Evidence map›Paper›PMID 39654020›Full record

ArticleJournal of eating disorders2024

Enhancing the outcomes of bariatric surgery with inhibitory control training, electrical brain stimulation and psychosocial aftercare: a pilot study protocol.

Sarah A Rösch, Lennart Wünsche, Carsten Thiele, Therese Reinstaller, Tino Zähle, Kathrin Schag, Katrin E Giel, Christian Plewnia, Johann Steiner, Florian Junne

Abstract read
In one paragraph

Article in Journal of eating disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sarah A RöschUniversity Clinic of Psychosomatic Medicine and Psychotherapy, University Hospital, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany. sarah.roesch@med.ovgu.de.
Lennart WünscheUniversity Clinic of Psychosomatic Medicine and Psychotherapy, University Hospital, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.
Carsten ThieleDepartment of Neurology, University Hospital, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Therese ReinstallerVisceral, Vascular and Transplant Surgery, University Clinic for General, University Hospital, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Tino ZähleDepartment of Neurology, University Hospital, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Kathrin SchagGerman Center for Mental Health (DZPG), Partner Site Halle-Jena-Magdeburg, Magdeburg, Germany.
Katrin E GielGerman Center for Mental Health (DZPG), Partner Site Halle-Jena-Magdeburg, Magdeburg, Germany.
Christian PlewniaGerman Center for Mental Health (DZPG), Partner Site Halle-Jena-Magdeburg, Magdeburg, Germany.
Johann SteinerGerman Center for Mental Health (DZPG), Partner Site Halle-Jena-Magdeburg, Magdeburg, Germany.
Florian JunneUniversity Clinic of Psychosomatic Medicine and Psychotherapy, University Hospital, Otto von Guericke University Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNotwithstanding the documented short- and long-term weight loss and remission of physical and mental diseases following bariatric surgery, a significant proportion of patients fail to respond (fully) to treatment in terms of physical and mental health improvement. Mounting evidence links food-specific impulsivity, prefrontal cortex (PFC) hypoactivity and disrupted hormone secretion in bariatric surgery candidates to poorer post-surgical health outcomes. Neuromodulatory treatments like transcranial direct current stimulation (tDCS) uniquely target these neurobehavioral impairments. We present a pilot study protocol offering tDCS combined with an inhibitory control training and a structured psychosocial intervention to patients after bariatric surgery.

methodsA total of N = 20 patients are randomized to 6 sessions of verum or sham tDCS over the PFC, combined with an individualized food-specific inhibitory control training and a structured psychosocial intervention within 18 months after bariatric surgery (t0). Beyond acceptability, feasibility and satisfaction of the intervention, effects of verum versus sham tDCS on food-specific impulsivity and on secondary outcomes quality of life, general impulsivity and psychopathology, food-related cravings, eating disorder psychopathology, weight trajectory and endocrine markers are assessed 4 weeks (t1) and 3 months after the intervention (t2). DISCUSSION: Results will provide information on the potential of combining tDCS with an inhibitory control training and a structured psychosocial intervention to enhance physical and mental outcomes after bariatric surgery. The present study may guide the development of future research with regard to tDCS as a brain-based intervention and of future post-surgical clinical programs, paving the way for randomized-controlled trials in larger samples.

trial registrationThe trial was prospectively registered on July 8, 2024, under the registration number DRKS00034620 in the German Clinical Trials Register ( https://drks.de/search/de/trial/DRKS00034620 ).

Indexed as

AftercareBariatric surgeryFood-specific impulsivityInhibitory control trainingObesity surgeryPsychosocial interventiontDCS

Identifiers

PMID39654020
PMCPMC11626763

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Registered trials

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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.