The impact of history of exposure to abuse on outcomes after bariatric surgery: data from the Ontario Bariatric Registry

Hensel, Jennifer; Kaplan, Keren Grosman; Anvari, Mehran; Taylor, Valerie H.

doi:10.1016/j.soard.2016.03.016

Cited by 14 publications

(6 citation statements)

References 19 publications

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“…The current study evaluated post-surgical differences in %TWL among bariatric patients reporting a history of interpersonal abuse, as compared with those with no abuse history. Contrary to some prior evidence demonstrating differences in weight loss rate among those with a history of sexual abuse [16][17][18], in all measurement time points over 36 months in the present study, no significant between-group differences emerged in %TWL, months until maximum weight loss, the rate of %TWL, or the rate of BMI change across time. Previous studies have indicated that survivors of interpersonal abuse, especially CSA, may struggle with weight loss as it may increase perceptions of being susceptible to future incidents of abuse [14,[28][29].…”

Section: Discussioncontrasting

confidence: 99%

“…Some studies investigating post-bariatric weight outcomes in abused vs. non-abused individuals have indicated a slower rate of WL among patients reporting sexual abuse [16][17][18]. However, among studies with multiple assessment time points, significant differences in weight loss appear to either be minimal over time [19][20], or to resolve at later measurement [16,21].…”

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confidence: 99%

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Interpersonal Abuse and Long-term Outcomes Following Bariatric Surgery

et al. 2019

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Background: History of abuse may impact weight loss (WL) following bariatric surgery. Some investigations have indicated slower WL rates among patients reporting abuse; however, among studies with multiple assessments, significant differences in WL are not evidenced at later measurement. Few investigations have extended follow-up beyond 18 months, limiting understanding of the impact of abuse on weight trajectory over time. Furthermore, existing research has insufficiently accounted for forms of interpersonal trauma beyond sexual abuse (i.e., emotional, physical) that may impact WL and other health outcomes. Objectives: To determine whether post-surgical percent total WL (%TWL) and specific clinical outcomes are differentially impacted by history of interpersonal abuse. Setting: Large, comprehensive medical center. Methods: Retrospective data was collected from patients who underwent bariatric surgery at a single center (N = 433). Based on pre-surgical interview, patients were grouped according to reported history of interpersonal abuse (Y/N). Nonlinear repeated measures regression examined impact of abuse history on %TWL, and clinical selequae. Results: Differences in %TWL at 6, 12, 18, 24 and 36 months post-surgically did not differ significantly. Further, %TWL did not differ across time, according to group. A significantly greater number of those with history of interpersonal abuse had a clinical diagnosis of depression as compared with those not reporting interpersonal abuse (38% vs. 22% respectively), p < .001.

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Section: Discussioncontrasting

confidence: 99%

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confidence: 99%

Interpersonal Abuse and Long-term Outcomes Following Bariatric Surgery

et al. 2019

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“…A history of sexual abuse appears to unrelated to postoperative weight loss Hensel, Grosman Kaplan, Anvari, & Taylor, 2016). However, anecdotal reports suggest that those with a history of sexual abuse often struggle with a range of psychological issues postoperatively, including This document is copyrighted by the American Psychological Association or one of its allied publishers.…”

Section: Sexual and Romantic Relationshipsmentioning

confidence: 99%

A review of the psychosocial aspects of clinically severe obesity and bariatric surgery.

Sarwer

Heinberg

2020

American Psychologist

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For the past two decades, clinically severe obesity (operationalized as a BMI ≥ 40 kgc/m 2 ) has increased at a more pronounced rate that less severe obesity. As a result, the surgical treatment of obesity (bariatric surgery) has become a more widely accepted, yet still underutilized, treatment for persons with severe obesity and significant weight-related health problems. Psychologists play a central role on the multidisciplinary team involved in the preoperative assessment and postoperative management of patients. They also have played a central role in clinical research which has enhanced understanding of the psychosocial and behavioral factors that contribute to the development of severe obesity as well as how those factors and others contribute to postoperative outcomes. This paper, written specifically for psychologists and other mental health professionals who currently work with these patients or are considering the opportunity to do so in the future, reviews these contributions over the past twenty years. The paper highlights how this work has become a fundamental part of international clinical care guidelines, which primarily focus on preoperative psychosocial screening. The paper also outlines avenues for future research in the field, with a specific focus on the need for additional behavioral and psychosocial interventions to promote life-long success after bariatric surgery.

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“…However, as noted earlier, four previous studies failed to find an association between history of childhood sexual abuse and short-term surgically-induced weight loss (5,(14)(15)(16) . In addition, although not specific to childhood exposure, a recent study of over 4000 patients from the Ontario Bariatric Registry (36) failed to find a significant association between history of sexual abuse or "any type of abuse" and weight loss through 1 year post-surgery. Our study provides further support for a lack of association and extends the knowledge base by providing evidence that long-term weight loss, and specifically weight regain, is not affected.…”

Section: Discussionmentioning

confidence: 98%

The impact of childhood trauma on change in depressive symptoms, eating pathology, and weight after Roux-en-Y gastric bypass

King

Hinerman

Kalarchian

et al. 2019

Surgery for Obesity and Related Diseases

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Background: History of childhood trauma is associated with increased risk of mental disorders, eating pathology and obesity. Objective: To examine associations between childhood trauma and changes in depressive symptoms, eating pathology and weight following Roux-en-Y Gastric Bypass (RYGB). Setting: Three U.S. academic medical centers. Method: Adults undergoing bariatric surgery (2007-2011) were enrolled in a cohort study. Participants (96 of 114; 86%) completed the Beck Depression Inventory-1 (BDI-1) to assess depressive symptomology, the interviewer-administered Eating Disorder Examination (EDE) to assess subthreshold eating pathology, and weight assessment before and 6 months and annually following RYGB for ≥ 7 years, and the Childhood Trauma Questionnaire (CTQ) once post-RYGB. Results: Pre-surgery, median age was 46 years and median body mass index was 47 kg/m 2 ; 79% were female. Data completeness across 7-year follow-up was 78-90%, 66-91% and 93-100% for

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The impact of history of exposure to abuse on outcomes after bariatric surgery: data from the Ontario Bariatric Registry

Cited by 14 publications

References 19 publications

Interpersonal Abuse and Long-term Outcomes Following Bariatric Surgery

Interpersonal Abuse and Long-term Outcomes Following Bariatric Surgery

A review of the psychosocial aspects of clinically severe obesity and bariatric surgery.

The impact of childhood trauma on change in depressive symptoms, eating pathology, and weight after Roux-en-Y gastric bypass

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