Comparison of Interview to Questionnaire for Assessment of Eating Disorders after Bariatric Surgery

Abstract

The Eating Disorder Examination Interview Bariatric Surgery Version (EDE-BSV) assesses eating pathology after bariatric surgery but requires significant training and time to administer. Consequently, we developed a questionnaire format called the Eating Disorders After Bariatric Surgery Questionnaire (EDABS-Q). This study evaluates the consistency of responsiveness between the two formats. After surgery, 30 patients completed the EDE-BSV and EDABS-Q in a restricted randomized design. Patient reported behavior for each item which was converted to a score following the Eating Disorder Examination-Questionnaire (EDE-Q) scoring scheme. Responses fell into three distributions: (1) dichotomous, (2) ordinal, or (3) unimodal. Distributions of items were not different between the two formats and order did not influence response. Tests of agreement (normal approximation of the binomial test) and association (χ2 analyses on binary data and spearman rank order correlations on ordinal items) were performed. Percent concordance was high across items (63–100%). Agreement was significant in 31 of 41 items (Bonferroni-P < 0.001). Association was significant in 10 of 21 in χ2–appropriate items (Bonferroni-P < 0.002), and the ordinal items had highly significant correlations between formats (Bonferroni-P < 0.0125). The EDABS-Q is an adequate substitute for the EDE-BSV and may be useful for research and clinical evaluation of eating pathology after bariatric surgery.

Stomatognathic System Changes in Obese Patients Undergoing Bariatric Surgery: A Systematic Review

“…The information that suggests that obese patients swallow repeatedly or abnormally is new, with alterations of 50% for swallowing solid consistencies and 25% for swallowing liquid consistencies [ 18 ]. The mucosa that converges in the process of swallowing food is dehydrated [ 4 ]. The swallowing pattern is classified as having low efficiency because of repeated swallowing of the bolus or multiple swallows [ 18 ].…”

“…Obesity has become a 21st century problem, as well as one of the fastest growing health problems worldwide [ 2 , 3 ]. Currently, it is one of the most important and concerning public health conditions, which is why it has become a priority [ 4 ]. According to the Center for Disease Control and Prevention, obesity is defined as “weight above what is adequate or considered healthy given the height of each subject”.…”

“…Historically, bariatric surgery emerged in the United States in the 1950s. It was the pioneering country in the American continent, followed by Brazil, the second country in the world to perform more bariatric surgeries, with approximately 80,000 surgeries per year [ 4 , 14 ]. For this approach, it must be highlighted that a suitable bariatric technique must primarily be very safe; i.e., with a morbidity of <10% and a mortality of <1%.…”