Associations between binge eating, depressive symptoms and anxiety and weight regain after Roux-en-Y gastric bypass surgery

Freire, Cristina Cardoso; Zanella, Maria Teresa; Segal, Adriano; Arasaki, Carlos Haruo; Matos, María I.; Carneiro, Gláucia

doi:10.1007/s40519-019-00839-w

Cited by 41 publications

(29 citation statements)

References 49 publications

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“…Similarly, studies have shown that depressed mood is associated with unhealthy lifestyle habits ( 52 ), emotional eating, and loss of control (LOC) eating [e.g., ( 53 , 54 )]. In particular, post-surgery depressive symptoms have been associated with ED and weight recidivism ( 42 , 55 – 57 ). Therefore, the role of depression has important implications for post-surgery functioning and should be monitored and addressed through focused evidence-based interventions.…”

Section: Depressionmentioning

confidence: 99%

The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology

et al. 2020

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Ranked highly in its association with serious medical comorbidities, obesity, a rapidly growing epidemic worldwide, poses a significant socioeconomic burden. While bariatric procedures offer the most efficacious treatment for weight loss, a subset of patients risk weight recidivism. Due to the heterogeneity of obesity, it is likely that there are phenotypes or subgroups of patients that require evidence-based psychological support to produce more sustainable outcomes. So far, however, characteristics of patients have not led to a personalized treatment algorithm for bariatric surgery. Maintenance of weight loss following bariatric surgery requires long-term modification of eating behaviors and physical activity. A recent Clinical Obesity Maintenance Model (COMM) proposed a conceptual framework of salient constructs, including the role of habit, behavioral clusters, emotion dysregulation, mood, health literacy, and executive function as interconnected drivers of obesity maintaining behaviors relevant to the field of bariatric psychology. The primary aim of this concise review is to bring together emerging findings from experimental and epidemiological studies relating to the COMM constructs that may inform the assessment and follow up of bariatric surgery. We also aim to explain the phenotypes that need to be understood and screened prior to bariatric surgery to enable better pre-surgery intervention and optimum post-surgery response.

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Section: Depressionmentioning

confidence: 99%

The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology

et al. 2020

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“…The ability of this brief version to discriminate between overweight/obese patients with and without significant binge eating pathology may have important clinical implications. Considering that the presence of both pre-and post-operative binge eating negatively influences the long-term outcomes [17,[61][62][63], this brief tool could help clinicians to promptly identify high-risk individuals. Accordingly, individuals presenting positive screening results could be addressed via a proper psychosocial intervention [64,65], and surgeons may select a more suitable type of intervention based on the patient's eating disorder [66].…”

Section: Discussionmentioning

confidence: 99%

The Symptom-Checklist-K-9 (SCL-K-9) Discriminates between Overweight/Obese Patients with and without Significant Binge Eating Pathology: Psychometric Properties of an Italian Version

et al. 2020

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A general personality and psychopathology evaluation is considered to be crucial part of the multidisciplinary assessment for weight-related problems. The Symptom Checklist-90-Revised (SCL-90-R) is commonly used to assess general psychopathology in both overweight and obese patients seeking weight-loss treatment. The main purpose of the present research was to investigate the psychometric properties of the brief form of the SCL-90-R (i.e., the SCL-K-9) in a clinical sample (N = 397) of patients seeking weight-loss treatment (i.e., bariatric surgery and a nutritional weight-loss program). The results of the confirmatory factor analysis supported a one-factor solution of the SCL-K-9, with all nine items loading significantly on the common latent factor (lambdas ≥ 0.587). The ordinal α (= 0.91), the inter-item mean indices of correlation (r ii = 0.53), and the convergent validity were also satisfactory. A receiver operating characteristic curves procedure showed that both SCL-90-R and SCL-K-9 were able to classify patients with and without significant binge eating pathology according to the Binge Eating Scale (BES) total score. Overall, our results suggest that the SCL-K-9 has adequate psychometric properties and can be applied as a short screening tool to assess general psychopathology in overweight/obese individuals seeking weight-loss treatment and at follow-up interviews when time restraints preclude the use of the full-length form.

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“…In addition to mostly promising results, however, different long-term outcomes (e.g. renewed weight gain after surgery or increased suicidal tendencies) can also be observed (12).…”

Section: Introductionmentioning

confidence: 99%

“…As with psychopathology in general, eating disorders are associated with elevated risk of suicidal behavior (9). Despite of the considerable amount of studies conducted, it stays rather unclear why some patients post obesity surgery tend to not lose weight or regain it (12,16). Yet there seems to be a strong association with psychopathological aspects.…”

Section: Introductionmentioning

confidence: 99%

“…Yet, not everyone profits equally, and some individuals are at risk of suffering severe difficulties and complications after the surgery (8). Studies show that mental illnesses such as depression and eating disorders can sabotage post-operative long-term weight loss (12,13). To our knowledge, psychological resources were never taken into account in order to describe obesity surgery patients' overall level of functionality, a likely proxy of future outcome after surgical intervention.…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Psychological Resources on Body Mass Index in Obesity Surgery Candidates

et al. 2020

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Associations between binge eating, depressive symptoms and anxiety and weight regain after Roux-en-Y gastric bypass surgery

Cited by 41 publications

References 49 publications

The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology

The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology

The Symptom-Checklist-K-9 (SCL-K-9) Discriminates between Overweight/Obese Patients with and without Significant Binge Eating Pathology: Psychometric Properties of an Italian Version

The Impact of Psychological Resources on Body Mass Index in Obesity Surgery Candidates

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