Binge Eating Disorder and Related Features in Bariatric Surgery Candidates.

Stefania Cella,Alfredo Allaria,Paolo Cotrufo,Landino Fei,Cristiano Giardiello,Rosa D’Amico

doi:10.1515/med-2019-0043

Stefania Cella, Alfredo Allaria + Show 4 more

Open Access

https://doi.org/10.1515/med-2019-0043

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Abstract

ObjectiveThe present study sought to: 1) assess the prevalence of Binge Eating Disorder (BED) and abnormal eating behaviors in bariatric surgery candidates; 2) compare patients with and without BED as regards to eating disturbances, psychological characteristics, and health status; 3) individuate which factors were significantly related to binge eating severity.MethodsSixty-three preoperative patients (17 males and 46 females) were screened by means of an ad hoc socio-demographic schedule, the Rosenberg Self-Esteem Scale, the Eating Disorders Inventory-3, the Binge Eating Scale, and the General Health Questionnaire-28. BED diagnosis was performed through a clinical interview.ResultsBED and disordered eating, such as episodes of binge eating, sense of lack of control over eating and inappropriate compensatory behaviors, appear common in patients undergoing weight loss surgery. Significant differences between BED and non-BED subjects in relation to eating disturbances and psychological characteristics emerged. Multiple regression analysis revealed that only emotional dys-regulation significantly predicted binge eating vulnerability.ConclusionThe recognition of factors involved in the development and maintenance of disordered eating in bariatric patients may support the choice of particular therapeutic strategies and improve bariatric surgery outcome. Further studies on this issue would be useful.

Highlights

Binge Eating Disorder (BED) is a highly prevalent psychological condition in obese bariatric surgery candidates and is associated with various forms of psychopathology [1], including symptoms of depression and anxiety disorders [2]
The Binge Eating Scale (BES) [22] is a 16-item self-report measure to assess the behavioral as well as the cognitive and emotional symptoms associated with binge eating
The findings of this study show how BED and disordered eating, such as episodes of binge eating, sense of lack of control over eating and inappropriate compensatory behaviors, appear common in patients undergoing for weight loss surgery and are mainly associated with low self-esteem, emotional dysfunction, impulse behaviors, including substance use and self-injury behaviors, self-destructiveness, distress and reticence in social situations

Summary

Introduction

Binge Eating Disorder (BED) is a highly prevalent psychological condition in obese bariatric surgery candidates and is associated with various forms of psychopathology [1], including symptoms of depression and anxiety disorders [2]. BED subjects have been found to report more disturbances in eating attitudes [5, 6], lower self-esteem and higher psychiatric comorbidity, as well as substance abuse disorders [6], when compared to obese patients undergoing bariatric surgery without BED. Riener and colleagues [7] found that patients with BED reported higher scores of disinhibited eating, unsatisfactory relationships and an earlier onset of obesity, usually during childhood, than subjects without this condition. 13% of obese adolescent undergoing bariatric surgery met diagnostic criteria for Eating Disorder (ED) diagnoses and 27% reported a sense of loss of control (LOC) over eating. LOC eating was associated with impairments in weight-related quality of life and on psychosocial factors, such as depressive symptomatology [9]

Results

Discussion

Conclusion