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Paul L, Heiden CVD, Biter LU and Hoek HW
Although bariatric surgery is an effective treatment for morbid obesity, approximately 20-30% of the patients stabilize premature in weight loss or regain weight post surgically. Adherence to post-surgical diets and permanent changes in life style concerning eating habits and physical exercise are supposed to be important factors for successful weight loss on the long term. A preoperative cognitive behavior therapy (CBT) protocol has been developed, based on treatment protocols for eating disorders and obesity and modified for bariatric surgery patients. This 10 session treatment is focused on modification of thinking and behavior in terms of eating habits and physical activity. This procedure is promising as illustrated by a case study.