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

Smith, Caitlin E.; Hawkins, Misty A.W.; Williams-Kerver, Gail A.; Duncan, Jennifer G.

doi:10.1016/j.soard.2019.12.017

Cited by 17 publications

(13 citation statements)

References 45 publications

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“…Further replicating previous findings on the relation between depressive symptoms and BED and obesity [84,85], we found that BDI scores of OB-BED patients exceeded those of OB, which exceeded those of controls. Interestingly, and although previous studies associated high BDI scores and depressed moods specifically with BED [21,22], the LDA suggests a linear transition from healthy controls to OB and OB-BED groups with increasing levels of depression.…”

Section: General Psychopathologysupporting

confidence: 89%

Two of a Kind? Mapping the Psychopathological Space between Obesity with and without Binge Eating Disorder

et al. 2021

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(1) Background: Obesity (OB) is a frequent co-morbidity in Binge Eating Disorder (BED), suggesting that both conditions share phenotypical features along a spectrum of eating-related behaviors. However, the evidence is inconsistent. This study aimed to comprehensively compare OB-BED patients against OB individuals without BED and healthy, normal-weight controls in general psychopathological features, eating-related phenotypes, and early life experiences. (2) Methods: OB-BED patients (n = 37), OB individuals (n = 50), and controls (n = 44) completed a battery of standardized questionnaires. Responses were analyzed using univariate comparisons and dimensionality reduction techniques (linear discriminant analysis, LDA). (3) Results: OB-BED patients showed the highest scores across assessments (e.g., depression, emotional and stress eating, food cravings, food addiction). OB-BED patients did not differ from OB individuals in terms of childhood traumatization or attachment styles. The LDA revealed a two-dimensional solution that distinguished controls from OB and OB-BED in terms of increasing problematic eating behaviors and attitudes, depression, and childhood adversities, as well as OB-BED from OB groups in terms of emotional eating tendencies and self-regulation impairments. (4) Conclusions: Findings support the idea of a shared spectrum of eating-related disorders but also highlight important distinctions relevant to identifying and treating BED in obese patients.

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Section: General Psychopathologysupporting

confidence: 89%

Two of a Kind? Mapping the Psychopathological Space between Obesity with and without Binge Eating Disorder

et al. 2021

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“…A study conducted in 2020 with 345 volunteers involving the administration of the Beck Depression Inventory found that those who reported atypical depressive symptoms were 10.1-fold more likely to report clinically significant binge eating severity. The study also reported that candidates for bariatric surgery who reported atypical depressive symptoms were at greater risk of a diagnosis of BED and a greater severity of the disorder [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

Binge eating, depressive symptoms and suicidal ideation in obese candidates for bariatric surgery

et al. 2023

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Purpose The aim of the present study was to determine possible associations between binge eating, depressive symptoms and suicidal ideation in obese candidates for bariatric surgery. Methods A cross-sectional study was conducted with 254 obese patients recruited from the general surgery service for bariatric procedures at the hospital affiliated with the Federal University of Pernambuco, Brazil. Evaluations were performed using the Binge Eating Scale (BES), Beck Depression Inventory, Beck Scale for Suicidal Ideation (BSSI) and a questionnaire addressing sociodemographic characteristics. Results Most patients were women (82%), 48% had a moderate binge eating disorder, 42% a severe binge eating disorder, 32% had symptoms suggestive of mild, moderate or severe depression and 6% had suicidal ideation. Severe binge eating was positively associated with depressive symptoms (p < 0.001) and suicidal ideation (p < 0.05). Cases of severe binge eating were more frequent in young adults, but not necessarily associated with symptoms of depression or suicidal ideation in this portion of the sample. Conclusions The present findings underscore the need for psychological and psychiatric follow-up of obese candidates for bariatric surgery using appropriate assessment scales to guide therapeutic approaches. Level III Evidence obtained from cross-sectional study.

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“…For patients undergoing elective surgery, psychological and emotional disorders are the mental and emotional disorders with high incidence rates during the perioperative period, especially depression and anxiety. The incidence rate of depression during the perioperative period is approximately 60%, 1,2 and the incidence rate of anxiety is approximately 15%. 3,4 Postoperative depression and anxiety not only directly reduce the patient's emotional level but also significantly affect the patient's sleep quality and rehabilitation status and even prolong the hospital stay.…”

Section: Introductionmentioning

confidence: 99%

“…In this study, the incidence rate of postoperative depression in the control group reached 51%, which was close to those reported in previous studies. 1,36 The incidence rate of postoperative depression after cesarean section is usually between 13.7% and 15.7%. 37,38 Therefore, the effects of tramadol on postoperative depression in general elective surgery remain unclear.…”

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confidence: 99%

Effects of Intravenous Analgesia Using Tramadol on Postoperative Depression State and Sleep Quality in Women Undergoing Abdominal Endoscopic Surgery: A Randomized Controlled Trial

Fu¹,

Chen²,

Xu³

et al. 2022

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This study aimed to explore the effects of intravenous analgesia using tramadol on postoperative depression, anxiety, and sleep in women undergoing abdominal endoscopic surgery. Patients and Methods: Two hundred female patients (100 in each group) who underwent abdominal endoscopic surgery were recruited to randomly receive intravenous analgesia with sufentanil combined with tramadol (tramadol group) or sufentanil (control group). The primary outcome was the incidence of postoperative depression, which was assessed at 1, 2, and 3 days after surgery using the 13-item Beck Depression Inventory. The secondary outcomes were the incidence of anxiety and sleep quality, which were assessed using the 20-item Self-Rating Anxiety Scale and Richards-Campbell Sleep Questionnaire. Results: The incidence of depression (Beck depression scale≥4) during the 3-day follow-up in the control group was 51%, which was significantly higher than that in the tramadol group of 28% (relative risk [RR]=0.55; 95% confidence interval [CI], 0.38-0.79; P=0.001). No difference was found in the incidence of anxiety state (Self-Rating Anxiety Scale≥40) between the tramadol and control groups (7%vs 5%; RR=1.40; 95% CI, 0.46-4.25; P=0.552). All of the Richards-Campbell sleep scales of patients in the tramadol group at 1 (77.4±15.2 vs 64.2±20.1, P<0.001), 2 (84.1±14.9 vs 71.8±18.8, P<0.001), and 3 days (87.0±12.2 vs 70.3±21.0, P<0.001) after surgery were higher than those in the control group. Conclusion: Intravenous analgesia using tramadol can effectively improve the postoperative depression and sleep status of women undergoing abdominal endoscopic surgery. Tramadol is recommended for use in postoperative analgesia when improving postoperative mood, and sleep is needed in clinical practice.

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

Cited by 17 publications

References 45 publications

Two of a Kind? Mapping the Psychopathological Space between Obesity with and without Binge Eating Disorder

Two of a Kind? Mapping the Psychopathological Space between Obesity with and without Binge Eating Disorder

Binge eating, depressive symptoms and suicidal ideation in obese candidates for bariatric surgery

Effects of Intravenous Analgesia Using Tramadol on Postoperative Depression State and Sleep Quality in Women Undergoing Abdominal Endoscopic Surgery: A Randomized Controlled Trial

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