P-46: Is binge eating disorder associated with the degree of weight loss following bariatric surgery?

2010 ◽  
Vol 6 (3) ◽  
pp. S43 ◽  
Author(s):  
Cheryl Mercado ◽  
Masha Livhits ◽  
Irina Yermilov ◽  
Janak Parikh ◽  
Clifford Y. Ko ◽  
...  
2017 ◽  
Vol 41 (S1) ◽  
pp. S467-S467
Author(s):  
E. Bianciardi ◽  
D.L. Giorgio ◽  
N. Cinzia ◽  
G. Flavia ◽  
G. Paolo ◽  
...  

IntroductionPsychiatric disorders in obese patients range from 20% to 60%, with a lifetime prevalence as high as 70%. Bariatric surgery (BS) is an effective therapy for long-term weight control and ameliorates comorbidities. After BS, psychiatric outcomes are still a matter of controversy. Moreover, while psychosocial pre-surgical evaluation is mandatory, post-operatively psychiatric follow-up programs are lacking. Aim of this prospective study was to examine changes in psychiatric symptoms and weight over 1 year of follow-up among a population of individuals submitted to BS.MethodsOne hundred forty eight participants were enrolled, 98 women and 50 men; mean age was 46 (SD = 10.7), and mean BMI was 46 (SD = 7.7). Clinical interview and self-report instruments were administered before and one year after BS. Depressive symptoms were measured using Beck Depression Inventory (BDI), Binge Eating Disorder was measured using Binge Eating Scale (BES).ResultsOne year after surgery 86% of patients achieved a percentage excess weight loss (%EWL) ≥40%. Rate of psychiatric comorbidities declined from 41% at pre-surgery to 12% at 1 year post-surgery, P = 0.01. BDI mean score declined from 12 to 8, P > 0.000. After BS, binge eating, depressive symptoms, and age were independent and significant predictors of %EWL (F6,523 = 79.599, P < 0.0001, adjR2 = 0.471).ConclusionsWe reported an improvement of psychiatric symptoms through 1 year after BS. Post surgical binge eating disorder and depression were associated with less weight loss after surgery, adding to the literature suggesting that psychiatric disorder after surgery, unlike pre-surgery, are related to suboptimal weight loss.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2018 ◽  
Vol 87 ◽  
pp. 79-83 ◽  
Author(s):  
Virginie Borgès Da Silva ◽  
Roxane Borgès Da Silva ◽  
Alexandre Prud'homme ◽  
Pierre Campan ◽  
Jean Michel Azorin ◽  
...  

2022 ◽  
pp. 101594
Author(s):  
Jaime A. Coffino ◽  
Valentina Ivezaj ◽  
Rachel D. Barnes ◽  
Marney A. White ◽  
Brian P. Pittman ◽  
...  

2019 ◽  
Vol 56 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Beatriz H TESS ◽  
Letícia MAXIMIANO-FERREIRA ◽  
Denis PAJECKI ◽  
Yuan-Pang WANG

ABSTRACT BACKGROUND: Eating pathologies among bariatric surgery candidates are common and associated with adverse surgical outcomes, including weight regain and low quality of life. However, their assessment is made difficult by the great variety and inconsistent use of standardized measures. OBJECTIVE: The purpose of this review was to synthesize current knowledge on the prevalence of binge eating disorder (BED) in presurgical patients and to make a critical appraisal of assessment tools for BED. METHODS: A search was conducted on PubMed, Scopus, and Web of Science databases from January 1994 to March 2017. Data were extracted, tabulated and summarized using a narrative approach. RESULTS: A total of 21 observational studies were reviewed for data extraction and analysis. Prevalence of BED in bariatric populations ranged from 2% to 53%. Considerable variation in patient characteristics and in BED assessment measures was evident among the studies. In addition, several methodological weaknesses were recognized in most of the studies. Ten different psychometric instruments were used to assess BED. Clinical interviews were used in only 12 studies, though this is the preferred tool to diagnose BED. CONCLUSION: Study heterogeneity accounted for the variability of the results from different centers and methodological flaws such as insufficient sample size and selection bias impaired the evidence on the magnitude of BED in surgical settings. For the sake of comparability and generalizability of the findings in future studies, researchers must recruit representative samples of treatment-seeking candidates for bariatric surgery and systematically apply standard instruments for the assessment of BED.


Author(s):  
Amy Brown-Bowers ◽  
Ashley Ward ◽  
Nicole Cormier

This article reports the results of a Foucauldian-informed discourse analysis exploring representations of fatness embedded within an empirically based psychological treatment manual for binge eating disorder, a condition characterized by overvaluation of weight and shape. Analyses indicate that the manual prioritizes weight loss with relatively less emphasis placed on treating the diagnostic symptoms and underlying mechanisms of binge eating disorder. We raise critical concerns about these observations and link our findings to mainstream psychology’s adoption of the medical framing of fatness as obesity within the “gold standard” approach to intervention. We recommend that psychology as a discipline abandons the weight loss imperative associated with binge eating disorder and fat bodies. We recommend that practitioners locate the problem of fat shame in society as opposed to the individual person’s body and provide individuals with tools to identify and resist fat stigma and oppression, rather than provide them with tools to reshape their bodies.


1994 ◽  
Vol 25 (2) ◽  
pp. 225-238 ◽  
Author(s):  
W. Stewart Agras ◽  
Christy F. Telch ◽  
Bruce Arnow ◽  
Kathleen Eldredge ◽  
Denise E. Wilfley ◽  
...  

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