Relation of Childhood Sexual Abuse and Other Forms of Maltreatment to 12-Month Postoperative Outcomes in Extremely Obese Gastric Bypass Patients

Grilo, Carlos M.; White, Marney A.; Masheb, Robin M.; Rothschild, Bruce; Burke-Martindale, Carolyn H.

doi:10.1381/096089206776327288

Cited by 81 publications

(95 citation statements)

References 23 publications

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“…With regard to weight loss, no difference was found between patients with and without history of abuse, at least for the first postoperative year. A further study by Grilo et al (2006) yielded similar findings. Of 137 patients, 32% reported sexual abuse and 27% emotional abuse in childhood.…”

Section: Posttraumatic Stress Disorderssupporting

confidence: 66%

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Herpertz

Kessler

Jongen

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

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ZusammenfassungPsychosoziale Fragen zur Adipositas-Chirurgie: was SummarySubject: In view of the epidemic increase in severe obesity and the ineffectiveness of conservative weight-loss interventions, bariatric surgery delivers compelling results for patients with class II (BMI ≥ 35 kg/m²) and class III obesity (BMI ≥ 40 kg/m²), not only in reducing weight over the long term, but also in reducing obesity-related somatic comorbidity and improving psychosocial functioning and quality of life. Investigations into the psychosocial aspects of obesity surgery have proliferated over the last 15 years, providing a huge amount of essential research data. Yet the results are partly contradictory and highly dependent on the duration of follow-up. Method: Based of a narrative review, this article provides an overview of the current status and recent developments of the reciprocal effects between bariatric surgery and psychosocial functioning. The review focused on eight domains representing important psychosomatic and psychosocial aspects of bariatric surgery. Results: Especially in cases of class II and III obesity, bariatric surgery is the only means to reduce bodyweight significantly and permanently, though they carry with them the associated risk factors of metabolic, cardiovascular, and oncological diseases. With regard to psychosocial and psychosomatic aspects, studies with a short-term catamnesis (approx. 3 years) speak in favor of an improvement in the quality of life including mental disorders. If we consider studies with longer follow-ups, however, the results are not as uniform. In particular, we observe an increase in harmful alcohol consumption, self-harm behavior, and suicide risk. Discussion: In light of mental well-being and thus also quality of life, bariatric surgery would appear to convey an elevated risk for a minority of patients. Yet identifying these patients before surgery has so far been insufficient.

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Section: Posttraumatic Stress Disorderssupporting

confidence: 66%

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Herpertz

Kessler

Jongen

2017

Zeitschrift für Psychosomatische Medizin und Psychotherapie

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“…Critical reviews of the empirical literature conclude that such concerns have yet to be empirically established (Gustafson & Sarwer, 2004), and recent prospective studies with established assessment methods have reported that high levels of sexual abuse (Grilo, White, Masheb, Rothschild, & Burke-Martindale, 2006;Larsen & Geenen, 2005) and other forms of childhood maltreatment (Grilo et al, 2006) do not appear to represent negative prognostic indicators for bariatric surgery.…”

Section: Discussionmentioning

confidence: 99%

High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome

Allison

Grilo

Masheb

et al. 2007

Behaviour Research and Therapy

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This study compared rates of self-reported childhood maltreatment in three groups diagnosed using semi-structured interviews: binge eating disorder (BED; n = 176), night eating syndrome (NES, n = 57), and overweight/obese comparison (OC, n = 38). We used the Childhood Trauma Questionnaire (CTQ) to assess childhood maltreatment and the Beck Depression Inventory-II to assess depression levels. Reports of maltreatment were common in patients with BED (82%), NES (79%), and OC (71%). The BED group reported significantly more forms of maltreatment above clinical cutpoints (2.4) than the OC (1.4) group but not the NES (1.8) group. The BED and NES groups reported more emotional abuse than the OC group. A higher proportion of the BED group reported emotional neglect and a higher proportion of the NES group reported physical neglect. Depression levels, which were higher in BED and NES than OC, were associated with higher levels of physical and emotional abuse and neglect. In conclusion, reported rates of physical and sexual abuse differed little across groups whereas reports of neglect and emotional abuse were higher in the BED and NES groups than in the OC group and were associated with elevated depression levels.

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“…Childhood sexual abuse and maltreatment, while more prevalent in the severely obese population (Grilo et al, 2005;Wildes, Kalarchian, Marcus, Levine, & Courcoulas, 2008), do not appear to have any relationship with postsurgical weight loss (Fujioka, Yan, Wang, & Li, 2008;Grilo, White, Masheb, Rothschild, & Burke-Martindale, 2006). Presurgical life stress, in and of itself, does not appear to have a negative impact on weight loss (Herpertz et al, 2004;van Hout et al, 2005).…”

Section: What Is Known -Paradoxical Resultsmentioning

confidence: 98%

Rethinking the Preoperative Psychological Evaluation – A New Paradigm for Improved Outcomes and Predictive Power

Franks¹,

Kaiser²

2012

Advanced Bariatric and Metabolic Surgery

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Relation of Childhood Sexual Abuse and Other Forms of Maltreatment to 12-Month Postoperative Outcomes in Extremely Obese Gastric Bypass Patients

Abstract: Extremely obese patients who seek gastric bypass surgery report higher rates of childhood maltreatment than normative community samples. A history of childhood maltreatment, including reports of sexual abuse, does not appear to be a negative prognostic indicator for gastric bypass surgery.

Cited by 81 publications

References 23 publications

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

Psychosomatic and Psychosocial Questions Regarding Bariatric Surgery: What Do We Know, or What Do We Think We Know?

High self-reported rates of neglect and emotional abuse, by persons with binge eating disorder and night eating syndrome

Rethinking the Preoperative Psychological Evaluation – A New Paradigm for Improved Outcomes and Predictive Power

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