Associations among psychopathology and eating disorder symptoms and behaviors in post-bariatric surgery patients

Martin-Fernandez, Katy; Martin-Fernández, Javier; Marek, Ryan J.; Ben‐Porath, Yossef S.; Heinberg, Leslie J.

doi:10.1007/s40519-021-01111-w

Cited by 9 publications

(6 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several studies have showed that after MBS, patients with preoperative eating disorders lost significantly less weight than patients without. Preoperative assessment and interventions targeting psychosocial dysfunction could decrease eating disorder symptoms [21,22]. This was supported in the present survey as 73.7% of respondentsroutinely perform preoperative eating disorder evaluation and psychological assessment.…”

Section: Discussionsupporting

confidence: 74%

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

et al. 2022

View full text Add to dashboard Cite

Background Bariatric surgery in patients with BMI over 50 kg/m2 is a challenging task. The aim of this study was to address main issues regarding perioperative management of these patients by using a worldwide survey. Methods An online 48-item questionnaire-based survey on perioperative management of patients with a BMI superior to 50 kg/m2 was ideated by 15 bariatric surgeons from 9 different countries. The questionnaire was emailed to all members of the International Federation of Surgery for Obesity (IFSO). Responses were collected and analyzed by the authors. Results 789 bariatric surgeons from 73 countries participated in the survey. Most surgeons (89.9%) believed that metabolic/bariatric surgery (MBS) on patients with BMI over 50 kg/m2 should only be performed by expert bariatric surgeons. Half of the participants (55.3%) believed that weight loss must be encouraged before surgery and 42.6% of surgeons recommended an excess weight loss of at least 10%. However, only 3.6% of surgeons recommended the insertion of an Intragastric Balloon as bridge therapy before surgery. Sleeve Gastrectomy (SG) was considered the best choice for patients younger than 18 or older than 65 years old. SG and One Anastomosis Gastric Bypass were the most common procedures for individuals between 18 and 65 years. Half of the surgeons believed that a 2-stage approach should be offered to patients with BMI > 50 kg/m2, with SG being the first step. Postoperative thromboprophylaxis was recommended for 2 and 4 weeks by 37.8% and 37.7% of participants, respectively. Conclusion This survey demonstrated worldwide variations in bariatric surgery practice regarding patients with a BMI superior to 50 kg/m2. Careful analysis of these results is useful for identifying several areas for future research and consensus building.

show abstract

Section: Discussionsupporting

confidence: 74%

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

et al. 2022

View full text Add to dashboard Cite

show abstract

“…A patient-related factor for poor weight-loss outcomes frequently reported in the bariatric literature is the presence of problematic eating behaviors, particularly uncontrolled eating (i.e., feeling that one cannot stop eating or control how much one is eating) [4]. The experience of uncontrolled eating has been associated with insufficient weight loss or weight regain by a growing and consistent body of literature [5,6].…”

Section: Introductionmentioning

confidence: 99%

Understanding Uncontrolled Eating after Bariatric Surgery: The Role of Excessive Skin and Body Image Shame

Lourdes

Cerqueira

Pinto-Bastos

et al. 2021

JCM

View full text Add to dashboard Cite

Excess skin and disordered eating behaviors are referred to as some of the major negative consequences of bariatric surgery as well as body image shame. This study sought to explore how discomfort with excessive skin, body image shame, psychological distress, eating-related psychopathology, and negative urgency interact to understand uncontrolled eating among woman submitted to bariatric surgery. A cross-sectional sample of 137 women was evaluated postoperatively through self-report questionnaires assessing discomfort with excess skin, body image shame, eating-related psychopathology, negative urgency, and uncontrolled eating in a hospital center in the north of Portugal. Pearson correlations and Structural Equation Modeling (SEM) were performed. Body image shame mediated the relationship between discomfort with excess skin and eating-related psychopathology. In turn, the relationship between eating-related psychopathology and uncontrolled eating was mediated by negative urgency. This study highlights the impact of excess skin and body image shame on eating behavior post-bariatric-surgery. Considering the proven impact of uncontrolled eating on weight-loss results post-surgery, understanding the mechanisms underlying this problem is highly important. Our findings provide helpful insight for multidisciplinary teams committed to providing care to bariatric patients struggling with body image and eating difficulties.

show abstract

“…Postsurgical problematic patterns of eating and symptoms of disordered eating have been linked to poorer weight loss outcomes and higher levels of psychopathology symptoms following bariatric surgery. [17][18][19]…”

Section: Surgery and Eating Behaviorsmentioning

confidence: 99%

Mindfulness-Based Interventions for Surgical Patients and Impact on Postoperative Outcomes, Patient Wellbeing, and Satisfaction

Hymowitz

Hasan

Yerramalli

et al. 2022

The American Surgeon™

View full text Add to dashboard Cite

Several psychosocial factors can impact surgical outcomes and overall patient wellbeing following surgery. Although advances in surgical interventions and pain management protocols can reduce surgical trauma and enhance recovery from surgery, additional intervention is warranted to optimize surgical outcomes and patient quality of life (QoL) in the short- and long-term. Research on mindfulness techniques suggests that mindfulness-based interventions (MBI) effectively promote health behaviors, reduce pain, and improve psychological wellbeing and QoL. Thus, there has been an increase in research evaluating the use of MBIs to improve postoperative outcomes and wellbeing in surgical patients. The authors provide a brief overview of psychosocial outcomes of surgery and MBIs and review the literature on the impact of MBIs on postoperative outcomes. The extant literature indicates that MBIs are feasible and acceptable for use in surgical patient populations and provides preliminary evidence of the benefits of mindfulness across a range of surgical patient populations. However, more research is needed to assess the long-term efficacy of MBIs delivered online and in-person across the perioperative continuum.

show abstract

Associations among psychopathology and eating disorder symptoms and behaviors in post-bariatric surgery patients

Cited by 9 publications

References 41 publications

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

The first survey addressing patients with BMI over 50: a survey of 789 bariatric surgeons

Understanding Uncontrolled Eating after Bariatric Surgery: The Role of Excessive Skin and Body Image Shame

Mindfulness-Based Interventions for Surgical Patients and Impact on Postoperative Outcomes, Patient Wellbeing, and Satisfaction

Contact Info

Product

Resources

About