Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT

Weineland, Sandra; Arvidsson, Dag; Kakoulidis, Thanos P.; Dahl, Joanne

doi:10.1016/j.orcp.2011.04.004

Cited by 148Bariatric Surgery and OutcomesMindfulness and Compassion InterventionsEating Disorders and Behaviors

Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT

Weineland, Sandra, Arvidsson, Dag, Kakoulidis, Thanos P., Dahl, Joanne·2012·Obesity Research & Clinical Practice

DOI 10.1016/j.orcp.2011.04.004

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Abstract

Summary Bariatric surgery (BS) is rated as the best evidence based treatment for obesity with regard to weight loss and maintenance of weight loss evaluated to date. Although BS interventions are effective, 20-30% of BS patients start to regain weight within 24 months. Emotional eating is a behavior pattern which has been found to predict poor outcome. The aim of this study is to evaluate the effects of acceptance and commitment therapy (ACT) for patients who underwent BS, with regard to emotional eating, body dissatisfaction and quality of life. This study is a randomized controlled trial (n = 39) with two conditions (1) ACT including two face-to-face sessions and support via an Internet application and (2) treatment as usual (TAU) comprising the standard follow-up used by the BS team. Results show that participants in the ACT condition significantly improve on eating disordered behaviors, body dissatisfaction, quality of life and acceptance for weight related thoughts and feelings, as compared to those in the TAU group. This study shows that it is possible to improve effects of BS by specifically targeting emotional eating behavior.:

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Over the years, ACT has been successfully applied in various pathological conditions, including obesity management both in adult and young populations.
“Over the years, ACT has been successfully applied in various pathological conditions, including obesity management both in adult and young populations [20–22].”
From The ACTyourCHANGE study protocol: promoting a healthy lifestyle in patients with obesity with Acceptance and Commitment Therapy-a randomized controlled trial. (2021) · cites this paper as [22]
A total of 8 studies used a blended ACT program involving both iACT and in-person ACT sessions.
“A total of 8 studies used a blended ACT program involving both iACT and in-person ACT sessions [20-27].”
From Efficacy of Internet-Based Acceptance and Commitment Therapy for Depressive Symptoms, Anxiety, Stress, Psychological Distress, and Quality of Life: Systematic Review and Meta-analysis. (2022) · cites this paper as [26]
A randomized study of an internet-based acceptance-based intervention for disordered eating after surgery improved emotional eating after six weeks.
“Similarly, a randomized study of an internet-based acceptance-based intervention targeting disordered eating post-surgery improved emotional eating after six weeks.28”
From A Mindfulness-Based Intervention to Control Weight After Bariatric Surgery: Preliminary Results From a Randomized Controlled Pilot Trial (2016) · cites this paper as [28]

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Herbert, M. S., Dochat, C., Wooldridge, J. S., Materna, K., Blanco, B. H., Tynan, M., Lee, M. W., Gasperi, M., Camodeca, A., Harris, D., et al. (2022) · Behaviour Research and Therapy · doi:10.1016/j.brat.2021.103995 · Cited by 44 · see citing works
The effectiveness of acceptance and commitment therapy upon weight management and psychological well‐being of adults with overweight or obesity: A systematic review
Iturbe, I., Echeburúa, E., & Maíz, E. (2021) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2695 · Cited by 48 · see citing works
Weight‐loss interventions for improving emotional eating among adults with high body mass index: A systematic review with meta‐analysis and meta‐regression
Chew, H. S. J., Lau, S. T., & Lau, Y. (2022) · European Eating Disorders Review · doi:10.1002/erv.2906 · Cited by 42 · see citing works
“…Stapleton et al., 2016; Teixeira et al., 2010) 6 0.47 Usual care(Afari et al., 2019; Hjelmesæth et al., 2019; Jarvela‐Reijonen et al., 2018; Nourizadeh et al., 2020; Weineland et al., 2012) 6 0.23 Waitlist (Czepczor‐Bernat et al., 2020; Kristeller et al., 2014; Nourizadeh et al., 2020) 6 0.57 BMI…”
BackgroundInfluential
Is acceptance and commitment training or therapy (ACT) a method that applied behavior analysts can and should use?
Dixon, M. R., Hayes, S. C., Stanley, C., Law, S., & al-Nasser, T. (2020) · The Psychological Record · doi:10.1007/s40732-020-00436-9 · Cited by 42 · see citing works
Psychological flexibility is not a single dimension: The distinctive flexibility profiles of underweight, overweight, and obese people
Ciarrochi, J., Sahdra, B., Marshall, S., Parker, P., & Horwath, C. (2014) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2014.07.002 · Cited by 42 · see citing works
“Weineland et al. (2012) examined the role of ACT in preventing weight regain amongst bariatric surgery patients.”
Background
Analysis of the efficacy of an internet-based self-administered intervention (“Living Better”) to promote healthy habits in a population with obesity and hypertension: An exploratory randomized controlled trial
Mensorio›, M. S., Cebolla, A., Rodilla, E., Palomar, G., Lisón, J. F., Botella, C., Fernández‐Aranda, F., Jiménez‐Múrcia, S., & Baños, R. (2018) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2018.12.007 · Cited by 42 · see citing works
The effects of acceptance and commitment therapy on lifestyle and behavioral changes: a systematic review of randomized controlled trials
Yıldız, E. (2020) · Perspectives In Psychiatric Care · doi:10.1111/ppc.12482 · Cited by 40 · see citing works
The acceptance and commitment therapy matrix mobile app: A pilot randomized trial on health behaviors
Levin, M. E., Pierce, B., & Schoendorff, B. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.05.003 · Cited by 39 · see citing works
“…Bunting, & Masuda, 2009; Tapper et al., 2009), education control groups (Butryn, Forman, Hoffman, Shaw, & Juarascio, 2011), treatment as usual (Weineland, Arvidsson, Kakoulidis, & Dahl, 2012), a walking program with pedometer (Moffitt & Mohr, 2015), and standard behavioral treatment for…”
Towards a physically more active lifestyle based on one’s own values: the results of a randomized controlled trial among physically inactive adults
Kangasniemi, A. M., Lappalainen, R., Kankaanpää, A., Tolvanen, A., & Tammelin, T. (2015) · BMC Public Health · doi:10.1186/s12889-015-1604-x · Cited by 37 · see citing works
“, chronic pain [33], type II diabetes [34] and weight regain among bariatric surgery patients [35,36]).”
Background
Mindfulness as therapy for disordered eating: a systematic review
Masuda, A., & Hill, M. L. (2013) · Neuropsychiatry · doi:10.2217/npy.13.36 · Cited by 36 · see citing works
Contrasting Views of the Post-bariatric Surgery Experience between Patients and their Practitioners: a Qualitative Study
Jumbe, S. E., & Meyrick, J. (2018) · Obesity Surgery · doi:10.1007/s11695-018-3185-0 · Cited by 34 · see citing works
“Obesity surgery literature shows that although the procedure is the best evidence-based obesity treatment for weight loss and weight loss maintenance to date, 20–30% of people start to regain weight within 24 months [29].”
Background
Acceptance and Commitment Therapy for People Experiencing Appearance-Related Distress Associated With a Visible Difference: A Rationale and Review of Relevant Research.
Zucchelli, F., Donnelly, O., Williamson, H., & Hooper, N. (2018) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.32.3.171 · Cited by 30 · see citing works
The effectiveness of psychosocial interventions to support psychological well-being in post-operative bariatric patients: A systematic review of evidence
Zyl, N. V., Andrews, L., Williamson, H., & Meyrick, J. (2020) · Obesity Research & Clinical Practice · doi:10.1016/j.orcp.2020.05.005 · Cited by 36 · see citing works
Remote assessments and behavioral interventions in post-bariatric surgery patients
Bradley, L. E., Thomas, J. G., Hood, M. M., Corsica, J. A., Kelly, M. C., & Sarwer, D. B. (2018) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2018.07.011 · Cited by 32 · see citing works
Efficacy of ACT-based treatments for dysregulated eating behaviours: A systematic review and meta-analysis
Sante, J. D., Akeson, B., Gossack, A., & Knaüper, B. (2022) · Appetite · doi:10.1016/j.appet.2022.105929 · Cited by 32 · see citing works
The Interaction Between Mindfulness, Emotion Regulation, and Social Anxiety and Its Association with Emotional Eating in Bariatric Surgery Candidates
Dalrymple, K. L., Clark, H., Chelminski, I., & Zimmerman, M. A. (2018) · Mindfulness · doi:10.1007/s12671-018-0921-4 · Cited by 32 · see citing works
The Phenomenon of Treatment Dropout, Reasons and Moderators in Acceptance and Commitment Therapy and Other Active Treatments: A Meta-Analytic Review
Karekla, M., Constantinou, P., Ioannou, M., Gloster, A. T., & Kareklas, I. (2019) · Clinical Psychology in Europe · doi:10.32872/cpe.v1i3.33058 · Cited by 29 · see citing works
Perception of Control Over Eating After Bariatric Surgery for Super-Obesity—a 2-Year Follow-Up Study
Engström, M., Forsberg, A., Søvik, T. T., Olbers, T., Lönroth, H., & Karlsson, J. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1652-4 · Cited by 29 · see citing works
“The objective of treatment is to provide strategies to better cope with uncontrolled and emotional eating [38–40].”
Background
Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery
Ames, G. E., Koball, A. M., & Clark, M. M. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.934680 · Cited by 28 · see citing works
“, food cravings, hunger) is inevitable (91).”
Are eHealth interventions for adults who are scheduled for or have undergone bariatric surgery as effective as usual care? A systematic review
Wright, C., Mutsekwa, R. N., Hamilton, K., Campbell, K. L., & Kelly, J. T. (2021) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2021.07.020 · Cited by 28 · see citing works
Towards a physically more active lifestyle based on one’s own values: study design of a randomized controlled trial for physically inactive adults
Kangasniemi, A. M., Lappalainen, R. I., Kankaanpää, A., Kulmala, J., Hakonen, H., & Tammelin, T. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-671 · Cited by 28 · see citing works
“, chronic pain [9], type II diabetes [10], weight regain among bariatric surgery patients [11,12] and depression [13]) and associated with better psychological and quality of life scores [6].”
Background
The Influence of Weight-Related Self-Esteem and Symptoms of Depression on Shape and Weight Concerns and Weight-Loss 12 Months After Bariatric Surgery
Felske, A. N., Williamson, T., Scurrey, S. R. M., Telfer, J., Campbell, T., & Rash, J. A. (2020) · Obesity Surgery · doi:10.1007/s11695-020-05097-9 · Cited by 19 · see citing works
“, acceptance and commitment therapy; ACT) have proven useful in improving body image dissatisfaction among adults with obesity and postsurgical bariatric patients [58, 59].”
Background
Examination of the Effectiveness of a Brief, Adapted Dialectical Behavior Therapy-Skills Training Group for Bariatric Surgical Candidates
Delparte, C. A., Power, H. A., Gelinas, B. L., Oliver, A. M., Hart, R., & Wright, K. D. (2018) · Obesity Surgery · doi:10.1007/s11695-018-3515-2 · Cited by 26 · see citing works
Measuring experiential avoidance in a bariatric surgery population--psychometric properties of AAQ-W.
Weineland, S., Lillis, J., & Dahl, J. (2013) · Obesity Research and Clinical Practice · doi:10.1016/j.orcp.2012.06.002 · Cited by 27 · see citing works
Self-citation
Examining mediators of change in wellbeing, stress, and depression in a blended, Internet-based, ACT intervention for university students
Räsänen, P., Muotka, J., & Lappalainen, R. (2020) · Internet Interventions · doi:10.1016/j.invent.2020.100343 · Cited by 23 · see citing works
“, 2014) and one targeting eating disorder behaviors in bariatric surgery patients (Weineland et al., 2012).”
Background
Comparing Acceptance and Commitment Group Therapy and 12-Steps Narcotics Anonymous in Addict's Rehabilitation Process: A Randomized Controlled Trial.
Azkhosh, M., Farhoudianm, A., Saadati, H., Shoaee, F., & Lashani, L. (2016) · PubMed Central · Cited by 23 · see citing works
Psychosocial Interventions to Reduce Eating Pathology in Bariatric Surgery Patients: A Systematic Review
Newman, A. K.-R., Herbozo, S., Russell, A., Eisele, H., Zasadzinski, L., Hassan, C., & Sanchez-Johnsen, L. (2021) · Journal of Behavioral Medicine · doi:10.1007/s10865-021-00201-5 · Cited by 21 · see citing works
“Incomplete outcome data risk of bias was rated low in most of the studies (David et al., 2016; Lent et al., 2019; Wild et al., 2015; Weineland 2012a, b) and rated unclear in one study Chacko et al., (2016).”
Background
Proposed variations of the stepped-wedge design can be used to accommodate multiple interventions
Lyons, V. H., Li, L., Hughes, J. P., & Rowhani‐Rahbar, A. (2017) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2017.04.004 · Cited by 21 · see citing works
The Effects of Internet-Based Acceptance and Commitment Therapy on Process Measures: Systematic Review and Meta-analysis
Han, A., & Kim, T. H. (2022) · Journal of Medical Internet Research · doi:10.2196/39182 · Cited by 20 · see citing works
“A total of 7 studies used a blended ACT program, which involved both iACT and in-person sessions [33-40].”
Mindfulness‐based interventions for body image dissatisfaction among clinical population: A systematic review and meta‐analysis
Gopan, H., Rajkumar, E., Gopi, A., & Romate, J. (2023) · British Journal of Health Psychology · doi:10.1111/bjhp.12710 · Cited by 20 · see citing works
Treatment Options for Poor Responders to Bariatric Surgery
Lee, P. C., Dixon, J. B., Sim, P. Y., & Lim, C. H. (2020) · Current Obesity Reports · doi:10.1007/s13679-020-00381-2 · Cited by 20 · see citing works
Food cravings among bariatric surgery candidates
Crowley, N. M., Madan, A., Wedin, S., Correll, J. A., DeLustro, L., Borckardt, J. J., & Byrne, T. K. (2014) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-013-0095-y · Cited by 19 · see citing works
“One psychotherapeutic approach that may be particularly useful in targeting food preoccupations in bariatric patients before and/or after surgery is acceptance and commitment therapy (ACT) [15].”
Background
The Psychometric Properties of the Polish Version of the Acceptance and Action Questionnaire-II (AAQ-II)
Kleszcz, B., Dudek, J. E., Białaszek, W., Ostaszewski, P., & Bond, F. W. (2018) · Studia Psychologiczne (Psychological Studies) · doi:10.2478/v1067-010-0178-1 · Cited by 20 · see citing works
Mindfulness-based interventions for binge eating: an updated systematic review and meta-analysis
Liu, J., Tynan, M., Mouangue, A., Martin, C., Manasse, S. M., & Godfrey, K. M. (2025) · Journal of Behavioral Medicine · doi:10.1007/s10865-025-00550-5 · Cited by 21 · see citing works
“Weineland and colleagues (Weineland et al., 2012a, 2012b) used the DEBS, formerly called the Subjective Binge Eating Questionnaire for Bariatric Surgery Patients, which is a self-report measure they developed for assessing binge eating behavior in a post-bariatric surgery population that they…”
Behaviour change theories and techniques used to inform nutrition interventions for adults undergoing bariatric surgery: A systematic review
Wright, C., Barnett, A., Campbell, K. L., Kelly, J. T., & Hamilton, K. (2022) · Nutrition & Dietetics · doi:10.1111/1747-0080.12728 · Cited by 18 · see citing works
Patient perspectives on psychological care after bariatric surgery: A qualitative study
Chan, J. K. Y., King, M., & Vartanian, L. R. (2020) · Clinical Obesity · doi:10.1111/cob.12399 · Cited by 17 · see citing works
“Similarly, acceptance and commitment therapy has demonstrated effectiveness in reducing emotional eating and increasing psychological flexibility in patients after bariatric surgery.(5,6) Taken together, the evidence suggests that psychologists can offer tools and strategies to help patients implement behavioural chan…”
Background
Lessons Learned From Developing a Mobile App to Assist in Patient Recovery After Weight Loss Surgery
Dolan, P. T., Afaneh, C. I., Dakin, G. F., Pomp, A., & Yeo, H. (2019) · Journal of Surgical Research · doi:10.1016/j.jss.2019.06.063 · Cited by 17 · see citing works
Mindfulness-Based Interventions for Surgical Patients and Impact on Postoperative Outcomes, Patient Wellbeing, and Satisfaction
Hymowitz, G., Hasan, F., Yerramalli, G., & Cervoni, C. (2024) · The American Surgeon™ · doi:10.1177/00031348221117025 · Cited by 16 · see citing works
BRUXISMO DURANTE O SONO
Nunes, D. T. O., Barros, M. M., Almeida, P. R. C., Lobato, L. S., da Silva, B. M., & Teixeira, R. D. P. (2022) · Amplla Editora eBooks · doi:10.51859/amplla.cco2128-11 · Cited by 16 · see citing works
The ACTyourCHANGE study protocol: promoting a healthy lifestyle in patients with obesity with Acceptance and Commitment Therapy-a randomized controlled trial.
Guerrini Usubini, A., Cattivelli, R., Giusti, E. M., Riboni, F. V., Varallo, G., Pietrabissa, G., Manzoni, G. M., Consoli, S., Bastoni, I., Granese, V., et al. (2021) · Trials · doi:10.1186/s13063-021-05191-y · Cited by 14 · see citing works
A randomised wait-list controlled clinical trial of the effects of acceptance and commitment therapy in patients with type 1 diabetes: a study protocol
Olinder, A. L., Fischier, J., Fries, J., Alfonsson, S., Elvingson, V., Eriksson, J. W., & Leksell, J. K. (2015) · BMC Nursing · doi:10.1186/s12912-015-0101-y · Cited by 15 · see citing works
“Other areas for implementation are also being considered [15] ACT has been tested in numerous behavioural medicine areas such as pain [16], chronic physical diseases [17] and obesity [18, 19], with data showing preliminary good results.”
Background
The Effectiveness of Acceptance and Commitment Therapy on Weight Loss and Cognitive Emotion Regulation in Obese Individuals
Azadeh, Y., Jomehri, F., Seyrafi, M., Mujembari, A. K., & Farsani, G. M. (2019) · doi:10.30699/ijhehp.7.2.192 · Cited by 14 · see citing works
ACTonFOOD: opportunities of ACT to address food addiction
Cattivelli, R., Pietrabissa, G., Ceccarini, M., Spatola, C. A. M., Villa, V., Caretti, A., Gatti, A., Manzoni, G. M., & Castelnuovo, G. (2015) · Frontiers in Psychology · doi:10.3389/fpsyg.2015.00396 · Cited by 13 · see citing works
“Recent papers deploy in this direction, showing similar effects to traditional CBT at the end of treatment and better long-term outcomes at follow-up (Weineland et al., 2012; Forman et al., 2013).”
Background
Mental Health Support Provided Throughout the Bariatric Surgery Clinical Pathway in French Specialized Care Centers for Obesity
Lamore, K., Kaci, S. S., Czernichow, S., Bretault, M., Bouillot, J., Naudé, A., Gribe-Ouaknine, S., Carette, C., & Flahault, C. (2016) · Obesity Surgery · doi:10.1007/s11695-016-2498-0 · Cited by 12 · see citing works
Lifestyle Modification for the Treatment of Obesity
Sarwer, D. B., Butryn, M. L., Forman, E. M., & Bradley, L. E. (2014) · Springer eBooks · doi:10.1007/978-1-4939-1197-4_15 · Cited by 12 · see citing works
Psychological flexibility, occupational burnout and eating behavior among working women
Nevanperä, N., Lappalainen, R. I., Kuosma, E., Hopsu, L., Uitti, J., & Laitinen, J. H. (2013) · Open Journal of Preventive Medicine · doi:10.4236/ojpm.2013.34048 · Cited by 10 · see citing works
“feelings, and their distress tolerance and psychological flexibility [28,29].”
Acceptance and Commitment Therapy (ACT) for HIV-infected Hazardous Drinkers: A Qualitative Study of Acceptability
Woolf‐King, S. E., Sheinfil, A. Z., Babowitch, J. D., Siedle‐Khan, B., Loitsch, A., & Maisto, S. A. (2018) · Alcoholism Treatment Quarterly · doi:10.1080/07347324.2018.1539630 · Cited by 10 · see citing works
Acceptance and Commitment Therapy for Obesity
Schumacher, L. M., Miller, N. A., Jennings, E. L. M., Chabria, R. S., & Butryn, M. L. (2025) · Current Obesity Reports · doi:10.1007/s13679-025-00634-y · Cited by 11 · see citing works
“On the whole, results were promising [35, 36].”
The effects of using telemedicine for introductory bariatric surgery seminars during the COVID-19 pandemic
Parnell, K. E., Philip, J., Billmeier, S. E., & Trus, T. L. (2022) · Surgical Endoscopy · doi:10.1007/s00464-022-09640-w · Cited by 9 · see citing works
“Increased physical fitness [7], improved weight loss [8, 9], and eating habits [8, 10] as well as overall high patient satisfaction [7, 11–15] have also been reported when incorporating telemedicine into the care for bariatric surgery patients.”
Background
Barriers to and Facilitators of Participation in Weight Loss Intervention for Patients with Suboptimal Weight Loss after Bariatric Surgery: A Qualitative Study among Patients, Physicians, and Therapists
Tettero, O. M., Westerman, M. J., van Stralen, M. M., van den Beuken, M., Monpellier, V. M., Janssen, I. M. C., & Steenhuis, I. H. (2022) · Obesity Facts · doi:10.1159/000526259 · Cited by 9 · see citing works
Internet-based acceptance and commitment therapy for obsessive-compulsive symptoms: A randomized controlled trial
Thompson, E. M., Albertella, L., Viskovich, S., Pakenham, K. I., & Fontenelle, L. F. (2024) · Behaviour Research and Therapy · doi:10.1016/j.brat.2024.104595 · Cited by 8 · see citing works
Psychological Considerations for Bariatric Surgery
Usubini, A. G., Cattivelli, R., Villa, V., Varallo, G., Granese, V., Pietrabissa, G., Manzoni, G. M., Castelnuovo, G., & Molinari, E. (2020) · Bariatric Surgery - From the Non-surgical Approach to the Post-surgery Individual Care [Working Title] · doi:10.5772/intechopen.94450 · Cited by 8 · see citing works
The effectiveness of group psychotherapy based on acceptance and commitment on increasing of mental health and the quality of women's life with breast cancer
Esmali, A., & Alizadeh, M. (2015) · Biosciences Biotechnology Research Asia · doi:10.13005/bbra/1898 · Cited by 7 · see citing works
“If you're offered help, take it”: A qualitative study examining bariatric patients' experience of telephone‐based cognitive behavioural therapy
Santiago, V. A., Cassin, S. E., Wnuk, S., Du, C., Hawa, R., Parikh, S. V., & Sockalingam, S. (2020) · Clinical Obesity · doi:10.1111/cob.12431 · Cited by 7 · see citing works
Psychological inflexibility in terms of eating behaviors among individuals seeking treatment for comorbid affective vulnerabilities and weight-related behaviors
Kauffman, B. Y., Garey, L., & Zvolensky, M. J. (2022) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2022.09.006 · Cited by 8 · see citing works
OBESITY AND COPING STRATEGIES: WHAT IS HIGHLIGHTED BY LITARATURE?
Mensorio›, M. S., & Costa, Á. L. (2016) · Psicologia Saúde & Doenças · doi:10.15309/16psd170313 · Cited by 7 · see citing works
Acceptance and Commitment Therapy for Body Dissatisfaction: A Systematic Review and Meta‐Analysis
Boyle, S., Dorfan, N. M., & Sepehry, A. A. (2025) · Journal of Clinical Psychology · doi:10.1002/jclp.70021 · Cited by 6 · see citing works
Addressing a critical need: A randomised controlled feasibility trial of acceptance and commitment therapy for bariatric surgery patients at 15–18 months post-surgery
Barley, E. A., Bovell, M., Bennett, K., Lee, J. T., Lee‐Baggley, D., Skene, S. S., Tai, M. Z., Brooks, S., & Scholtz, S. (2023) · PLoS ONE · doi:10.1371/journal.pone.0282849 · Cited by 6 · see citing works
The Cyberball task in people after obesity surgery: preliminary evaluation of cognitive effects of social inclusion and exclusion with a laboratory task
Meneguzzo, P., Tenconi, E., Collantoni, E., Longobardi, G., Zappalà, A., Vindigni, V., Favaro, A., & Pavan, C. (2021) · Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity · doi:10.1007/s40519-021-01297-z · Cited by 6 · see citing works
MyGood Trip, a Telemedicine Intervention for Physical Activity Recovery After Bariatric Surgery: Randomized Controlled Trial
Puerto, K. L. I., Bruzzi, M., Rives‐Lange, C., Poghosyan, T., Bretault, M., Châtellier, G., Vilfaillot, A., Chevallier, J., Czernichow, S., & Carette, C. (2022) · JMIR Formative Research · doi:10.2196/26077 · Cited by 6 · see citing works
“Of the completed RCTs, 2 found significant improvements in eating psychopathology using online modules and telephone support [17] and preoperative telephone-based cognitive behavioral therapy [23].”
Background
Weight Loss After Weight-Loss Surgery: The Mediating Role of Dichotomous Thinking
Marshall, C., Reay, R., & Bowman, A. R. (2024) · Obesity Surgery · doi:10.1007/s11695-024-07122-7 · Cited by 5 · see citing works
“For example, through third-wave psychological therapies such as Accept-ance and Commitment Therapy [27–29].”
A latent class analysis of negative emotional eating in bariatric surgery candidates
Dixit, U., Love, A. A., Henderson, R. R., Ahlich, E. M., He, J., Rigby, A., & Zickgraf, H. F. (2025) · Appetite · doi:10.1016/j.appet.2025.107907 · Cited by 5 · see citing works
Transdiagnostic models of eating disorders and therapeutic methods: The example of Fairburn’s cognitive behavior therapy and acceptance and commitment therapy
Dudek, J. E., Ostaszewski, P., & Malicki, S. (2017) · Cited by 5 · see citing works
Predictores psicológicos de la re-ganancia del peso en pacientes bariátricos
Ugarte, C. A., Quiñones, Á., & Vicente, B. (2019) · Terapia psicológica · doi:10.4067/s0718-48082019000300199 · Cited by 5 · see citing works
Eating disorder symptoms and corresponding evidence-based treatments: a narrative review
Ortiz, A. M. L., Peters, A. S., Webber, K. T., Butler, R. M., Fitterman-Harris, H. F., & Levinson, C. A. (2026) · Journal of Eating Disorders · doi:10.1186/s40337-025-01485-7 · Cited by 4 · see citing works
“Studies have found ACT effective for over-all eating pathology compared to CBT-E [139, 140, 301].”
Acceptance and Commitment Therapy in the Satisfaction of Veterans with Spinal Cord Injuries Spouses
Lashani, L., Farhoudian, A., Azkhosh, M., Dolatshahee, B., & Saadati, H. (2013) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 4 · see citing works
Is Telemedicine as Effective as Face-to-Face Care to Patients with Health Outcomes of Metabolic and Bariatric Surgery? Results from a Systematic Review and Meta-analysis
de Oliveira, G. S., Maia, R. P., Gamba, P. B. B., Figueiredo, A. C. M. G., & de Carvalho, K. M. B. (2025) · Obesity Surgery · doi:10.1007/s11695-025-07792-x · Cited by 3 · see citing works
Taste-Driven Responsiveness to Fat and Sweet Stimuli in Mouse Models of Bariatric Surgery
Dastugue, A., May, C. L., Ledoux, S., Bourgot, C. L., Delaby, P., Bernard, A., & Besnard, P. (2022) · Biomedicines · doi:10.3390/biomedicines10040741 · Cited by 3 · see citing works
Feasibility of Online Cognitive-behavioral Group Therapy Following Metabolic Bariatric Surgery: A Randomized Pilot Study
de Almeida, V. P., Kortchmar, E., Guerra, L. S. D., Neto, F. L., Santo, M. A., & Wang, Y. (2025) · Obesity Surgery · doi:10.1007/s11695-025-08066-2 · Cited by 3 · see citing works
“This pattern is consistent with evidence emphasizing the emotional benefits of group-based cognitive approaches [37, 38].”
Effectiveness of Acceptance and Commitment Therapy on Emotional Eating among Obese Women
Nourian, L., Asghar, A., & Ghorbani, M. (2015) · Cited by 3 · see citing works
Evaluation of multiple interventions using a stepped wedge design
Lyons, V. H., Li, L., Hughes, J. P., & Rowhani‐Rahbar, A. (2017) · Collection of Biostatistics Research Archive · Cited by 3 · see citing works
Modification of the medical exclusion criterion in DSM-5 social anxiety disorder: Comorbid obesity as an example
Dalrymple, K. L., Walsh, E. K., Rosenstein, L. K., Chelminski, I., & Zimmerman, M. A. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.12.055 · Cited by 3 · see citing works
“, 2015), psychological flexibility (Weineland et al., 2012), and body image disturbance (Friedman et al.”
Background
Examination of the relationship between affect, values, and physical activity among cancer survivors
Clemens, K. S., Tull, M. T., Murray, A. B., Boardley, D., Tipton, J. M., & Geers, A. L. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.08.010 · Cited by 4 · see citing works
A Contextual Behavioral Approach for Obesity Surgery Patients
Weineland, S. (2012) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 3 · see citing works
Self-citation

Addressing a critical need: A randomised controlled feasibility trial of acceptance and commitment therapy for bariatric surgery patients at 15–18 months post-surgery
Barley, E. A., Bovell, M., Bennett, K., Lee, J. T., Lee‐Baggley, D., Skene, S. S., Tai, M. Z., Brooks, S., & Scholtz, S. (2023) · PLoS ONE · doi:10.1371/journal.pone.0282849 · Cited by 6 · see citing works
Psychological flexibility and the gains of acceptance‐based treatment for post‐bariatric surgery: six‐month follow‐up and a test of the underlying model
Weineland, S., Hayes, S. C., & Dahl, J. C. (2012) · Clinical Obesity · doi:10.1111/j.1758-8111.2012.00041.x · Cited by 48 · see citing works
Self-citation
Feasibility of acceptance and commitment therapy for post-bariatric surgery patients: the FAB study protocol
Cotter, L. J., Scholtz, S., Das, S., Lee, J. T., Lee‐Baggley, D., & Barley, E. A. (2019) · International Journal of Clinical Trials · doi:10.18203/2349-3259.ijct20194655 · Cited by 2 · see citing works
Regulating Eating through Acceptance and Commitment Therapy (REACT): a single case experimental design to evaluate a guided self-help intervention for individuals who are overweight or obese and engage in emotional eating
Jinks, M. (2016) · Lincoln Repository (University of Lincoln) · doi:10.24385/lincoln.24325609 · Cited by 1 · see citing works
A Contextual Behavioral Approach for Obesity Surgery Patients
Weineland, S. (2012) · KTH Publication Database DiVA (KTH Royal Institute of Technology) · Cited by 3 · see citing works
Self-citation

Authors: Weineland, S., Arvidsson, D., Kakoulidis, T. P., & Dahl, J.
Affiliations: Uppsala University (SE)
Corresponding author: Weineland, Sandra
ORCID: Weineland, Sandra
Kakoulidis, Thanos P.
Dahl, Joanne
Venue: Obesity Research & Clinical Practice
Publisher: Elsevier BV
Published: 2012-01
Volume: 6
Issue: 1
Pages: e21-e30
ISSN: 1871-403X (ISSN-L)
DOI: 10.1016/j.orcp.2011.04.004
OpenAlex: W2092181171
Cited by: 148
References: 57
Citations by year: 2026: 4 · 2025: 10 · 2024: 4 · 2023: 5 · 2022: 26 · 2021: 12 · 2020: 15 · 2019: 10 · 2018: 15 · 2017: 8 · 2016: 10 · 2015: 12 · 2014: 7 · 2013: 5 · 2012: 5
FWCI: 5.57
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Obesity Research & Clinical Practice (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Keywords: acceptance and commitment therapy, bariatric surgery, obesity, emotional eating, body dissatisfaction, quality of life, weight regain, online psychological intervention, disordered eating

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Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT

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