Binge eating in surgical weight-loss treatments. Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology

Lapidoth, Joakim de Man; Ghaderi, Ata; Norring, Claes

doi:10.1007/bf03327470

Cited by 24 publications

(14 citation statements)

References 51 publications

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“…Of the 11 studies that evaluated the relationship between post-operative binge eating and weight loss, eight studies documented significant associations between poorer weight loss outcomes and binge eating [23-28], LOC, or uncontrolled eating [26, 29, 30]. Two studies reported non-significant relationships between binge eating and weight loss [31, 32]. One study was unable to evaluate for an association because binge eating was not endorsed by any patients after surgery [33].…”

Section: Resultsmentioning

confidence: 99%

Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery

Sheets¹,

et al. 2014

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Although there are several recent reviews of the pre-operative factors that influence treatment outcome for bariatric surgery, commensurate efforts to identify and review the predictive validity of post-operative variables are lacking. This review describes the post-operative psychosocial predictors of weight loss in bariatric surgery. Results suggest empirical support for post-operative binge eating, uncontrolled eating/grazing, and presence of a depressive disorder as negative predictors of weight loss outcomes; whereas, adherence to dietary and physical activity guidelines emerged as positive predictors of weight loss. With the exception of depression, psychological comorbidities were not consistently associated with weight loss outcomes. Results highlight the need for post-operative assessment of disordered eating and depressive disorder, further research on the predictive value of post-operative psychosocial factors, and development of targeted interventions.

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Section: Resultsmentioning

confidence: 99%

Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery

Sheets¹,

et al. 2014

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“…The fact that there are no data providing information on binge eating disorder can be seen as a major limitation of the present study, considering that binge eating is known to be highly prevalent among obese individuals [26] and bariatric surgery candidates both pre- and post-surgery [30]. Binge eating disorder in turn is associated with higher rates of psychological impairment such as depression [42] and with markedly affected HrQoL [43], thus making its assessment and consideration even more relevant.…”

Section: Discussionmentioning

confidence: 99%

“…Given the high prevalence of affective disorders [4, 10, 29] as well as non-normative eating behaviors and binge eating (disorder) among obese individuals [26, 27] and in particular among bariatric surgery candidates [10, 30–33], each of which is known to be associated with difficulties in ER, further research in this respect is required. With the help of new findings, psychological interventions focusing on ER could be implemented and specifically adapted to meet the needs of obese individuals [34, 35], supporting patients both before and after bariatric surgery.…”

Section: Introductionmentioning

confidence: 99%

Emotion regulation and mental well-being before and six months after bariatric surgery

et al. 2017

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PurposeAccording to the current state of research, mental health improves due to bariatric surgery. However, improvements in weight and psychosocial aspects often show a gradual decline with time. As emotion regulation (ER) appears to be a key variable in the successful outcome of weight loss treatments, the present study aimed at investigating ER-strategies applied by bariatric surgery candidates pre- and post-surgery and examining interactions between ER, depressive symptoms, health-related quality of life (HrQoL), and post-surgical weight loss.MethodsPrior to and 6 months after bariatric surgery, 45 patients (76% women) completed self-report questionnaires assessing depressive symptoms (Beck Depression Inventory-II), HrQoL (Short Form-36 Health Survey), and ER-strategies (Emotion Regulation Inventory for Negative Emotions).ResultsSix months post-surgery, the patients reported significant improvements in depressive symptomatology, HrQoL, and satisfaction with ER compared to pre-surgery. Groups differing in their course of ER-satisfaction also differed in psychosocial dimensions pre- to post-surgery, increased satisfaction being related to less impairment and enhanced communication of negative emotions as a form of an adaptive regulation. Patients with higher weight loss applied the strategy of controlled expression more frequently post-surgery than pre-surgery and compared to patients with lower weight loss.ConclusionsPostoperative weight loss leads to improvements in ER-satisfaction and mental well-being. As satisfaction with ER seems to be associated with less impaired mental well-being among bariatric surgery candidates, presumably even more positive psychosocial outcomes could be obtained post-surgery by implementing trainings explicitly encouraging the use of adaptive ER-strategies.

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“…However, the adult WLS experience also suggests potential links between these pre-operative psychological comorbid conditions and/or their persistence or post-operative recurrence with poorer weight loss as well as HRQOL outcomes. (41–43) Thus, adolescent symptom profiles should be closely monitored and referrals provided accordingly to optimize patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

Severe Obesity and Comorbid Condition Impact on the Weight-Related Quality of Life of the Adolescent Patient

Zeller

Inge

Modi

et al. 2015

The Journal of Pediatrics

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Objectives To assess links between comorbid health status, severe excess weight, and weight-related quality of life (WRQOL) in adolescents with severe obesity and undergoing weight loss surgery (WLS) to inform clinical care. Study design Baseline (pre-operative) data from Teen-LABS, a prospective multicenter observational study of 242 adolescents with severe obesity (MdnBMI = 50.5 kg/m2; Mage=17.1; 75.6% female; 71.9% White) undergoing WLS, were utilized to examine the impact of demographics, body mass index (BMI), presence/absence of 16 comorbid conditions, and a cumulative comorbidity load (CLoad) index on WRQOL scores (Impact of Weight on Quality of Life-Kids; IWQOL-Kids). Results WRQOL was significantly lower than reference samples of healthy weight, overweight, and obese samples. Of 16 comorbid conditions, the most prevalent were dyslipidemia (74.4%), chronic pain (58.3%), and obstructive sleep apnea (56.6%). Males had a higher CLoad (p=.01) and BMI (p=.01), yet less impairment in total WRQOL (p<.01) than females. CLoad was a significant predictor of male WRQOL. For females, psychosocial (versus physical) comorbidities, BMI, and White race were significant predictors of WRQOL impairment. Less prevalent conditions (e.g., stress urinary incontinence) also emerged as contributors to lower WRQOL. Conclusions WRQOL impairment is substantial for adolescents with severe obesity undergoing WLS, with predictors varying by sex. These patient-data highlight targets for education, support, and adjunctive care referrals prior to WLS. Further, they provide a comprehensive empirical base for understanding heterogeneity in adolescent WRQOL outcomes following WLS, as weight and comorbidity profiles change over time.

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Binge eating in surgical weight-loss treatments. Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology

Cited by 24 publications

References 51 publications

Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery

Post-operative Psychosocial Predictors of Outcome in Bariatric Surgery

Emotion regulation and mental well-being before and six months after bariatric surgery

Severe Obesity and Comorbid Condition Impact on the Weight-Related Quality of Life of the Adolescent Patient

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