Psychosocial interventions are increasingly being utilized to help patients prepare for, and adjust to changes following, bariatric surgery in order to optimize psychosocial adjustment and weight loss. The current systematic review examined the impact of preoperative and post‐operative psychosocial interventions with a behavioural and/or cognitive focus on weight, dietary behaviours, eating pathology, lifestyle behaviours, and psychological functioning. A PsycINFO and Medline search of publications was conducted in March 2019. Two authors assessed retrieved titles and abstracts to determine topic relevance and rated the quality of included studies using a validated checklist. Forty‐four articles (representing 36 studies) met the study inclusion criteria. The current evidence is strongest for the impact of psychosocial interventions, particularly cognitive behavioural therapy, on eating behaviours (eg, binge eating and emotional eating) and psychological functioning (eg, quality of life, depression, and anxiety). The evidence for the impact of psychosocial interventions on weight loss, dietary behaviours (eg, dietary intake), and lifestyle behaviours (eg, physical activity) is relatively weak and mixed. Psychosocial interventions can improve eating pathology and psychosocial functioning among bariatric patients, and the optimal time to initiate treatment appears to be early in the post‐operative period before significant problematic eating behaviours and weight regain occur.

中文翻译：

---

减肥手术患者的术前和术后心理干预：系统评价。

社会心理干预越来越多地用于帮助患者为减肥手术做准备并适应其变化，以优化心理社会调整和减肥效果。当前的系统评价检查了术前和术后心理社会干预的影响，其中行为和/或认知重点在于体重，饮食行为，饮食病理，生活方式行为和心理功能。PsycINFO和Medline在2019年3月对出版物进行了搜索。两名作者评估了检索到的标题和摘要，以确定主题的相关性，并使用经过验证的清单对纳入研究的质量进行了评估。符合研究纳入标准的四十四篇文章（代表36项研究）。对于社会心理干预的影响，目前的证据最有力，尤其是关于饮食行为（例如暴饮暴食和情绪化饮食）和心理功能（例如生活质量，抑郁和焦虑）的认知行为疗法。心理社会干预对减肥，饮食行为（例如饮食摄入）和生活方式行为（例如身体活动）的影响的证据相对较弱且混杂。社会心理干预可以改善肥胖症患者的饮食病理和心理社会功能，开始治疗的最佳时间似乎在术后早期，即出现严重的饮食问题和体重减轻。心理社会干预对减肥，饮食行为（例如饮食摄入）和生活方式行为（例如身体活动）的影响的证据相对较弱且混杂。社会心理干预可以改善肥胖症患者的饮食病理和心理社会功能，开始治疗的最佳时间似乎在术后早期，即出现严重的饮食问题和体重减轻。心理社会干预对减肥，饮食行为（例如饮食摄入）和生活方式行为（例如身体活动）的影响的证据相对较弱且混杂。社会心理干预可以改善肥胖症患者的饮食病理和心理社会功能，开始治疗的最佳时间似乎在术后早期，即出现严重的饮食问题和体重减轻。