Psychological management before and after weight loss surgery

Johnston, L., Hilton, C. and Lane, C. (2017) Psychological management before and after weight loss surgery. In: Weaver, J. (ed.) Practical Guide to Obesity Medicine. Elsevier, pp. 299-313. ISBN 9780323485593 (doi: 10.1016/B978-0-323-48559-3.00029-4)

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In this chapter, we offer a psychological perspective on obesity. We begin with a discussion of the need to understand obesity in terms of an individualized conceptualization. We then offer a brief review of the literature examining psychological factors and weight loss surgery (WLS). Specifically, we explore the psychological predictors of outcomes following WLS, next we examine the psychological status in severely obese patients seeking WLS, and then we discuss what psychological factors are contraindications for WLS. Our chapter then introduces a discussion of the role of practitioner psychologists within obesity services and demonstrates how psychologists contribute to patient care via a worked case conceptualization (formulation). Specifically, we discuss how psychologically informed treatments can be integrated from a case formulation and how this can help improve outcomes for WLS patients. This chapter ends with an overview and discussion of a suggested treatment plan that addresses comaintaining cycles of behavioral avoidance and lifestyle dysregulation, internal rumination (overthinking), and binge eating behaviors.

Item Type:Book Sections
Additional Information:eISBN: 9780323496001.
Glasgow Author(s) Enlighten ID:Johnston, Dr Lynne
Authors: Johnston, L., Hilton, C., and Lane, C.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care

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