The potential for cross-addiction in post-bariatric surgery patients: Considerations for primary care nurse practitioners
Background and purpose Possible mental health issues for post‐bariatric surgery patients include the development of cross‐addictions after the rapid weight loss period. No validated screening tool to assess for possible cross‐addictions exists. The main purpose of this study was to develop recommend...
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Published in | Journal of the American Academy of Nurse Practitioners Vol. 28; no. 12; pp. 675 - 682 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
United States
Blackwell Publishing Ltd
01.12.2016
American Association of Nurse Practitioners Lippincott Williams & Wilkins Ovid Technologies |
Subjects | |
Online Access | Get full text |
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Abstract | Background and purpose
Possible mental health issues for post‐bariatric surgery patients include the development of cross‐addictions after the rapid weight loss period. No validated screening tool to assess for possible cross‐addictions exists. The main purpose of this study was to develop recommendations for modifying an existing addiction screening tool (the Shorter PROMIS Questionnaire) for use by primary care providers.
Methods
A qualitative descriptive design was used with triangulation of input from the scholarly literature, content experts (CEs), and post‐bariatric surgery patients. Three focus groups were conducted with post‐bariatric surgery patients (n = 12) with the same questions asked of the CEs (n = 3). Content analysis was used to analyze the transcripts.
Conclusions
The following themes regarding addictions after bariatric surgery were identified through consensus: alcohol, gambling, shopping, exercise, food starving/bingeing, and sexuality/relationships. Dissonant themes included caffeine and tobacco by the post‐bariatric surgery patients and prescription/illicit medications by the CEs.
Implications for practice
Targeted screening for early identification of problem behaviors by primary care providers may result in appropriate referral to and management by mental health providers, assisting ongoing success of bariatric surgery. |
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AbstractList | Possible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight loss period. No validated screening tool to assess for possible cross-addictions exists. The main purpose of this study was to develop recommendations for modifying an existing addiction screening tool (the Shorter PROMIS Questionnaire) for use by primary care providers.
A qualitative descriptive design was used with triangulation of input from the scholarly literature, content experts (CEs), and post-bariatric surgery patients. Three focus groups were conducted with post-bariatric surgery patients (n = 12) with the same questions asked of the CEs (n = 3). Content analysis was used to analyze the transcripts.
The following themes regarding addictions after bariatric surgery were identified through consensus: alcohol, gambling, shopping, exercise, food starving/bingeing, and sexuality/relationships. Dissonant themes included caffeine and tobacco by the post-bariatric surgery patients and prescription/illicit medications by the CEs.
Targeted screening for early identification of problem behaviors by primary care providers may result in appropriate referral to and management by mental health providers, assisting ongoing success of bariatric surgery. Background and purpose: Possible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight loss period. No validated screening tool to assess for possible cross-addictions exists. The main purpose of this study was to develop recommendations for modifying an existing addiction screening tool (the Shorter PROMIS Questionnaire) for use by primary care providers. Methods: A qualitative descriptive design was used with triangulation of input from the scholarly literature, content experts (CEs), and post-bariatric surgery patients. Three focus groups were conducted with post-bariatric surgery patients ([i]n[/i] = 12) with the same questions asked of the CEs ([i]n[/i] = 3). Content analysis was used to analyze the transcripts. Conclusions: The following themes regarding addictions after bariatric surgery were identified through consensus: alcohol, gambling, shopping, exercise, food starving/bingeing, and sexuality/relationships. Dissonant themes included caffeine and tobacco by the post-bariatric surgery patients and prescription/illicit medications by the CEs. Implications for practice: Targeted screening for early identification of problem behaviors by primary care providers may result in appropriate referral to and management by mental health providers, assisting ongoing success of bariatric surgery. References BACKGROUND AND PURPOSEPossible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight loss period. No validated screening tool to assess for possible cross-addictions exists. The main purpose of this study was to develop recommendations for modifying an existing addiction screening tool (the Shorter PROMIS Questionnaire) for use by primary care providers.METHODSA qualitative descriptive design was used with triangulation of input from the scholarly literature, content experts (CEs), and post-bariatric surgery patients. Three focus groups were conducted with post-bariatric surgery patients (n = 12) with the same questions asked of the CEs (n = 3). Content analysis was used to analyze the transcripts.CONCLUSIONSThe following themes regarding addictions after bariatric surgery were identified through consensus: alcohol, gambling, shopping, exercise, food starving/bingeing, and sexuality/relationships. Dissonant themes included caffeine and tobacco by the post-bariatric surgery patients and prescription/illicit medications by the CEs.IMPLICATIONS FOR PRACTICETargeted screening for early identification of problem behaviors by primary care providers may result in appropriate referral to and management by mental health providers, assisting ongoing success of bariatric surgery. Background and purpose Possible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight loss period. No validated screening tool to assess for possible cross-addictions exists. The main purpose of this study was to develop recommendations for modifying an existing addiction screening tool (the Shorter PROMIS Questionnaire) for use by primary care providers. Methods A qualitative descriptive design was used with triangulation of input from the scholarly literature, content experts (CEs), and post-bariatric surgery patients. Three focus groups were conducted with post-bariatric surgery patients (n = 12) with the same questions asked of the CEs (n = 3). Content analysis was used to analyze the transcripts. Conclusions The following themes regarding addictions after bariatric surgery were identified through consensus: alcohol, gambling, shopping, exercise, food starving/bingeing, and sexuality/relationships. Dissonant themes included caffeine and tobacco by the post-bariatric surgery patients and prescription/illicit medications by the CEs. Implications for practice Targeted screening for early identification of problem behaviors by primary care providers may result in appropriate referral to and management by mental health providers, assisting ongoing success of bariatric surgery. Background and purpose Possible mental health issues for post‐bariatric surgery patients include the development of cross‐addictions after the rapid weight loss period. No validated screening tool to assess for possible cross‐addictions exists. The main purpose of this study was to develop recommendations for modifying an existing addiction screening tool (the Shorter PROMIS Questionnaire) for use by primary care providers. Methods A qualitative descriptive design was used with triangulation of input from the scholarly literature, content experts (CEs), and post‐bariatric surgery patients. Three focus groups were conducted with post‐bariatric surgery patients (n = 12) with the same questions asked of the CEs (n = 3). Content analysis was used to analyze the transcripts. Conclusions The following themes regarding addictions after bariatric surgery were identified through consensus: alcohol, gambling, shopping, exercise, food starving/bingeing, and sexuality/relationships. Dissonant themes included caffeine and tobacco by the post‐bariatric surgery patients and prescription/illicit medications by the CEs. Implications for practice Targeted screening for early identification of problem behaviors by primary care providers may result in appropriate referral to and management by mental health providers, assisting ongoing success of bariatric surgery. |
Author | Bak, Melissa Seibold‐Simpson, Susan M. Darling, Rosa |
AuthorAffiliation | Our Lady of Lourdes Hospital BinghamtonNew York Decker School of Nursing Binghamton University/SUNY BinghamtonNew York |
AuthorAffiliation_xml | – name: Our Lady of Lourdes Hospital BinghamtonNew York Decker School of Nursing Binghamton University/SUNY BinghamtonNew York |
Author_xml | – sequence: 1 givenname: Melissa surname: Bak fullname: Bak, Melissa organization: Our Lady of Lourdes Hospital, New York, Binghamton – sequence: 2 givenname: Susan M. surname: Seibold-Simpson fullname: Seibold-Simpson, Susan M. email: ssimpson@binghamton.edu, Susan M. Seibold-Simpson, PhD, MPH, RN, FNP, Decker School of Nursing, Binghamton University/SUNY, PO Box 6000, Binghamton, NY 13902-6000. Tel: (607) 777-5841; Fax: (607) 777-4440; , ssimpson@binghamton.edu organization: Decker School of Nursing, Binghamton University/SUNY, New York, Binghamton – sequence: 3 givenname: Rosa surname: Darling fullname: Darling, Rosa organization: Decker School of Nursing, Binghamton University/SUNY, New York, Binghamton |
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Notes | Appendix A: Focus Group Questions: Based on Focus Groups 2nd ed by Richard Krueger (1994).Appendix B: Focus Group Questions: Based on Focus Groups 2nd ed by Richard Krueger (1994); Adjusted for response by content experts. istex:E7E08C7A5EF4BD867FFD433E916334EB24234525 ark:/67375/WNG-347N2CLF-8 ArticleID:JAAN12390 ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
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Possible mental health issues for post‐bariatric surgery patients include the development of cross‐addictions after the rapid weight... Possible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight loss period. No validated... Background and purpose Possible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight... BACKGROUND AND PURPOSEPossible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight loss... Background and purpose: Possible mental health issues for post-bariatric surgery patients include the development of cross-addictions after the rapid weight... |
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SubjectTerms | addiction Addictions Adult Aged Alcoholism - psychology Bariatric Surgery - psychology Behavior, Addictive - diagnosis Behavior, Addictive - psychology Exercise - psychology Feeding Behavior - psychology Focus Groups Gambling - psychology Gastrointestinal surgery Humans Male Mass Screening - methods Mental health Middle Aged Nursing Obesity Physicians Primary care Qualitative Research screening Sexual Behavior - psychology Specialty services weight management |
Title | The potential for cross-addiction in post-bariatric surgery patients: Considerations for primary care nurse practitioners |
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