Identifying prebariatric subtypes based on temperament traits, emotion dysregulation, and disinhibited eating: A latent profile analysis

Schäfer, Lisa; Hübner, Claudia; Carus, Thomas; Herbig, B.; Seyfried, Florian; Kaiser, Stefan; Schütz, Tatjana; Dietrich, Arne; Hilbert, Anja

doi:10.1002/eat.22760

Cited by 20 publications

(17 citation statements)

References 61 publications

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“…Relatedly, self-reported emotion regulation difficulties covering, for example, difficulties engaging in goal-directed behavior and impulse control ( 59 ) were associated with deficient decision making in the present sample. This result goes in line with previous evidence demonstrating robust associations between greater impulsivity and emotion dysregulation in individuals with severe obesity ( 75 ). Contrasting expectations, lower CLT performance was not related to higher levels of eating disorder psychopathology in the present sample.…”

Section: Discussionsupporting

confidence: 92%

The Cards and Lottery Task: Validation of a New Paradigm Assessing Decision Making Under Risk in Individuals With Severe Obesity

et al. 2020

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was significantly associated with general, but not eating disorder psychopathology. The CLT showed moderate test-retest reliability after one year in weight-stable individuals and was sensitive to change in those undergoing obesity surgery. Conclusions: This study identified the CLT to be a highly promising, new complex measure of short-and long-term decision making with good reliability and validity in individuals with severe obesity. Future studies should assess its association with the IGT and predictive value for real-life health behavior.

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Section: Discussionsupporting

confidence: 92%

The Cards and Lottery Task: Validation of a New Paradigm Assessing Decision Making Under Risk in Individuals With Severe Obesity

et al. 2020

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“…Specific aspects of emotion dysregulation, such as a lowered tendency to act with emotional awareness ( 58 ), difficulty identifying emotions ( 59 ), and limited access to emotion regulation strategies ( 60 ) have been implicated. A high prevalence of emotion dysregulation in pre-surgery bariatric patients has been shown ( 61 ), and pre-surgery maladaptive eating was in one study initiated by both avoidance (of negative affect) and approach (reward sensitivity) behaviors ( 62 ). More, emotion dysregulation fully mediated the associations between emotional eating as well as eating in the absence of hunger in another study of bariatric surgery candidates ( 63 ).…”

Section: Emotion Dysregulationmentioning

confidence: 99%

The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology

et al. 2020

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Ranked highly in its association with serious medical comorbidities, obesity, a rapidly growing epidemic worldwide, poses a significant socioeconomic burden. While bariatric procedures offer the most efficacious treatment for weight loss, a subset of patients risk weight recidivism. Due to the heterogeneity of obesity, it is likely that there are phenotypes or subgroups of patients that require evidence-based psychological support to produce more sustainable outcomes. So far, however, characteristics of patients have not led to a personalized treatment algorithm for bariatric surgery. Maintenance of weight loss following bariatric surgery requires long-term modification of eating behaviors and physical activity. A recent Clinical Obesity Maintenance Model (COMM) proposed a conceptual framework of salient constructs, including the role of habit, behavioral clusters, emotion dysregulation, mood, health literacy, and executive function as interconnected drivers of obesity maintaining behaviors relevant to the field of bariatric psychology. The primary aim of this concise review is to bring together emerging findings from experimental and epidemiological studies relating to the COMM constructs that may inform the assessment and follow up of bariatric surgery. We also aim to explain the phenotypes that need to be understood and screened prior to bariatric surgery to enable better pre-surgery intervention and optimum post-surgery response.

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“…LPA is a person-centered statistical method that classifies individuals into more homogeneous groups based on their similarities on a set of variables. In the eating behavior and ED field, LPA has been utilized by several researchers (e.g., Bourdier et al, 2018;Caroleo et al, 2018;Schäfer et al, 2017;Turner et al, 2014;Wade, Crosby, & Martin, 2006). Recently, Bourdier et al (2018) also used LPA to investigate the phenotypes of positive and negative EE based on the items in the Emotional Appetite Questionnaire (EMAQ).…”

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confidence: 99%

Investigating phenotypes of emotional eating based on weight categories: A latent profile analysis

Sultson

Akkermann

2019

Intl J Eating Disorders

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Objective We aimed to investigate the phenotypes of individuals with emotional eating (EE) based on their levels of positive and negative EE, body mass index (BMI), and preoccupation with weight, and to assess differences in eating pathology and emotion regulation (ER) difficulties among them. Method A community sample of 605 women (mean age = 29.8 years, SD = 9.6; mean BMI = 23.4 kg/m2, SD = 4.7) filled out the Positive–Negative Emotional Eating Scale, Eating Disorders Assessment Scale, and Difficulties in Emotion Regulation Scale. Data of BMI, positive EE, negative EE, and preoccupation with body weight were submitted to a latent profile analysis. Results A four‐profile model was discovered with normal weight individuals without EE (63%), normal weight individuals with EE (23%), overweight individuals without EE (9%), and obese individuals with EE (5%). A five‐profile model was also included, as a class of normal weight individuals with positive EE was found. Obese and normal weight individuals with EE showed the highest level of ER difficulties and eating pathology. Overweight individuals without EE showed moderate levels of eating pathology and low levels of ER difficulties, suggesting that high BMI itself might not be related to eating disorder (ED) psychopathology. Normal weight individuals with positive EE showed low levels of eating pathology, but moderate levels of ER difficulties. Discussion Our results suggest that negative EE could be an important risk factor for disordered eating, independent of BMI. Further, individuals with EE could benefit from learning adaptive ER strategies to prevent the onset or maintenance of ED or weight gain.

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Identifying prebariatric subtypes based on temperament traits, emotion dysregulation, and disinhibited eating: A latent profile analysis

Cited by 20 publications

References 61 publications

The Cards and Lottery Task: Validation of a New Paradigm Assessing Decision Making Under Risk in Individuals With Severe Obesity

The Cards and Lottery Task: Validation of a New Paradigm Assessing Decision Making Under Risk in Individuals With Severe Obesity

The Clinical Obesity Maintenance Model: A Theoretical Framework for Bariatric Psychology

Investigating phenotypes of emotional eating based on weight categories: A latent profile analysis

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