Dataset Information

Psychopathology, disordered eating, and impulsivity in patients seeking bariatric surgery.

ABSTRACT:

Background

Most patients who undergo bariatric surgery experience significant weight loss and improvements in obesity-related co-morbidities in the first 6-18 months after surgery. However, 20%-30% of patients experience suboptimal weight loss or significant weight regain within the first few postoperative years. Psychosocial functioning may contribute to suboptimal weight loss and/or postoperative psychosocial distress.

Objective

Assess psychosocial functioning, eating behavior, and impulsivity in patients seeking bariatric surgery.

Setting

Two university hospitals.

Methods

Validated interviews and questionnaires. Impulsivity assessed via computer program.

Results

The present study included a larger (n = 300) and more racially diverse (70% non-White) sample than previous studies of these relationships. Forty-eight percent of participants had a current psychiatric diagnosis and 78% had at least 1 lifetime diagnosis. Anxiety disorders were the most common current diagnosis (25%); major depressive disorder was the most common lifetime diagnosis (44%). Approximately 6% of participants had a current alcohol or substance use disorder; 7% had a positive drug screen before surgery. A current psychiatric diagnosis was associated with greater symptoms of food addiction and night eating. Current diagnosis of alcohol use disorder or a lifetime diagnosis of anxiety disorders was associated with higher delay discounting.

Conclusion

The study identified high rates of psychopathology and related symptoms among a large, diverse sample of bariatric surgery candidates. Psychopathology was associated with symptoms of disordered eating and higher rates of delay discounting, suggesting impulse control issues.

SUBMITTER: Sarwer DB

PROVIDER: S-EPMC8212387 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Publications

Psychopathology, disordered eating, and impulsivity in patients seeking bariatric surgery.

Sarwer David B DB Wadden Thomas A TA Ashare Rebecca L RL Spitzer Jacqueline C JC McCuen-Wurst Courtney C LaGrotte Caitlin C Williams Noel N NN Edwards Michael M Tewksbury Colleen C Wu Jingwei J Tajeu Gabriel G Allison Kelly C KC

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery 20201110 3

<h4>Background</h4>Most patients who undergo bariatric surgery experience significant weight loss and improvements in obesity-related co-morbidities in the first 6-18 months after surgery. However, 20%-30% of patients experience suboptimal weight loss or significant weight regain within the first few postoperative years. Psychosocial functioning may contribute to suboptimal weight loss and/or postoperative psychosocial distress.<h4>Objective</h4>Assess psychosocial functioning, eating behavior, ...[more]

PMID: 33341423

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Project description:PurposePsychopathology and disordered eating behaviours are putative pre-operative risk factors for suboptimal outcomes post-bariatric surgery. Documented psychopathology prevalence rates vary in bariatric candidate samples. Further, less attention has been paid to vulnerable subgroups such as people with diabetes who might be at an elevated risk. For these reasons, this study aimed to investigate the rates of psychopathology and disordered eating in pre-surgical candidates with type 2 diabetes mellitus (T2DM).MethodsParticipants were 401 consecutive patients from a state-wide bariatric surgery service for people with T2DM. Psychopathology was measured using multi-modal assessment including diagnostic interview and battery of validated questionnaires. The mean age of the sample was 51 years with a mean BMI of 46 kg/m2. The majority of the sample was female (60.6%), born in Australia (87%) and 18.2% identified as Aboriginal and/or Torres Strait Islander.ResultsRates of current psychopathology in this sample included: major depressive disorder (MDD; 16.75%), generalised anxiety disorder (GAD; 20.25%), insomnia (17.75%) and binge eating disorder (BED; 10.75%). There were no significant differences on measures between people who endorsed Aboriginal and/or Torres Strait Islander status compared to those who did not endorse. The mean total score on the BES was 21.82 ± 10.40 (range 0-39), with 8.2% of participants meeting criteria for severe binge eating. Presence of an eating disorder was not significantly associated with degree of glycemic compensation. Average emotional eating scores were significantly higher in this study, compared to reference samples. Significantly increased binge eating severity and emotional eating severity was revealed for people with T2DM and comorbid MDD, social anxiety and eating disorders. Binge eating severity was associated with GAD, food addiction, substance use disorders, and history of suicide attempt but not emotional eating severity.ConclusionAmongst people with T2DM seeking bariatric surgery, MDD, GAD and emotional eating were common. Psychopathology in a sample of people with T2DM seeking bariatric surgery was significantly associated with severity of disordered eating. These findings suggest people with T2DM seeking bariatric surgery may be vulnerable to psychopathology and disordered eating with implications for early identification and intervention.Level of evidenceEvidence obtained from cohort or case-control analytic studies.

Dataset Information

Psychopathology, disordered eating, and impulsivity in patients seeking bariatric surgery.

Background

Objective

Setting

Methods

Results

Conclusion

Publications

Psychopathology, disordered eating, and impulsivity in patients seeking bariatric surgery.

Similar Datasets

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