The Impact of the Hypnosis on the Loss of Weight at Patients in Failure of Bariatric Surgery

Summary

The therapeutic problem of obesity is weight control, a major difficulty, involving a significant change in eating behavior. A number of studies show that there are many factors of resistance to weight loss whether they are physiological, genetic, environmental pressure related, or psychological and behavioral. For some patients, the surgical approach seems the best alternative. Indeed, bariatric surgery is an effective therapeutic weapon in patients with morbid obesity. However, it has been shown that approximately 25% of patients are failing at two years of this surgery (Reinhold's index). Some of the failed subjects may benefit from surgical revision. As for the others, no intervention is currently proposed to them. Studies have shown that the psychological profile of patients who are candidates for bariatric surgery is predominantly impulsive, very anxious with a tendency to depression. The stress level of these patients would be important, and they would have low self-esteem. This study hypothesize that, in these patients, the establishment of hypnotherapeutic management associated with the usual dietary monitoring could modify eating habits thus promoting weight loss and an improvement in self-esteem , stress and anxiety compared to dietary monitoring alone.

Conditions

• Obesity
• Bariatric Surgery

Interventions

BEHAVIORAL

Hypnosis

There ar 10 hypnosis sessions : * 1st session of hypnosis : relaxation and orientation towards "emotional cleansing". * 2nd session of hypnosis: oriented towards digestion, physical and psychological * 3rd session of hypnosis: oriented towards the feeling of security. * 4th session of hypnosis: self-esteem oriented. * 5th hypnosis session: oriented towards emotional management. * 6th hypnosis session: oriented towards self-confidence. * 7th hypnosis session: oriented towards the completion of the projects. * 8th, 9th and 10th sessions: concern the learning of self-hypnosis and autonomy. A USB key containing the induction of a session of autohypnosis will be given to the subject to promote the continuation of home-made auto-hypnosis.

BEHAVIORAL

Standard Care

The dietary advice given during these dietary consultations is part of the standard care adapted to patients who have undergone bariatric surgery while increasing the frequency of consultations (Fractionation of meals, Volume of meals, Taking meals, Drinks, Food diversity)

Sponsors & Collaborators

• University Hospital, Montpellier

  lead OTHER

Principal Investigators

• David NOCCA, PU-PH · University Hospital, Montpellier

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2019-03-29

Primary Completion

2026-10-31

Completion

2026-10-31

Countries

• France

Study Locations