Contributions of Emotional Overload, Emotion Dysregulation, and Impulsivity to Eating Patterns in Obese Patients with Binge Eating Disorder and Seeking Bariatric Surgery

Background: Binge eating disorder (BED) is very frequently observed in patients considered for weight loss surgery and seems to influence their outcome critically. Literature highlights a global emotional overload in individuals with BED, but little is known on the mechanisms involved. The present study aimed to focus on emotion regulation, impulsivity, depression, and anxiety in people with and without BED and fulfilling inclusion criteria for bariatric surgery. Doing so, we sought to individualize factors related to BED. Then, we examined the contribution of depression, anxiety, emotion regulation difficulties, and impulsivity to inappropriate eating behaviors observed in patients with BED. Methods: A sample of 121 individuals (79.3% female, mean age: 40.82 ± 9.26, mean current body mass index (BMI): 44.92 kg/m2 ± 7.55) seeking bariatric surgery were recruited at the Champagne Ardenne Specialized Center in Obesity in Reims, France from November 2017 to October 2018. They were stratified as with or without BED according to the binge eating scale. Characteristics identified in univariate analyses as differentiating the two groups were then included in multivariable analyses. Results: Multivariable analyses showed that limited access to emotional regulation strategies was significantly associated with BED. Furthermore, inappropriate eating behaviors were independently associated with age, depression severity, anxiety, emotional dysregulation, and impulsivity in BED group. Conclusions: The present findings are indicative of an association between emotion deficit and BED in obese patients seeking bariatric surgery. Patients with BED could benefit from the addition of an emotion regulation intervention.

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Treatment of binge eating disorder in racially and ethnically diverse obese patients in primary care: Randomized placebo-controlled clinical trial of self-help and medication

Behaviour Research and Therapy ◽

10.1016/j.brat.2014.04.002 ◽

2014 ◽

Vol 58 ◽

pp. 1-9 ◽

Cited By ~ 31

Author(s):

Carlos M. Grilo ◽

Robin M. Masheb ◽

Marney A. White ◽

Ralitza Gueorguieva ◽

Rachel D. Barnes ◽

...

Keyword(s):

Primary Care ◽

Clinical Trial ◽

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Ethnically Diverse ◽

Controlled Clinical Trial ◽

Obese Patients ◽

Self Help

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Acceptance and Efficacy of a Guided Internet Self-Help Treatment Program for Obese Patients with Binge Eating Disorder

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901107010008 ◽

2011 ◽

Vol 7 (1) ◽

pp. 8-18 ◽

Cited By ~ 30

Author(s):

Carrard Isabelle

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Treatment Program ◽

Binge Eating Disorder ◽

Obese Patients ◽

Self Help

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Nibbling and picking in obese patients with Binge Eating Disorder

Eating Behaviors ◽

10.1016/j.eatbeh.2013.07.001 ◽

2013 ◽

Vol 14 (4) ◽

pp. 424-427 ◽

Cited By ~ 13

Author(s):

Robin M. Masheb ◽

Christina A. Roberto ◽

Marney A. White

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Obese Patients

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Association between binge eating disorder and psychiatric comorbidity profiles in patients with obesity seeking bariatric surgery

Comprehensive Psychiatry ◽

10.1016/j.comppsych.2018.09.004 ◽

2018 ◽

Vol 87 ◽

pp. 79-83 ◽

Cited By ~ 2

Author(s):

Virginie Borgès Da Silva ◽

Roxane Borgès Da Silva ◽

Alexandre Prud'homme ◽

Pierre Campan ◽

Jean Michel Azorin ◽

...

Keyword(s):

Bariatric Surgery ◽

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Psychiatric Comorbidity

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Eating Disorders

The Guide to Interpersonal Psychotherapy ◽

10.1093/med-psych/9780190662592.003.0020 ◽

2017 ◽

pp. 179-186

Author(s):

Myrna M. Weissman ◽

John C. Markowitz ◽

Gerald L. Klerman

Keyword(s):

Eating Disorders ◽

Anorexia Nervosa ◽

Eating Disorder ◽

Bulimia Nervosa ◽

Binge Eating ◽

Binge Eating Disorder ◽

Eating Behaviors ◽

Negative Mood ◽

Few Data ◽

Maladaptive Eating

This chapter provides an overview of the use of IPT for patients with eating disorders. The most common eating disorders are anorexia nervosa, bulimia nervosa, and binge eating disorder. The chapter discusses the adaptations of IPT that have been used for the treatment of eating disorders and evaluates their performance in research studies. The assumption for testing IPT with eating disorders is that they occur in response to distress at poor social and interpersonal functioning and consequent negative mood, to which the patient responds with maladaptive eating behaviors. For anorexia nervosa, few data provide evidence for the benefit of IPT. For bulimia and binge eating disorder, however, IPT is considered a viable option for treatment and is recommended in numerous guidelines. A case example of a woman with bulimia nervosa is provided.

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An Open-Label Trial of Sibutramine in Obese Patients With Binge-Eating Disorder

The Journal of Clinical Psychiatry ◽

10.4088/jcp.v63n0106 ◽

2002 ◽

Vol 63 (1) ◽

pp. 28-30 ◽

Cited By ~ 42

Author(s):

Jose C. Appolinario ◽

Amelio Godoy-Matos ◽

Leonardo F. Fontenelle ◽

Lucia Carraro ◽

Monica Cabral ◽

...

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Obese Patients ◽

Open Label ◽

Open Label Trial

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BARIATRIC SURGERY AND BINGE EATING DISORDER: SHOULD SURGEONS CARE ABOUT IT? A LITERATURE REVIEW OF PREVALENCE AND ASSESSMENT TOOLS

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.201900000-10 ◽

2019 ◽

Vol 56 (1) ◽

pp. 55-60 ◽

Cited By ~ 6

Author(s):

Beatriz H TESS ◽

Letícia MAXIMIANO-FERREIRA ◽

Denis PAJECKI ◽

Yuan-Pang WANG

Keyword(s):

Bariatric Surgery ◽

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Current Knowledge ◽

Data Extraction ◽

Patient Characteristics ◽

Assessment Tools ◽

Clinical Interviews ◽

Study Heterogeneity

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.

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