Interpersonal difficulties in obesity: A systematic review and meta-analysis to inform a rejection sensitivity-based model

Albano, Gaia; Rowlands, Katie; Baciadonna, Luigi; Coco, Gianluca Lo; Cardi, Valentina

doi:10.1016/j.neubiorev.2019.09.039

Cited by 31 publications

(32 citation statements)

References 73 publications

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“…Heterosexual men with MO seek to improve their health (Barragán et al., 2018), body image and sexual function (Rowland et al., 2016); failure to lose weight (Sharman et al., 2016) and aesthetic reasons (Bertoletti et al., 2019) explain their commitment to bariatric surgery (Quinn‐Nilas et al, 2016); and as these beliefs may be unrealistic, they can generate frustration (Homer, Tod, Thomson, Allmark, & Goyder, 2016). Inspired by Merleau‐Ponty’s notion of consciousness as embodied, participants confirm that MO may be related to loneliness, stigma and social isolation (Albano et al., 2019; Nath, 2019), moving towards self‐pity (Ramos et al., 2019).…”

Section: Discussionmentioning

confidence: 89%

“…Morbid obesity has been linked to depression, anxiety, low self‐esteem (Taskin, Karakoc, & Demirel, 2019) and body image disorders (Nath, 2019). Furthermore, MO can negatively affect individuals' social relationships (Albano, Rowlands, Baciadonna, Lo Coco, & Cardi, 2019) and sexual health (Rowland et al., 2016; Sfahani & Pal, 2019). Sexuality is a central aspect of human life and includes sex, gender role, sexual orientation, eroticism, pleasure or reproduction and is influenced by biological, psychological, social and cultural factors (WHO, 2006).…”

Section: Introductionmentioning

confidence: 99%

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Sexuality amongst heterosexual men with morbid obesity in a bariatric surgery programme: A qualitative study

Granero‐Molina

Torrente-Sánchez

Ferrer-Márquez

et al. 2020

Journal of Clinical Nursing

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Aim and Objectives: To describe and understand the experiences of sexuality amongst heterosexual men diagnosed with morbid obesity (MO) who are in a bariatric surgery programme. Background: Morbid obesity is a chronic metabolic disease that affects men's physical, psychological and sexual health. Evidence suggests that MO could be linked to anxiety, depression, low self-esteem, sexual life and social disorders. Bariatric surgery is a reliable method for weight loss in patients with MO. Design: This is a qualitative study based on Merleau-Ponty's phenomenology, and the COREQ checklist was employed to report on the current study. Methods: Convenience and purposive sampling was carried out and included 24 indepth interviews with heterosexual men with MO in a bariatric surgery programme between October 2018-March 2019 in Spain. Results: Two main themes emerged from the analysis: (a) a corporality which is judged and condemned; and (b) adapting sexual practices to bariatric surgery. Conclusions: Men with MO reject a body that limits their physical, social and sexual life. A negative body image and low self-esteem, which do not respond to the traditional masculine role or new masculinities, reduce men's self-concept. Men with MO feel rejection, stigma and isolation. Support from their partner is fundamental to adapt. Relevance to clinical practice: The results of the study draw attention to how heterosexual men with MO experience their sexuality in a bariatric surgery programme and the challenges nurses face. Recognising the problem, helping to develop coping strategies or referring to specialists in sexuality could improve the quality of life in patients and their partners.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Sexuality amongst heterosexual men with morbid obesity in a bariatric surgery programme: A qualitative study

Granero‐Molina

Torrente-Sánchez

Ferrer-Márquez

et al. 2020

Journal of Clinical Nursing

View full text Add to dashboard Cite

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“…Social anxiety, poor social support, and interpersonal difficulties were reported also in patients with bulimia nervosa (BN; [ 41 , 48 ]), who also showed reduced performances on the RMET compared to controls [ 47 ]. People with binge-eating disorder (BED) or with eating disorder not otherwise specified (EDNOS) were less often investigated on their performances on the RMET [ 49 , 50 ], although both people with BED [ 51 ], and EDNOS [ 52 ], experience interpersonal difficulties. Moreover, BED and EDNOS displaying disordered eating with binge eating may evolve into obesity [ 53 ].…”

Section: Introductionmentioning

confidence: 99%

Affective cognition in eating disorders: a systematic review and meta-analysis of the performance on the “Reading the Mind in the Eyes” Test

et al. 2022

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Background The Reading the Mind in the Eyes Test (RMET) is listed in the National Institute of Mental Health’s Research Domain Criteria as a tool apt to measure the understanding of others’ mental states. People diagnosed with anorexia nervosa (AN) showed poorer performances on the RMET than healthy controls. Less data are available concerning other eating disorders. Methods Systematic review of four major databases from inception to July 15, 2021 following the PRISMA guidelines. Meta-analysis of cross-sectional observational studies comparing the scores of the RMET between patients with eating disorders and age- and-gender matched control groups. Results Out of 21 studies, we retrieved 29 independent samples of patients diagnosed with an eating disorder. Patients with active AN (n = 580) showed worse performances on the RMET than controls (n = 1019). Year of publication accounted for 61% of the (substantial: I2 = 81%) heterogeneity in the meta-analysis. Earlier studies were more likely to find worse performances on the RMET of patients with active AN than later studies. Patients with bulimia nervosa (n = 185) performed poorly as compared to controls (n = 249), but the results were not statistically significant on the random-effect model. Obese patients with binge-eating disorder (n = 54) did not differ on the RMET from obese controls (n = 52). Patients with eating disorder not otherwise specified (n = 57) showed minimal differences compared to controls (n = 96). Study quality was good in six studies only. Conclusions Patients with eating disorders do not suffer from an impaired understanding of others’ mental states, except for a still-to-be-identified subgroup of patients with active AN. Level of evidence I, systematic review and meta-analysis.

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“…Studies using the Cyberball task to evaluate patients with obesity have demonstrated the possible roles of shame and social isolation in developing and maintaining an over-eating behavior by showing an increase in food intake after being ostracized [ 30 ] as well as the rise of the perceived shame [ 42 ]. A recent meta-analysis has shown that people with obesity report higher interpersonal adversity, higher perceived interpersonal stress, and a lower quality of social life; these findings illustrate the need for psychological interventions targeted toward interpersonal sensitivity [ 2 ]. However, nothing is known about the responses of obesity surgery patients at the Cyberball task.…”

Section: Introductionmentioning

confidence: 99%

The Cyberball task in people after obesity surgery: preliminary evaluation of cognitive effects of social inclusion and exclusion with a laboratory task

et al. 2021

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Background Social cognition and temperamental and interpretative styles could play a role in the outcome of bariatric surgery. This study aims to assess preliminary evidence about how obesity surgery patients evaluate social inclusion and exclusion through a ball-tossing game called Cyberball, looking at the influence of early maladaptive schemas. Methods Thirty-four patients with a history of obesity surgery interventions and 44 controls were recruited for this study. A psychological evaluation was performed before and after the Cyberball task with self-report questionnaires. Results In the ostracism condition, significant differences were seen across all the patients’ fundamental psychological needs with less perceived ostracization (p = 0.001) even if they recognized less interaction via fewer ball tosses than controls. Moreover, the ostracism paradigm resulted in patients experiencing a higher urge to binge (p = 0.010) and a higher urge to restrain (p = 0.012) than controls. Looking at differences due to the Cyberball paradigm applied, clear differences emerged only between controls subgroups at the specific self-report scales applied, corroborating the reduced perception of the exclusion. As evidenced by the schema domains, the study found a connection between the impaired limits-schema domain and the drive to binge. Conclusion The results show that obesity surgery patients reported different effects of the Cyberball task than controls. Different possible interpretations are discussed, and future directions for studies are exposed, both for the evaluation of social interactions effects and in the assessment of the role of specific cognitive schemas. Level of evidence Level III: evidence obtained from well-designed cohort or case–control analytic studies.

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Interpersonal difficulties in obesity: A systematic review and meta-analysis to inform a rejection sensitivity-based model

Cited by 31 publications

References 73 publications

Sexuality amongst heterosexual men with morbid obesity in a bariatric surgery programme: A qualitative study

Sexuality amongst heterosexual men with morbid obesity in a bariatric surgery programme: A qualitative study

Affective cognition in eating disorders: a systematic review and meta-analysis of the performance on the “Reading the Mind in the Eyes” Test

The Cyberball task in people after obesity surgery: preliminary evaluation of cognitive effects of social inclusion and exclusion with a laboratory task

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