Personality as a Predictor of Weight Loss Maintenance after Surgery for Morbid Obesity

Larsen, Junilla K.; Geenen, Rinie; Maas, Cora J. M.; Wit, Pieter de; Antwerpen, Tiny van; Brand, Nico; Ramshorst, Bert van

doi:10.1038/oby.2004.227

Cited by 55 publications

(46 citation statements)

References 27 publications

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“…According to the authors, this suggests that personality assessment as intake psychological screening is of little use for the prediction of poor or successful weight outcome after bariatric surgery [25] . Herpertz et al [26] presented a systematic review of psychological and psychosocial variables that could predict weight loss and mental health after bariatric surgery.…”

Section: Surgical and Nonsurgical Treatments: Maintaining The Weight mentioning

confidence: 99%

Psychological Profile of Obese Patients

Lykouras

2008

Dig Dis

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Nowadays obesity is recognized to be one of the greatest public health problems worldwide. There is no indication that the huge increase in obesity seen the last decades is declining. The examination of psychological aspects of persons with morbid obesity is essential. Identification of the psychological factors associated with weight loss expands our knowledge about behaviors which are crucial in order to avoid failures in treatment. Most information on this is obtained preoperatively. Although there is no single personality type characteristic of the morbidly obese, they differ from the general population as their self-esteem and impulse control is lower. They have passive dependent and passive aggressive personality traits, as well as a trend for somatization and problem denial. Their thinking is usually dichotomous and catastrophic. Obese patients also show low cooperativeness and fail to see the self as autonomous and integrated. In the morbidly obese before undergoing surgical treatment, unusual prevalence of psychopathology, namely depression and anxiety disorders, is observed. They are subject to prejudice and discrimination and should be treated with concern to help alleviate their feelings of rejection and guilt. Information on the psychological profile of obese persons is limited. Future studies are warranted, since there is a pressured need for these people to built cognitive skills and control their body weight.

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Section: Surgical and Nonsurgical Treatments: Maintaining The Weight mentioning

confidence: 99%

Psychological Profile of Obese Patients

Lykouras

2008

Dig Dis

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“…For example, research indicates that economic status, class, mental health difficulties and personality characteristics do not predict postoperative weight loss (Latner et al 2004, Larsen et al 2004 whereas van Hout et al (2005) concluded that younger individuals and those with earlier obesity onset tend to show better outcomes post surgery. Further, Colles et al (2008) found the strongest predictors of weight loss by 12 months following LAGB included a higher baseline BMI, lower rating of subjective hunger, high quality of life related to physical functioning and leisure activities.…”

Section: Introductionmentioning

confidence: 99%

“…Although WLS is still considered the treatment of choice for morbidly obese individuals (NICE; 2009) and is currently one of the most frequently performed procedures in the US and Europe (Nguyen et al 2005), questions have been raised about the long-term durability of weight loss, particularly at 18 -24 months post surgery when research indicates that a substantial proportion of individuals begin to regain lost weight (Bocchieri et al, 2002;Buchwald et al 2004, Larsen et al 2004Sjostrom et al, 2007;Picot et al, 2009). In particular, Herpertz et al (2004) carried out a review of the literature and reported that 30% of patients regain weight post surgery and Magro et al (2008) found that some weight regain was observed in approximately 4 50% of patients (46% within 24 months and 63.6% within 48 months).…”

Section: Introductionmentioning

confidence: 99%

Negotiating control: Patients’ experiences of unsuccessful weight-loss surgery

Ogden

Avenell

Ellis

2011

Psychology & Health

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Interviews were carried out with 10 men and women who had undergone weight loss surgery up to 10 years ago and felt that it had failed. 7 had had a further successful procedure. Data were analysed using Interpretative Phenomenological Analysis (IPA). Weight regain following surgery was explained in terms of either the mechanics of the operation or with participants describing ways to 'cheat' as food continued to be used for emotional regulation. All also spoke of how surgery neglected their mind. Following the second successful surgery, participants described changes in both their eating behaviour and cognitions emphasising how their mind had been brought 'in gear' through the investment of two invasive procedures. Transcending all accounts was the mind / body relationship and the issue of control with attributions for both failed and successful surgery shifting from the self to the surgical mechanism as participants negotiated the pathway between self blame and responsibility and utilised conflicting frameworks in which the mind and body were either divided or united. Whereas failed surgery is characterised by a battle for control, successful surgery involves handing control over to their restricted stomachs or considering WLS as a tool to be worked with.

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“…Thus, it is important to try and achieve weight loss in overweight children, but this is often difficult. Like socioeconomic and psychological factors (9)(10)(11), physiologic factors may also modulate and/or predict the degree of weight reduction. If these factors can be identified, they could be used to individualize and optimize weight-loss programs.…”

Section: Introductionmentioning

confidence: 99%

Baseline leptin and leptin reduction predict improvements in metabolic variables and long-term fat loss in obese children and adolescents: a prospective study of an inpatient weight-loss program

Murer¹,

Knöpfli²,

Aeberli³

et al. 2011

The American Journal of Clinical Nutrition

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Background: It is unclear whether high plasma leptin in obese individuals represents leptin resistance or whether individuals with marked reductions in leptin concentrations in response to weight loss may be at greater risk of regaining weight. Moreover, whether changes in leptin predict metabolic improvements during weight loss is uncertain. Objective: The objective was to prospectively examine associations between plasma leptin, body fat, and weight and metabolic risk factors in obese children during weight loss. Design: In obese children and adolescents [n = 203; mean age: 14.1 y, .98th body mass index (BMI) percentile for age and sex] participating in a 2-mo inpatient weight-loss program, we measured changes in body composition (by dual-energy X-ray absorptiometry), plasma leptin, insulin, and lipids. After discharge, anthropometric measures and plasma leptin were remeasured at 6 (n = 139) and 12 (n = 100) mo. Results: During the 2-mo program, mean (6SD) weight and fat loss were 13.9 6 4.0 kg and 9.2 6 2.5 kg, respectively; and mean plasma leptin decreased by 76%. Weight and fat loss were sustained, and no significant differences in BMI-SD score (SDS) or body composition were found between 12 and 2 mo. Baseline leptin was a negative predictor for percentage fat loss at 2, 6, and 12 mo (P , 0.05). The percentage change in leptin during the 2-mo intervention positively correlated with the relative change in fasting insulin, the relative change in LDL cholesterol at 2 mo, percentage fat loss, and change in BMI-SDS at 2 and 6 mo (P , 0.02). Conclusions: Even in obese children with strongly elevated baseline leptin, large leptin reductions that predict short-and long-term loss of body fat and improvements in lipids and insulin sensitivity can be achieved. Thus, increased plasma leptin in obese children may not necessarily reflect leptin resistance; many children appear to remain leptin sensitive at this age.Am J Clin Nutr 2011;93:695-702.

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Personality as a Predictor of Weight Loss Maintenance after Surgery for Morbid Obesity

Cited by 55 publications

References 27 publications

Psychological Profile of Obese Patients

Psychological Profile of Obese Patients

Negotiating control: Patients’ experiences of unsuccessful weight-loss surgery

Baseline leptin and leptin reduction predict improvements in metabolic variables and long-term fat loss in obese children and adolescents: a prospective study of an inpatient weight-loss program

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