scholarly journals Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Farid Benzerouk ◽  
Monique Guénin ◽  
Fabien Gierski ◽  
Delphine Raucher-Chéné ◽  
Sarah Barrière ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Loss ◽  
Trait Anxiety ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Negative Emotions ◽  
Depression And Anxiety ◽  
External Eating ◽  
Eating Styles ◽  
Maladaptive Eating

Abstract Background Even if bariatric surgery is considered the most effective therapeutic approach, it is not equally successful among individuals suffering from severe obesity and candidates for this weight loss surgery. Among the factors that influence postsurgical outcomes, eating behaviors styles are known to play a key role in relapses. The aim of our study was to assess eating behaviors styles and several modulating psychopathological factors in patients suffering from severe obesity. Methods Patients seeking bariatric surgery (N = 127) completed a set of standardized tools assessing eating behaviors (Dutch Eating Behavior Questionnaire), comorbid psychiatric conditions (Mini International Neuropsychiatric Interview), depression, and anxiety scores (Beck Depression Inventory, State-Trait Anxiety Inventory), and impulsivity scores (UPPS-P Impulsive Behavior Scale). Results We detected significant correlations between DEBQ Emotional Eating (EmoE) and depression, state and trait anxiety, and all dimensions of impulsivity. Significant correlations were also present between DEBQ External Eating (ExtE) and depression, state and trait anxiety and UPPS-P positive urgency, lack of perseverance and sensation seeking. Regression analyses identified sex (female), trait anxiety, and lack of perseverance as explanatory factors for EmoE, and depression severity score and positive urgency for ExtE. Conclusions EmoE might be a means of dealing with negative emotions and/or intrusive thoughts, while ExtE might result from a mechanism associated with depression. These results should help to improve patients’ outcomes by defining specific therapeutic targets in psychological interventions. Plain English summary After bariatric surgery, some patients regain weight. This is likely due to various factors, including a return of maladaptive eating styles, such as emotional eating (which occurs as a response to negative emotions, like depression, anxiety, anger, sadness, and discouragement), external eating (which refers to the tendency to eat in response to positive external cues, regardless of internal signals of hunger and satiety), and restraint eating (implying to make efforts to develop and maintain strategies to control calories intake, associated with weight loss after lifestyle intervention). Our goal in this research project was to explore associated factors (particularly depression, anxiety, and impulsivity) to these eating styles in patients suffering from obesity prior to bariatric surgery. Individuals seeking bariatric surgery were asked questions about their eating styles and their levels of depression, anxiety, and impulsivity using standardized questionnaires. We found that emotional eating might be a means of dealing with negative emotions and/or intrusive thoughts (e.g. about food or body dissatisfaction), while external eating might result from a mechanism associated with depression. We detected no association between restraint eating and any of the dimensions of impulsivity, nor depression and anxiety. Therapies aimed at improving patients’ abilities to regulate negative affects seem promising among subjects suffering from obesity and those seeking bariatric surgery. If well learned, these therapies might also help them to maintain weight loss after surgery by limiting maladaptive eating styles.

Contributing Roles of Depression, Anxiety, and Impulsivity Dimensions in Eating Behaviors Styles in Obese Individuals Seeking Bariatric Surgery

2021 ◽  
Author(s):  
FARID BENZEROUK ◽  
Monique Guénin ◽  
Fabien Gierski ◽  
Delphine Raucher-Chéné ◽  
Sarah Barrière ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Trait Anxiety ◽  
Sensation Seeking ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Female Gender ◽  
Explanatory Factors ◽  
External Eating ◽  
State And Trait Anxiety ◽  
Postsurgical Outcomes

Abstract BackgroundEven if bariatric surgery appears as the most effective therapeutic approach, it is not equally successful across individuals suffering from obesity. Among the factors that influence postsurgical outcomes, eating behaviors are known to play a key role in relapses. The aim of our study was to assess eating behaviors styles and several modulating psychopathological factors in patients suffering from obesity.MethodsPatients seeking bariatric surgery (N = 127) completed a set of standardized tools assessing eating behaviors (DEBQ), psychiatric comorbid conditions (MINI), mood (BDI-13, STAI), and impulsivity (UPPS-P).ResultsWe found significant correlations between DEBQ Emotional Eating (EmoE) and depression, state and trait anxiety and all dimensions of impulsivity. Significant correlations also occurred between DEBQ External Eating (ExtE) and depression, state and trait anxiety and UPPS-P positive urgency, lack of perseverance and sensation seeking. Regression analyses showed female gender, trait anxiety, and lack of perseverance as explanatory factors in EmoE, and depression severity score and positive urgency in ExtE.ConclusionsEmoE might be a means of dealing with negative emotions and/or intrusive thoughts, while ExtE may result from a mechanism associated with depression. These results may help to improve patients’ outcome by defining specific therapeutic targets in psychological interventions.

scholarly journals Body Image, Emotional Eating and Psychological Distress among Bariatric Surgery Candidates in Israel and the United States

Nutrients ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 490 ◽  
Author(s):  
Shulamit Geller ◽  
Sigal Levy ◽  
Ofra Hyman ◽  
Paul L. Jenkins ◽  
Subhi Abu-Abeid ◽  
...  
Keyword(s):  
United States ◽  
Bariatric Surgery ◽  
Body Image ◽  
Psychological Distress ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Body Image Dissatisfaction ◽  
The United States ◽  
Depression And Anxiety ◽  
The Us

Background: The present study aimed to examine the relations between body image dissatisfaction (BID) and psychological distress variables among bariatric surgery candidates from two distinct cultures in Israel and in the United States. Methods: A sample of consecutive pre-surgical bariatric candidates was recruited from a Bariatric Center in Israel (N = 114) and a Bariatric Center in the Unites States (N = 81). Body image dissatisfaction (BID-BSQ8), suicidal ideation (SBQ-R), depressive symptoms (PHQ-9), anxious symptoms (PHQ-7), and emotional eating behaviors (EES), were measured. Mediation models were assessed using path analysis. Results: BID was positively correlated with suicidality, depression, and anxiety in both samples. The relations between BID depression and anxiety were mediated by emotional eating in both cultures. However, the relation between BID and suicidality that was mediated by emotional eating in the Israeli sample, was reflected in a direct link between BID and suicidality in the US sample. Conclusion: Our findings confirm the adverse effect of BID on psychological distress among surgery candidates in both cultures, emphasizing the intercultural similarities related to emotional eating behavior. Physicians and other health professionals are encouraged to be more attentive to this specific behavior.

scholarly journals Contributing Roles of Depression, Anxiety, and Impulsivity Dimensions in Eating Behaviors Styles in Patients Suffering From Obesity and Seeking Bariatric Surgery

2021 ◽  
Author(s):  
FARID BENZEROUK ◽  
Monique Guenin ◽  
Fabien Gierski ◽  
Delphine Raucher-Chéné ◽  
Sarah Barrière ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Trait Anxiety ◽  
Sensation Seeking ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Weight Loss Surgery ◽  
Impulsive Behavior ◽  
Explanatory Factors ◽  
State And Trait Anxiety ◽  
Postsurgical Outcomes

Abstract Background: Even if bariatric surgery is considered the most effective therapeutic approach, it is not equally successful among individuals suffering from severe obesity and candidates for this weight loss surgery. Among the factors that influence postsurgical outcomes, eating behaviors styles are known to play a key role in relapses. The aim of our study was to assess eating behaviors styles and several modulating psychopathological factors in patients suffering from obesity.Methods: Patients seeking bariatric surgery (N = 127) completed a set of standardized tools assessing eating behaviors (Dutch Eating Behavior Questionnaire), comorbid psychiatric conditions (Mini International Neuropsychiatric Interview), depression, and anxiety scores (Beck Depression Inventory, State-Trait Anxiety Inventory), and impulsivity scores (UPPS-P Impulsive Behavior Scale).Results: We detected significant correlations between DEBQ Emotional Eating (EmoE) and depression, state and trait anxiety, and all dimensions of impulsivity. Significant correlations were also present between DEBQ External Eating (ExtE) and depression, state and trait anxiety and UPPS-P positive urgency, lack of perseverance and sensation seeking. Regression analyses identified sex (female), trait anxiety, and lack of perseverance as explanatory factors for EmoE, and depression severity score and positive urgency for ExtE.Conclusions: EmoE might be a means of dealing with negative emotions and/or intrusive thoughts, while ExtE might result from a mechanism associated with depression. These results should help to improve patients’ outcomes by defining specific therapeutic targets in psychological interventions.

scholarly journals Effect of SARS-CoV-2 (COVID-19) Pandemic and Lockdown on Body Weight, Maladaptive Eating Habits, Anxiety, and Depression in a Bariatric Surgery Waiting List Cohort

2021 ◽  
Author(s):  
Umberto Albert ◽  
Pasquale Losurdo ◽  
Alessia Leschiutta ◽  
Serena Macchi ◽  
Natasa Samardzic ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Eating Behaviors ◽  
Eating Habits ◽  
Depression Scale ◽  
Food Habit ◽  
World Health ◽  
Anxiety And Depression ◽  
Considerable Proportion ◽  
Obesity Class ◽  
Maladaptive Eating

Abstract Purpose On January 30, 2020, the World Health Organization declared COVID-19 as a “public health emergency of international concern.” The primary aim of the study was to evaluate weight and food habit changes during COVID-19 outbreak. The secondary endpoint was to explore the psychological factors, arising during the pandemic, influencing weight and dietary variations. Materials and Methods A survey composed of four different items was conducted by telephone interview: (1) anthropometric data and type of procedure, (2) Hospital Anxiety and Depression Scale (HADS), (3) maladaptive eating behaviors, and (4) personal feelings moved by the COVID-19 spread and lockdown. Results Fifty-six patients were enrolled. No significant changes in weight, BMI, and maladaptive eating habits were observed. A significant reduction in the anxiety index score was observed. In 17.8% of cases, a change in obesity class was reported, and among these patients, a substantial modification in bariatric procedures was planned (60%). Conclusion This study showed no effect on weight and BMI nor on rates of maladaptive eating habits associated with quarantine/social isolation among severely obese individuals waiting for the bariatric surgery. At the end of lockdown, a considerable proportion of patients modified their initial obesity class, and in selected cases, it could represent a criteria for rearrangement of the planned bariatric procedure. In obese patients, the lockdown and social distancing generated a reduction of fear of confronting and being negatively judged by others. This psychological aspect was assessed with the reduction of the HADS score.

scholarly journals Eating behaviors and weight loss outcomes in a 12-month randomized trial of diet and/or exercise intervention in postmenopausal women

2019 ◽  
Vol 16 (1) ◽  
Author(s):  
Caitlin Mason ◽  
Jean de Dieu Tapsoba ◽  
Catherine Duggan ◽  
Ching-Yun Wang ◽  
Catherine M. Alfano ◽  
...  
Keyword(s):  
Weight Loss ◽  
Binge Eating ◽  
Postmenopausal Women ◽  
Eating Behavior ◽  
Emotional Eating ◽  
Eating Behaviors ◽  
Dietary Intervention ◽  
Restrained Eating ◽  
Dietary Weight Loss ◽  
Uncontrolled Eating

Abstract Background Certain eating behaviors are common among women with obesity. Whether these behaviors influence outcomes in weight loss programs, and whether such programs affect eating behaviors, is unclear. Methods Our aim was to examine the effect of baseline eating behaviors on intervention adherence and weight among postmenopausal women with overweight or obesity, and to assess intervention effects on eating behaviors. Four hundred and 39 women (BMI ≥25 kg/m2) were randomized to 12 months of: i) dietary weight loss with a 10% weight loss goal (‘diet’; n = 118); ii) moderate-to-vigorous intensity aerobic exercise for 225 mins/week (‘exercise’; n = 117); iii) combined dietary weight loss and exercise (‘diet + exercise’; n = 117); or iv) no-lifestyle change control (n = 87). At baseline and 12 months, restrained eating, uncontrolled eating, emotional eating and binge eating were measured by questionnaire; weight and body composition were assessed. The mean change in eating behavior scores and weight between baseline and 12 months in the diet, exercise, and diet + exercise arms were each compared to controls using the generalized estimating equation (GEE) modification of linear regression adjusted for age, baseline BMI, and race/ethnicity. Results Baseline restrained eating was positively associated with change in total calories and calories from fat during the dietary intervention but not with other measures of adherence. Higher baseline restrained eating was associated with greater 12-month reductions in weight, waist circumference, body fat and lean mass. Women randomized to dietary intervention had significant reductions in binge eating (− 23.7%, p = 0.005 vs. control), uncontrolled eating (− 24.3%, p < 0.001 vs. control), and emotional eating (− 31.7%, p < 0.001 vs. control) scores, and a significant increase in restrained eating (+ 60.6%, p < 0.001 vs. control); women randomized to diet + exercise reported less uncontrolled eating (− 26.0%, p < 0.001 vs. control) and emotional eating (− 22.0%, p = 0.004 vs. control), and increased restrained eating (+ 41.4%, p < 0.001 vs. control). Women randomized to exercise alone had no significant change in eating behavior scores compared to controls. Conclusions A dietary weight loss intervention helped women modify eating behaviors. Future research should investigate optimal behavioral weight loss interventions for women with both disordered eating and obesity. Trial registration NCT00470119 (https://clinicaltrials.gov). Retrospectively registered May 7, 2007.

The presence of maladaptive eating behaviors after bariatric surgery in a cross sectional study: Importance of picking or nibbling on weight regain

2014 ◽  
Vol 15 (4) ◽  
pp. 558-562 ◽  
Author(s):  
Eva Conceição ◽  
James E. Mitchell ◽  
Ana R. Vaz ◽  
Ana P. Bastos ◽  
Sofia Ramalho ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Weight Regain ◽  
Eating Behaviors ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Maladaptive Eating

Emotional Eating in Eating Disorders and Obesity: Sensorial, Hormonal and Brain Factors Involved

2017 ◽  
Vol 41 (S1) ◽  
pp. S36-S36
Author(s):  
F. Fernandez-Aranda ◽  
T. Steward ◽  
N. Mallorqui-Bague ◽  
Z. Agüera ◽  
S. Jimenez-Murcia
Keyword(s):  
Eating Disorders ◽  
Emotional Eating ◽  
Food Preferences ◽  
Reward Processing ◽  
Phenotypic Traits ◽  
Cross Sectional ◽  
Meal Timing ◽  
Eating Styles ◽  
Competing Interest ◽  
Maladaptive Eating

Obesity (OB) and eating disorders (ED) are two complex weight/eating conditions that share phenotypic traits, including psychopathological variables, specific environmental risk factors and biological vulnerabilities. Both OB and ED are associated with maladaptive eating styles that may be relevant to their development and maintenance. In abnormal/excessive eating behavior, a complex interplay among physiological, sensorial, psychological, social and genetic factors influence appetite, meal timing, and the quantity of food intake and food preferences. Neurobiological functioning has also been found to be altered in extreme weight conditions, namely with regards to reward processing, emotion regulation and decision making. In this presentation we will discuss the relevance of such components as well their interaction using findings from cross-sectional and longitudinal studies conducted in extreme eating/weight conditions, when compared with healthy controls. The development of innovative treatments considering neurobiological factors will also be covered.AcknowledgmentResearchers supported by FIS (PI14/290) and CIBEROBN from ISCIII. Spain.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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