Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature

Introduction: Optimizing maintenance of weight loss for people with obesity following intragastric balloon (IGB) therapy hinges on the degree to which health care providers can recognize both the impact of emotional problems and mood difficulties on their capacity to self-manage, and requirements fo...

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Autores principales:	Giada Pietrabissa, Vanessa Bertuzzi, Susan Simpson, Anna Guerrini Usubini, Roberto Cattivelli, Simona Bertoli, Enrico Mozzi, Giancarlo Roviaro, Gianluca Castelnuovo, Enrico Molinari
Formato:	article
Lenguaje:	EN
Publicado:	Karger Publishers 2021
Materias:	intragastric balloon obesity mood disorders quality of life clinical psychology Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627
Acceso en línea:	https://doaj.org/article/46d6f02925a647a79795aaf170edb1d7
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spelling	oai:doaj.org-article:46d6f02925a647a79795aaf170edb1d72021-12-02T12:40:22ZPsychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature1662-40251662-403310.1159/000518200https://doaj.org/article/46d6f02925a647a79795aaf170edb1d72021-11-01T00:00:00Zhttps://www.karger.com/Article/FullText/518200https://doaj.org/toc/1662-4025https://doaj.org/toc/1662-4033Introduction: Optimizing maintenance of weight loss for people with obesity following intragastric balloon (IGB) therapy hinges on the degree to which health care providers can recognize both the impact of emotional problems and mood difficulties on their capacity to self-manage, and requirements for additional support. However, there is limited research on the psychological correlates of IGB therapy. This systematic review, for the first time, attempts to identify and synthesize the empirical evidence for the reciprocal influence between psychological variables and IGB outcomes. Methods: A literature search was performed in the PubMed, SCOPUS, MEDLINE, and Google Scholar databases. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed using rigorous inclusion criteria and screening by at least 2 reviewers. The selected articles were assessed for quality using the Strengthening the Reporting of Observational Studies Epidemiology (STROBE) checklist. Data were extracted to address the review aims and presented as a narrative synthesis. The review protocol was preregistered (Prospero CRD42019121291). Results: A total of 16,179 titles, 14,369 abstracts, and 51 full-text articles were screened, of which 16 studies were included. Findings suggest that female gender, older age, basic educational level, and single/divorced civil status, together with lower levels of depression, binge eating, higher perceived quality of life, and motivation to change were predictors of enhanced IGB treatment outcomes. Dissatisfaction with treatment was higher in those with impaired obesity-related social-life difficulties. The IGB treatment was effective in reducing weight and improving depression, anxiety, eating disorder symptoms, and the overall life quality of patients with obesity – mainly within 6 months from the device positioning and in conjunction with conventional therapies. Discussion/Conclusion: In line with the available literature on obesity and bariatric surgery interventions, poor mental health appears to be an important barrier for successful weight loss among patients with obesity undergoing IGB treatment. In order to improve the efficacy and effectiveness of the IGB therapy, more comprehensive and standardized studies are needed to provide insight into the psychological mechanisms maintaining weight management issues.Giada PietrabissaVanessa BertuzziSusan SimpsonAnna Guerrini UsubiniRoberto CattivelliSimona BertoliEnrico MozziGiancarlo RoviaroGianluca CastelnuovoEnrico MolinariKarger Publishersarticleintragastric balloonobesitymood disordersquality of lifeclinical psychologyNutrition. Foods and food supplyTX341-641Nutritional diseases. Deficiency diseasesRC620-627ENObesity Facts, Pp 1-18 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	intragastric balloon obesity mood disorders quality of life clinical psychology Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627
spellingShingle	intragastric balloon obesity mood disorders quality of life clinical psychology Nutrition. Foods and food supply TX341-641 Nutritional diseases. Deficiency diseases RC620-627 Giada Pietrabissa Vanessa Bertuzzi Susan Simpson Anna Guerrini Usubini Roberto Cattivelli Simona Bertoli Enrico Mozzi Giancarlo Roviaro Gianluca Castelnuovo Enrico Molinari Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature
description	Introduction: Optimizing maintenance of weight loss for people with obesity following intragastric balloon (IGB) therapy hinges on the degree to which health care providers can recognize both the impact of emotional problems and mood difficulties on their capacity to self-manage, and requirements for additional support. However, there is limited research on the psychological correlates of IGB therapy. This systematic review, for the first time, attempts to identify and synthesize the empirical evidence for the reciprocal influence between psychological variables and IGB outcomes. Methods: A literature search was performed in the PubMed, SCOPUS, MEDLINE, and Google Scholar databases. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed using rigorous inclusion criteria and screening by at least 2 reviewers. The selected articles were assessed for quality using the Strengthening the Reporting of Observational Studies Epidemiology (STROBE) checklist. Data were extracted to address the review aims and presented as a narrative synthesis. The review protocol was preregistered (Prospero CRD42019121291). Results: A total of 16,179 titles, 14,369 abstracts, and 51 full-text articles were screened, of which 16 studies were included. Findings suggest that female gender, older age, basic educational level, and single/divorced civil status, together with lower levels of depression, binge eating, higher perceived quality of life, and motivation to change were predictors of enhanced IGB treatment outcomes. Dissatisfaction with treatment was higher in those with impaired obesity-related social-life difficulties. The IGB treatment was effective in reducing weight and improving depression, anxiety, eating disorder symptoms, and the overall life quality of patients with obesity – mainly within 6 months from the device positioning and in conjunction with conventional therapies. Discussion/Conclusion: In line with the available literature on obesity and bariatric surgery interventions, poor mental health appears to be an important barrier for successful weight loss among patients with obesity undergoing IGB treatment. In order to improve the efficacy and effectiveness of the IGB therapy, more comprehensive and standardized studies are needed to provide insight into the psychological mechanisms maintaining weight management issues.
format	article
author	Giada Pietrabissa Vanessa Bertuzzi Susan Simpson Anna Guerrini Usubini Roberto Cattivelli Simona Bertoli Enrico Mozzi Giancarlo Roviaro Gianluca Castelnuovo Enrico Molinari
author_facet	Giada Pietrabissa Vanessa Bertuzzi Susan Simpson Anna Guerrini Usubini Roberto Cattivelli Simona Bertoli Enrico Mozzi Giancarlo Roviaro Gianluca Castelnuovo Enrico Molinari
author_sort	Giada Pietrabissa
title	Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature
title_short	Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature
title_full	Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature
title_fullStr	Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature
title_full_unstemmed	Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature
title_sort	psychological aspects of treatment with intragastric balloon for management of obesity: a systematic review of the literature
publisher	Karger Publishers
publishDate	2021
url	https://doaj.org/article/46d6f02925a647a79795aaf170edb1d7
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Psychological Aspects of Treatment with Intragastric Balloon for Management of Obesity: A Systematic Review of the Literature

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