Evidence map›Paper›PMID 28181141›Full record

ArticleObesity surgery2017

Does Post-operative Psychotherapy Contribute to Improved Comorbidities in Bariatric Patients with Borderline Personality Disorder Traits and Bulimia Tendencies? A Prospective Study.

Francesca Gallé, Pietro Maida, Assunta Cirella, Elena Giuliano, Patrizia Belfiore, Giorgio Liguori

Abstract read
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In one paragraph

Article in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Evaluations of Muscular Strength, Ability to Balance and Health Status in Prisoners during COVID-19.International journal of environmental research and public health · 2021
    Article
  5. Bulimia nervosa in obese patients qualified for bariatric surgery - clinical picture, background and treatment.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019
    Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Francesca GalléDepartment of Movement Sciences and Wellbeing, University of Naples "Parthenope", Via Medina n. 40, 80133, Naples, Italy. francesca.galle@uniparthenope.it.
Pietro MaidaEvangelical Hospital "Villa Betania", Naples, Italy.
Assunta CirellaDepartment of Movement Sciences and Wellbeing, University of Naples "Parthenope", Via Medina n. 40, 80133, Naples, Italy.
Elena GiulianoEvangelical Hospital "Villa Betania", Naples, Italy.
Patrizia BelfioreDepartment of Movement Sciences and Wellbeing, University of Naples "Parthenope", Via Medina n. 40, 80133, Naples, Italy.
Giorgio LiguoriDepartment of Movement Sciences and Wellbeing, University of Naples "Parthenope", Via Medina n. 40, 80133, Naples, Italy.
Parthenope University of Naples · ITVilla Pineta Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBorderline personality disorder (BPD) and eating disorders may affect the outcomes of bariatric surgery. This study was aimed to evaluate the influence of a post-operative dialectical behavioral therapy (DBT) intervention on weight loss and comorbidities in a sample of comorbid obese Italian patients with BPD traits and bulimia tendencies who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) and laparoscopic adjustable gastric banding (LAGB).

methodsOne hundred fifty-four LRYGB or LAGB patients showing BPD and bulimia traits and type II diabetes, hypertension, and/or sleep apnea (OSAS) voluntarily adhered to DBT (n = 72) or treatment as usual (n = 82) for 12 months after surgery. Total weight loss (%TWL) and remission/improvement of comorbidities were considered as outcomes. Differences between treatment groups and between LRYGB and LAGB subgroups were evaluated through Student's t test for TWL and chi-square test for comorbidities.

resultsDBT was more effective than treatment as usual (TAU) in reducing weight loss (p < .001). Reduction of comorbidities was higher in patients treated with DBT, as for diabetes (p = .68), hypertension (p = .02), and OSAS (p = .03). LRYGB outcomes seem to be significantly better than those of LAGB, mainly in TAU group.

conclusionOur findings confirm the effectiveness of DBT in enhancing post-bariatric weight loss and reduction of comorbidities in patients showing BPD traits and bulimia tendencies. Further in-depth investigations and a longer follow-up are needed to strengthen these results.

Indexed as

AdolescentAdultBariatric SurgeryBehavior TherapyBorderline Personality DisorderBulimiaComorbidityDiabetes Mellitus, Type 2FemaleGastric BypassGastroplastyHumansHypertensionLaparoscopyMaleMiddle AgedBariatric surgeryBorderline personality disorderBulimiaDiabetesDialectical behavioral therapyHypertensionOSAS

Identifiers

PMID28181141
OpenAlexW2587728233

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.