Cannabis use and bariatric surgery psychology practice: survey and insights
Autor: | Matthew M. Clark, Daniela B. Rakocevic, Karen B. Grothe, Maria L. Collazo-Clavell, Terry D. Schneekloth, Sarah A. Kalsy, Lisa A. Howell, Rachel E. Goetze, Karen M. Graszer, Todd A. Kellogg |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Alcohol Drinking media_common.quotation_subject Bariatric Surgery 030209 endocrinology & metabolism Standardized test 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans In patient Appetite stimulation media_common Cannabis biology business.industry Addiction Cannabis use Abstinence biology.organism_classification United States Surgery Practice Psychological 030211 gastroenterology & hepatology Professional association business |
Zdroj: | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery. 17(4) |
ISSN: | 1878-7533 |
Popis: | Background Cannabis is second only to alcohol as a substance of abuse and dependence in the United States. While there is extensive research examining alcohol use and bariatric surgery, there is currently little research and there are no published guidelines specific to cannabis use and bariatric surgery. Objectives To identify major themes and general guidelines applied by bariatric surgery psychology clinicians. Setting This practice survey was disseminated to bariatric surgery psychologists at various U.S. academic medical centers, hospitals, and private practices. Methods An electronic, 35-question survey was sent to 47 bariatric surgery psychologists to collect information on current clinical practice guidelines regarding cannabis use before and after bariatric surgery. Results The survey questionnaire was completed by 34 (72.34%) bariatric surgery psychologists. The major identified themes included: (1) the lack of a standardized assessment of cannabis use; (2) a requirement for 3 months of abstinence from cannabis before bariatric surgery; (3) recommended lifetime abstinence from cannabis after bariatric surgery; and (4) discussion of cannabis use risks following bariatric surgery, including appetite stimulation, addiction potential, and possible negative impacts on judgment. Conclusion Cannabis use will likely further increase in the United States. This survey highlighted common bariatric surgery psychology practices in the absence of extensive research and published guidelines. These findings suggest a preliminary framework with which to address cannabis use in patients seeking bariatric surgery. It is recommended that professional organizations and societies build on these initial survey findings to develop guidelines for more consistent, evidence-based practice regarding cannabis use and bariatric surgery. |
Databáze: | OpenAIRE |
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