Impact of a Phone-based Cognitive and Behavioral Therapy on Food Addiction in Patients With Severe or Morbid Obesity

Status: Recruiting
Location: See all (9) locations...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Morbid or severe obesity is a chronic pathology of multifactorial etiology that affects 4.3% of the French population. In these patients, eating disorders are frequent and must be managed as they are considered risk factors with poorer weight prognosis and lower quality of life. Some authors have proposed that the concept of food addiction (i.e., the existence of an addiction to certain foods rich in sugar, fat and/or salt) may make it possible to identify, among obese patients, a subgroup of patients that is more homogeneous in terms of diagnosis and prognosis. Food addiction is common in obese patients and is associated with higher levels of depression, anxiety, impulsivity, emotional eating and poorer quality of life. Nevertheless, we do not know the impact of managing this addiction on the future of these patients (food addiction, weight, comorbidities, quality of life). Telephone-based cognitive behavioral therapy intervention (Tele-CBT) is a treatment of choice for addictions, but there are inequalities in access to this treatment (distance between home and hospital, limited local resources of caregivers, constraints in patient availability) which require the therapeutic framework to be adapted to these constraints. A short Tele-CBT program has demonstrated its effectiveness in reducing bulimic hyperphagia in these patients (Cassin et al. 2016), but its effectiveness on food addiction, Body Mass Index and the evolution of metabolic complications related to obesity is still unknown. The evaluation of this program was limited to 6 weeks (American study), and we do not know if these results can also be extrapolated to France. The main hypothesis of this study is that in patients suffering from severe or morbid obesity and with food addiction, the performance of tele-CBT (intervention group: 12 sessions for 18 weeks) will be accompanied by a significant medium-term decrease in the prevalence of food addiction compared to usual management (control group).

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 65
Healthy Volunteers: f
View:

• Age 18-65 years

• BMI ≥35kg/m² (morbid or severe obesity)

• First appointment to a physician specialized in nutrition

• Food addiction diagnosis according to the YFAS 2.0

• Affiliated to the French national health service

• Consent signed

Locations
Other Locations
France
Department of endocrinology-diabetology-nutrition, University Hospital, Angers
RECRUITING
Angers
Nutrition Department, University Hospital, Brest
RECRUITING
Brest
Transversal Clinical Nutrition Unit, University Hospital, Caen
RECRUITING
Caen
Transversal Nutrition Unit, Hospital, Cherbourg
RECRUITING
Cherbourg
Nutrition Department, University Hospital, Nantes
RECRUITING
Nantes
Department of Internal Medicine, Endocrinology and Metabolic Diseases, University Hospital, Poitiers
RECRUITING
Poitiers
Endocrinology, diabetology and nutrition department, University Hospital, Reims
RECRUITING
Reims
Endocrinology, diabetology and nutrition department, University Hospital, Rennes
RECRUITING
Rennes
Metabolic and nutritional exploration, University Hospital, Tours
RECRUITING
Tours
Contact Information
Primary
Paul BRUNAULT, MD
paul.brunault@univ-tours.fr
0218370581
Time Frame
Start Date: 2021-01-20
Estimated Completion Date: 2025-01
Participants
Target number of participants: 154
Treatments
Experimental: Cognitive and Behavioural Therapy plus Management as usual
12 sessions of CBT during 18 weeks AND management of obesity with nutritional and dietary treatment as usual
No_intervention: Management as usual
management of obesity with nutritional and dietary treatment as usual
Sponsors
Leads: University Hospital, Tours

This content was sourced from clinicaltrials.gov