{"doi":"10.1111/cob.70061","title":"Patient Perspectives on the Course of Alcohol Use After Metabolic and Bariatric Surgery: Implications for Prevention, Intervention, and Future Research","abstract":"Despite substantial benefits of metabolic and bariatric surgery (MBS), up to 1 in 5 patients develop an alcohol use disorder (AUD) within 5 years post-operatively. Cognitive-behavioural processes that are relevant to the reinitiation and escalation of alcohol use post-MBS are not well understood. Through content analysis of 20 patient interviews, we explored the course of alcohol use among individuals 6 months to 5 years post-MBS and examined potential differences by level of use. Over half (55%) of the participants reported high alcohol use, most described a gradual reintroduction to alcohol post-MBS, and escalation to misuse was thought to occur at an accelerated pace (i.e., potentially within months). Pre-operative intentions, attitudes/beliefs about post-MBS alcohol use, social factors, mood, visual cues, and post-MBS biological changes were reported to influence the course of post-MBS alcohol use. Although most features did not differ widely between those with higher versus lower alcohol consumption, reinitiating alcohol less than 12 months post-operatively and certain attitudinal factors (i.e., minimising the risks) may relate to greater alcohol use post-MBS. Findings illustrate the importance of early and long-term monitoring of post-MBS alcohol use. Several implications for early intervention and future research are discussed.","journal":"Clinical Obesity","year":2025,"id":537594,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9546,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":869973,"name":"Alyssa Vanderziel","orcid":"0000-0003-0971-1485","position":1,"is_corresponding":false},{"id":315651,"name":"Jordan M. Braciszewski","orcid":"0000-0002-8685-6699","position":2,"is_corresponding":false},{"id":959537,"name":"Heidi B. Westerman","orcid":"0000-0003-0040-4382","position":3,"is_corresponding":false},{"id":940415,"name":"Roland S. Moore","orcid":"0000-0003-1072-2755","position":4,"is_corresponding":false},{"id":254413,"name":"Kristina M. Jackson","orcid":"0000-0001-5449-5473","position":5,"is_corresponding":false},{"id":1402678,"name":"Aaron Hamann","orcid":null,"position":6,"is_corresponding":false},{"id":391781,"name":"Arthur M. Carlin","orcid":null,"position":7,"is_corresponding":false},{"id":317283,"name":"Lisa R. Miller‐Matero","orcid":"0000-0002-7044-7831","position":8,"is_corresponding":false},{"id":1423393,"name":"Erin Haley","orcid":"0000-0002-5724-8723","position":0,"is_corresponding":true}],"reference_count":34,"raw_metadata":null,"created_at":"2026-07-19T02:52:12.997494Z","pmid":"41410390","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}