Bariatric surgery is the most effective treatment for severe obesity; however, a subset of patients experience suboptimal outcomes. Psychosocial interventions that address eating pathology may ameliorate negative consequences, although their efficacy has not been examined. Thus, a systematic review to evaluate the impact of psychosocial randomized controlled trials (RCTs) on eating pathology in adults pre and post-bariatric surgery was conducted. Six scientific databases were searched for psychosocial trials assessing eating pathology as an outcome. Ten RCTs representing seven distinct interventions were identified (i.e., four preoperative and six postoperative). Trials utilized cognitive-behavioral therapy, mindfulness-based approaches, acceptance-based treatment, motivational interviewing, and psychoeducational interventions. Findings provide initial support for reducing eating pathology pre and postoperatively in the short-term (i.e., 6 months); however, the small number of RCTs and heterogeneity among postoperative trials made it difficult to draw conclusions. Additional longitudinal studies are needed to determine the long-term impact of psychosocial interventions that address eating pathology in bariatric surgery patients endorsing significant eating pathology.

减肥手术是治疗严重肥胖的最有效方法。但是，一部分患者的治疗效果欠佳。尽管尚未检查饮食效果的心理社会干预措施可能会减轻不良后果。因此，进行了系统评价，以评估心理社会随机对照试验（RCT）对成人在aria门手术前后的饮食病理的影响。搜索了六个科学数据库以进行社会心理试验，以评估饮食病理作为结果。确定了代表7种不同干预措施的10个RCT（即术前4个和术后6个）。试验利用认知行为疗法，正念为基础的方法，接受为基础的治疗，动机访谈和心理教育干预措施。研究结果为短期（即6个月）手术前后减少饮食病理提供了初步支持；然而，术后试验中很少有RCT和异质性，因此很难下结论。需要更多的纵向研究来确定针对认可减肥饮食手术的减肥手术患者的饮食病理的社会心理干预措施的长期影响。