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Objective.  To examine whether cognitive behavioral therapy (CBT) alleviates dysfunctional eating (DE) patterns and symptoms of anxiety and depression in morbidly obese patients planned for bariatric surgery.  Design and Methods . A total of 98 (68 females) patients with a mean (SD) age of 43 (10) years and BMI 43.5 (4.9) kg/m 2  were randomly assigned to a CBT-group or a control group receiving usual care (i.e., nutritional support and education). The CBT-group received ten weekly intervention sessions. DE, anxiety, and depression were assessed by the TFEQ R-21 and HADS, respectively.  Results.  Compared with controls, the CBT-patients showed significantly less DE, affective symptoms, and a larger weight loss at follow-up. The effect sizes were large (DE-cognitive restraint,  g  = −.92,  P  ≤ .001; DE-uncontrolled eating,  g  = −.90,  P  ≤ .001), moderate (HADS-depression,  g  = −.73,  P  ≤ .001; DE-emotional eating,  g  = −.67,  P  ≤ .001; HADS-anxiety,  g  = −.62,  P  = .003), and low (BMI,  g  = −.24,  P  = .004).  Conclusion.  This study supports the use of CBT in helping patients preparing for bariatric surgery to reduce DE and to improve mental health. This clinical trial is registered with  NCT01403558 .

Effectiveness of a Cognitive Behavioral Therapy for Dysfunctional Eating among Patients Admitted for Bariatric Surgery: A Randomized Controlled Trial