center of high specialization for the cure of obesity EASO collaborating centres for obesity management COMs- experimental medicine department- food science and human nutrition research unit, Rome, Italy
A. Pinto
Affiliation:
Sapienza - university of Rome, C.A.S.C.O–center of high specialization for the cure of obesity EASO collaborating centres for obesity management COMs- experimental medicine department- food science and human nutrition research unit, Rome, Italy
L. Gnessi
Affiliation:
Sapienza - university of Rome, C.A.S.C.O–center of high specialization for the cure of obesity EASO collaborating centres for obesity management COMs- experimental medicine department- food science and human nutrition research unit, Rome, Italy
A. Lenzi
Affiliation:
Sapienza - university of Rome, C.A.S.C.O–center of high specialization for the cure of obesity EASO collaborating centres for obesity management COMs- experimental medicine department- food science and human nutrition research unit, Rome, Italy
*
*Corresponding author.

Abstract

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Introduction

Obesity is an increasingly common chronic disease. Its biopsychosocial basis provides the rationale of multidisciplinary interventions, such as Therapeutic Patient Education (TPE, WHO 1998), which is effective for lifestyle change and awareness improvement, thus reducing the disease's prevalence and its health care-related financial burden. However, patients’ socio-demographic and psychopathological factors may influence TPE's effectiveness.

Objectives/Aims

We aimed to assess the effectiveness of an 8-week TPE program in obese patients candidates for bariatric surgery and identify factors predicting its success.

Methods

We enrolled 159 patients with a BMI > 35 Kg/m2 and obesity-related comorbidities (females = 71.3%; age range = 18-35 years) at the C.A.S.C.O. (EASO COMs) of our University Hospital. They filled out the Binge Eating Scale (BES), the Symptom Checklist-90-R (SCL-90-R), and the Short Form-36 Health Survey (SF-36). We used Tukey's multiple comparison test to assess Quality of Life (QoL) improvement after TPE and multivariate logistic regression to estimate the size of the association between TPE and the aforementioned factors.

Results

The SF-36 showed a significant improvement (P < 0.05) of physical and mental QoL post-TPE, especially in obese patients without binge eating disorder. The same applied to BES and SCL-90-R scores. The factors predicting TPE success were a short duration of obesity, a limited number of past diets, and low levels of anxiety/depression pre-TPE.

Conclusions

In obese patients candidates for bariatric surgery, TPE is useful to improve physical and mental QoL, eating behavior, and psychological status. Several factors are predictive of TPE success, allowing a personalization of the intervention to render it more effective.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW472
Information
European Psychiatry , Volume 33 , Issue S1: Abstracts of the 24th European Congress of Psychiatry , March 2016 , pp. s235 - s236
Copyright
Copyright © European Psychiatric Association 2014
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