Discussion
disordered eating behaviors, eating disorders, disorders like obesity, depression, obsessive–compulsive disorder, weight loss, Schema
The aim of this study was to evaluate the effectiveness of an online video-based group schema therapy on the BMI and cognitive emotion regulation (CER) strategies in women who underwent bariatric surgery. Our results indicated that the experimental group demonstrated significantly higher adaptive CER strategies (The major challenge to the successful outcome of bariatric surgery is in maintaining weight loss in a long-term and minimization of the weight regain [Several studies have shown the effectiveness other psychotherapies such as CBT, MI, IMB model and ACT on weight regain, emotional eating, disordered eating behaviors, adherence, body size, depression, and obsessive–compulsive disorder in post-bariatric surgery patients [But given the limited efficacy of the maintenance of other models, there has been increased attention dedicated to exploring the role of deeper level factors such as core beliefs and schemas in the eating disorders literature. Schema therapy, is an emotion-focused model which is more effective for the treatment of childhood disorders like obesity because it is a combination of other theories [Finally, it can be admitted that like any other studies, the current research had some limitations. For instance, due to the corona pandemic, the intervention was held online and we could not have individual schema therapy. Also, our statistical population was only in the city of Shiraz that may stand in the way of the generalizability of its findings. Another limitation was that due to cultural and social issues the participants in this study were only females, because losing weight for women has a lot of attention in Iran, but it is not considered a special advantage for Iranian men. Therefore, it is recommended that future studies should include both males and females to compare gender differences in the outcome. For more effectiveness of ST in post-corona period studies, interventions should be held face-to-face. Also, it is recommended that to compare findings from individual vs. group schema therapy in future studies, because a supportive group environment could help people improve their skills in a number of ways. Also it is suggested that ST should be performed for patients who have undergone BS in other cities and countries as well.