Comment on: Depression subtypes, binge eating, and weight loss in bariatric surgery candidates

ABSTRACT Background: As the number of surgeries increases and the elapsed time of the realization increases as well, the postoperative evaluations would become increasingly necessary. Aim: To assess the psychological profile before and after surgery. Methods: Were evaluated 281 patients from the public service of bariatric surgery. In this study, 109 patients completed the evaluations before surgery (T0) and up to 23 months after surgery (T1); 128 completed the evaluations in T0 and between 24 months and 59 months after surgery (T2); and 44 completed the evaluations in T0 and 60 months after surgery (T3). A semi-structured interview, the Beck Depression Inventory (BDI), Beck Anxiety (BAI), and the Binge Eating Scale (BES) were used. Results: There was a higher prevalence of female (83%), patients with less than 12 years of education (83%), and patients who have a partner (64%). Analyzing all times of evaluation, regarding anxiety, depression, and binge eating, there was a reduction in all symptoms in T1, pointing to significant improvements in the first 23 months after surgery. Already, in T2 and T3, there was an increase in all indicators of anxiety, depression, and binge eating pointing to the transient impact of weight loss or bariatric surgery on these symptoms. Conclusions: This study shows the importance of the continuous psychological evaluation and needs for the appropriate interventions for these patients who have undergone bariatric surgery, even after weight loss.

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Explaining the role of binge eating behaviour in weight loss post bariatric surgery

Appetite ◽

10.1016/j.appet.2012.04.019 ◽

2012 ◽

Vol 59 (1) ◽

pp. 177-180 ◽

Cited By ~ 26

Author(s):

Kerry V. Wood ◽

Jane Ogden

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Binge Eating ◽

Eating Behaviour ◽

Post Bariatric Surgery

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SAT-119 Effect of Binge Eating Diagnosed Prior to Bariatric Surgery on Weight Loss up to 2 Years after Surgery

Journal of the Endocrine Society ◽

10.1210/js.2019-sat-119 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Rogerio Friedman ◽

Manoela Vivan ◽

Natalia Kops

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Binge Eating

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

Surgery for Obesity and Related Diseases ◽

10.1016/j.soard.2010.03.248 ◽

2010 ◽

Vol 6 (3) ◽

pp. S43 ◽

Cited By ~ 1

Author(s):

Cheryl Mercado ◽

Masha Livhits ◽

Irina Yermilov ◽

Janak Parikh ◽

Clifford Y. Ko ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder

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Preoperative Binge Eating and Weight Loss After Bariatric Surgery: A Systematic Review and Meta-analysis

Obesity Surgery ◽

10.1007/s11695-020-05124-9 ◽

2020 ◽

Author(s):

Natália Luiza Kops ◽

Manoela Astolfi Vivan ◽

Elisa Ruiz Fülber ◽

Marco Fleuri ◽

Julia Fagundes ◽

...

Keyword(s):

Systematic Review ◽

Bariatric Surgery ◽

Weight Loss ◽

Binge Eating ◽

Meta Analysis

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Binge Eating After Bariatric Surgery in Patients Assisted by the Reference Service in a Brazilian Hospital and the Correlation with Weight Loss

Obesity Surgery ◽

10.1007/s11695-021-05372-3 ◽

2021 ◽

Author(s):

Fabiana Salatino Fangueiro ◽

Carolina Nunes França ◽

Mônica Fernandez ◽

Elias Jirjoss Ilias ◽

Patrícia Colombo-Souza

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Binge Eating ◽

Reference Service

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Prospective Study of Attachment as a Predictor of Binge Eating, Emotional Eating and Weight Loss Two Years after Bariatric Surgery

Nutrients ◽

10.3390/nu11071625 ◽

2019 ◽

Vol 11 (7) ◽

pp. 1625 ◽

Cited By ~ 2

Author(s):

Samantha E. Leung ◽

Susan Wnuk ◽

Timothy Jackson ◽

Stephanie E. Cassin ◽

Raed Hawa ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Binge Eating ◽

Prospective Study ◽

Attachment Style ◽

Emotional Eating ◽

Attachment Insecurity ◽

Eating Psychopathology ◽

Post Surgery

Bariatric surgery remains the most effective treatment for severe obesity, though post-surgical outcomes are variable with respect to long-term weight loss and eating-related psychopathology. Attachment style is an important variable affecting eating psychopathology among individuals with obesity. To date, studies examining eating psychopathology and attachment style in bariatric surgery populations have been limited to pre-surgery samples and cross-sectional study design. The current prospective study sought to determine whether attachment insecurity is associated with binge eating, emotional eating, and weight loss outcomes at 2-years post-surgery. Patients (n = 108) completed questionnaires on attachment style (ECR-16), binge eating (BES), emotional eating (EES), depression (PHQ-9), and anxiety (GAD-7). Multivariate linear regression analyses were conducted to examine the association between attachment insecurity and 2-years post-surgery disordered eating and percent total weight loss. Female gender was found to be a significant predictor of binge eating (p = 0.007) and emotional eating (p = 0.023) at 2-years post-surgery. Avoidant attachment (p = 0.009) was also found to be a significant predictor of binge eating at 2-years post-surgery. To our knowledge, this study is the first to explore attachment style as a predictor of long-term post-operative eating pathology and weight outcomes in bariatric surgery patients.

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One-year changes in psychiatric disorders following bariatric surgery

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.526 ◽

2017 ◽

Vol 41 (S1) ◽

pp. S467-S467

Author(s):

E. Bianciardi ◽

D.L. Giorgio ◽

N. Cinzia ◽

G. Flavia ◽

G. Paolo ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Eating Disorder ◽

Depressive Symptoms ◽

Binge Eating ◽

Psychiatric Disorders ◽

Binge Eating Disorder ◽

Psychiatric Symptoms ◽

One Year

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.

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