Mental Healthcare Utilization in Patients Seeking Bariatric Surgery: The Role of Attachment Behavior

Aarts, Floor; Hinnen, Chris; Gerdes, Victor E. A.; Brandjes, Dees P. M.; Geenen, Rinie

doi:10.1089/bari.2013.0002

Cited by 3 publications

(2 citation statements)

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“…All but one study used valid and reliable methods of data collection. This study was given a poorer rating for this criterion as the researchers generated their own questions regarding mental healthcare utilisation behaviour and this was not assessed for validity or reliability (Aarts et al, 2013). It should be noted that while rated favourably for their primary data collection methods, two studies (Harrington, 2008;Pratt et al, 2016) reported using selfreported weight measurements from the participants which are subject to bias and inaccuracy as participants are likely to misreport their weight.…”

Section: Quality Assessmentmentioning

confidence: 99%

The influence of attachment orientation on weight loss, eating behaviour and other health outcomes among patients undergoing bariatric surgery: A scoping review

et al. 2020

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Attachment orientation is a psychological factor concerning our expectations of ourselves and others in interpersonal relationships. An emerging literature has suggested that attachment orientation may influence a range of outcomes associated with bariatric surgery. The purpose of this systematic scoping review was to map the literature and examine the role of attachment orientation in the context of bariatric surgery. Studies conducted with patients who are undergoing or have undergone bariatric surgery, with a measure of attachment orientation and published by 21 st July 2019, were located through electronic searches 35 including Scopus, PubMed and Web of Science. 21180 studies were identified, of which 18 36 were retained for narrative synthesis. The major outcome themes reported were (1) post-37 surgery weight-loss/ body mass index (k = 10), (2) eating behaviour (k = 9), (3) attachment 38 orientation differences in bariatric surgery patients compared with control groups (k = 4) and 39 4) other mental and physical health outcomes (k = 12). Overall, the results showed that there was little evidence to suggest that poor attachment orientation is predictor of weight-loss following surgery. There was evidence to suggest that poorer attachment orientation relates to poorer eating behaviours both before and after surgery, that patients undergoing bariatric surgery are more likely to have a poorer attachment orientation and attachment orientation is related to mental health outcomes but not physical health outcomes for patients. However, where relationships were identified, there were considerable inconsistencies regarding the dimension of attachment orientation that drove the relationship. Future studies should consider appropriate sample sizes for studies, replication of key findings and longer durations for longitudinal studies.

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Section: Quality Assessmentmentioning

confidence: 99%

The influence of attachment orientation on weight loss, eating behaviour and other health outcomes among patients undergoing bariatric surgery: A scoping review

et al. 2020

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“…Furthermore, attachment anxiety has been found to be associated with mental healthcare utilization in patients seeking bariatric surgery. 16 In addition, in a study by Sockalingam et al, an association between attachment avoidance and poor mental health quality of life was observed. 17 It is as yet unknown whether attachment representations might impact the postoperative level and course of quality of life.…”

mentioning

confidence: 94%

The Significance of Attachment Representations for Quality of Life One Year Following Gastric Bypass Surgery: A Longitudinal Analysis

Aarts

Hinnen

Gerdes

et al. 2014

Bariatric Surgical Practice and Patient Care

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Background: Quality of life after bariatric surgery may, among other things, depend on patients' attachment representations such as anxiety about rejection and abandonment (attachment anxiety) and avoidance of intimacy and interdependence (attachment avoidance). The aim of this study was to examine whether attachment representations, independent of body mass index (BMI), are associated with the level and course of physical functioning and mental well-being after gastric bypass surgery. Method: A total of 131 patients applying for a Roux-en-Y gastric bypass operation agreed to participate in this longitudinal study. Patients' attachment representations (ECR-R) were measured before surgery, and quality of life dimensions (physical functioning and mental well-being, SF-36) were measured before surgery and 1, 3, 6, and 12 months following surgery. Linear mixed effect models were used in analyses. Results: Physical functioning (p < 0.001) improved, and mental well-being worsened (p = 0.002) in the postoperative interval. Both attachment anxiety (p = 0.005) and attachment avoidance (p < 0.001) were associated with a lower level of mental well-being, but not with the postoperative course of quality of life. Conclusions: Our study suggests that bariatric surgery leads to improvement in physical functioning but not mental well-being. Results highlight that patients with insecure attachment representations should be protected against unrealistic expectations regarding improvement of mental well-being after surgery.

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The Role of Attachment in Body Weight and Weight Loss in Bariatric Patients

Nancarrow

Hollywood²,

Ogden

et al. 2017

OBES SURG

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PurposeThe aim of this study is to explore the role of attachment styles in obesity.Material and MethodsThe present study explored differences in insecure attachment styles between an obese sample waiting for bariatric surgery (n = 195) and an age, sex and height matched normal weight control group (n = 195). It then explored the role of attachment styles in predicting change in BMI 1 year post bariatric surgery (n = 143). ResultsThe bariatric group reported significantly higher levels of anxious attachment and lower levels of avoidant attachment than the control non-obese group. Baseline attachment styles did not, however, predict change in BMI post surgery.ConclusionAttachment style is different in those that are already obese from those who are not. Attachment was not related to weight loss post surgery.

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Mental Healthcare Utilization in Patients Seeking Bariatric Surgery: The Role of Attachment Behavior

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Cited by 3 publications

References 33 publications

The influence of attachment orientation on weight loss, eating behaviour and other health outcomes among patients undergoing bariatric surgery: A scoping review

The influence of attachment orientation on weight loss, eating behaviour and other health outcomes among patients undergoing bariatric surgery: A scoping review

The Significance of Attachment Representations for Quality of Life One Year Following Gastric Bypass Surgery: A Longitudinal Analysis

The Role of Attachment in Body Weight and Weight Loss in Bariatric Patients

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