Addressing Mental Health Needs of Bariatric Surgery Patients who Experience Weight Recurrence with Depression and Anxiety
Jill Diane Connors
Primary Investigator
Brief description of study
Detailed description of study
Participation in the intervention will be comprised of four components:
1) access to a closed Facebook group for patients enrolled in this study who experience weight recurrence;
2) access to the This Way Up self-help, internet-based CBT course for mixed depression and anxiety;
3) bi-monthly peer support group virtual meetings; and
4) bi-monthly follow-up calls from a trained peer leader.
Upon completion of the 3-month intervention, all participants, if not already an established patient of the IU Bariatric Clinic, will be offered a referral to establish care with one of the bariatric providers or to view 3 healthy lifestyle videos created by the IU Bariatric Clinic.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Depression, Anxiety, Weight Recurrence, Obesity
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Age: 18 years - 100 years
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Gender: All
Inclusion Criteria
4.1.1 Adult patients who had an initial bariatric surgery (either sleeve gastrectomy or RY gastric bypass) at least 24 months prior to enrollment.
4.1.2 Patients who have a significant weight recurrence (WR) at least 2 years post-bariatric surgery. Significant WR is defined as a >10% regain from their lowest post-operative weight.
4.1.3 Patients who are at least one year post-surgery and deemed a non-responder by a bariatric clinician
4.1.4 Patients will be pre-screened using the 4-item Patient Health Questionnaire25 for depression and anxiety and must score 3 or greater to be eligible for the study.
Exclusion Criteria
4.2.1 Suicidal thoughts or ideation, for which we will use the last item from the 9-item Patient Health Questionnaire to screen for patients who may be at risk for self-harm.26
4.3.3.1 Any individuals who screen positively on the 9th item from the PHQ-9 will be further evaluated for suicide risk and referred to a higher level of service as appropriate by the collaborating psychologist.
4.2.2 Any untreated severe mental illness, active psychosis, or current substance abuse.
4.2.3 Patients who are unable to participate in the online/virtual intervention will also be excluded.
4.2.4 Patients with a BMI ≤ 25
