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  • Book
    Sanjeev Sockalingam, Raed Hawa, editors.
    Summary: This book is designed to present a comprehensive, state-of the-art approach to assessing and managing bariatric surgery and psychosocial care. Unlike any other text, this book focuses on developing a biopsychosocial understanding of patients' obesity journey and psychosocial factors contributing to their obesity and its management from an integrated perspective. Psychiatric Care in Severe Obesity takes a 360 approach by covering the disease's prevalence and relationship to psychiatric illness and social factors, including genetics, neurohormonal pathways and development factors for obesity. This book presents evidence and strategies for assessing psychiatric issues in severe obesity and uses common psychiatric presentations to feature the impact on bariatric surgery and key assessment features for weight loss. Concluding chapters focus on evidence-based psychosocial treatments for supporting patients with weight loss and bariatric surgery and includes educational tools and checklists for assessment, treatment, and care. Experts on non-pharmacological interventions such as mindfulness, cognitive-behavioral therapy and nutrition education describe treatment approaches in each modality, concluding with pharmacological approaches for psychiatric conditions and eating pathology. Additional tools in the appendices support clinicians, making this the ultimate guide for managing psychiatric illness in patients suffering from severe obesity. As obesity continues to grow in prevalence as a medically recognized epidemic, Psychiatric Care in Severe Obesity serves a vital resource to medical students, psychiatrists, psychologists, bariatric surgeons, primary care physicians, dietitians, mental health nurses, social workers, and all medical professionals working with severely obese patients.

    Contents:
    Introduction to Severe Obesity for Psychiatrists
    Severe Obesity: A Patient's Perspective
    Causes and Treatment of Obesity: From Genes to Integrated Care Models
    Causes of Severe Obesity: Gene to Environment
    Insecure Attachment and Trauma in Obesity and Bariatric Surgery
    Medical Complications Resulting from Severe Obesity
    Overview of Medical & Surgical Treatment of Severe Obesity
    Integrated Models for Severe Obesity Management: Role for Psychosocial Teams
    Weight-Based Stigma and Body Image in Severe Obesity
    Mood Disorders and Severe Obesity
    Eating Disorders in Severe Obesity
    Addictive Disorders in Severe Obesity and After Bariatric Surgery
    Sleep and Severe Obesity
    Psychiatric Suitability Assessment for Bariatric Surgery
    Nutrition Education for Severe Obesity
    The Role of Social Support in Weight Loss Management for Morbidly Obese Individuals
    Motivational Interviewing for Severe Obesity
    Mindful Eating for Severe Obesity
    Cognitive Behavioral Therapy for Severe Obesity
    Psychosocial/Behavioral Interventions in the Severely Mentally Ill
    Young Adulthood and Obesity Management: Developmental Issues and Transition of Care.-Technology to Promote Obesity Self-Management
    Pharmacological Treatment for Severe Obesity in Psychiatric Patients
    Psychopharmacology in Bariatric Surgery Patients
    Integrative Case and Summary.
    Digital Access Springer 2017
  • Article
    Bensa JC, Micouin C, Schaerer R, Sotto JJ, Hollard D.
    Biomedicine. 1977 Apr;26(2):137-44.
    Peripheral blood lymphocytes forming E rosettes in the presence of sheep red blood cells and those bearing surface immunoglobulins (SIg) have been studied quantitatively as an evaluation of T and B lymphocytes in Hodgkin's disease. 62 patients were investigated, 21 of whom before any treatment. It appears that the lymphocytes forming E rosettes are significantly lower in percentage in 86% of the patients and in absolute count in 65%. SIg bearing lymphocytes are elevated in percentile in 61% of the cases, but the absolute count is normal in 50% of the patients and elevated in 30% only. At diagnosis the T/B lymphocytes equilibrium is modified in 13 among 21 patients but, after the initial treatment of the disease, the ratio is modified in 90% of the patients in complete remission and remains unchanged for years even in the absence of relapse or immnunosuppressive treatment. It is suggested that SIg + lymphocytes from the peripheral blood are actually B lymphocytes and not anti-T-antibody coated T lymphocytes or antigen-antibody lacking of membrane markers, which are numerous in one third of the investigated patients, might be T lymphocytes with qualitative abnormality.
    Digital Access Access Options