Psychometric Evaluation of Disordered Eating Measures in Bariatric Surgery Candidates

Parker, Katrina; Mitchell, Sarah; O'Brien, Paul Edmond; Brennan, Leah

doi:10.1007/s11695-015-1780-x

Cited by 40 publications

(65 citation statements)

References 52 publications

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“…Similar to previous research, the current study did not find any other baseline variable that could predict weight loss. 49 Contrary to results of other studies, our findings did not indicate that pre-surgery depression was predictive of weight outcomes or QoL. 4,50,51 Overall, our findings support previous reports that highlighted the need to identify and provide relevant treatment for binge eating in the bariatric population.…”

Section: Discussioncontrasting

confidence: 53%

“…QEWP-R assesses behavioral components of problematic eating patterns other than binge eating. 49 Agreement between PHQ-Binge, QEWP-R and VA-BES remains to be further examined to clarify if PHQ-Binge would be valid in screening problematic eating patterns in addition to binge-eating symptoms. Both QoL measures M-A QoLQII and RAND 36 were significantly correlated on most measures, but had nil agreement.…”

Section: Discussionmentioning

confidence: 99%

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Agreement of screening tools with established questionnaires used in psychological assessment of bariatric patients

Lew

Zainal

2018

Proceedings of Singapore Healthcare

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Background: Depression and binge eating contributes to less weight loss after bariatric surgery. The lack of standardized assessment of depression and binge eating in bariatric patients makes it hard to identify and provide treatment to relevant patients. This study aimed to enhance the accuracy of identifying binge eating and depression in bariatric patients before surgery. We determined the agreement of brief screening tools for depression, binge eating and quality of life with established questionnaires used in psychological assessment of bariatric patients. Methods: In total, 120 patients completed both screening tools and established questionnaires before surgery during their psychological assessment sessions. Cohen's kappa was conducted to determine whether Patient Health Questionnaire-2 agreed with the Beck Depression Inventory II in identifying depression; and if Patient Health Questionnaire-Binge agreed with the Binge Eating Scale in identifying binge eating. To investigate the degree of agreeableness between the RAND 36-Item Health Survey and Moorehead-Ardelt Quality of Life Questionnaire II on quality of life, Bland Altman analysis was performed. Results: Our results show that agreement between Patient Health Questionnaire-2 and Beck Depression Inventory II (k=0.35) was fair. We found that agreement between Patient Health Questionnaire-Binge and Binge Eating Scale (k=0.41) was moderate. Conclusions: These results indicate that the respective brief instruments' identification of depression and binge eating is comparable to established questionnaires. Our results play a role in offering brief screening tools to be included at different points of assessment, together with established questionnaires and clinical interviews for a more accurate and comprehensive assessment.

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Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Agreement of screening tools with established questionnaires used in psychological assessment of bariatric patients

Lew

Zainal

2018

Proceedings of Singapore Healthcare

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“…Providing the estimated differences with confidence intervals allows the reader to determine the potential strength of any relationship. While the use of the original four‐factor structure of the EDE‐Q has been challenged, there is currently no consensus on an improved factor model .…”

Section: Discussionmentioning

confidence: 99%

Self‐monitoring has no adverse effect on disordered eating in adults seeking treatment for obesity

Jospe

Brown

Williams

et al. 2018

Obesity Science & Practice

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SummaryObjectivesAlthough monitoring is considered a key component of effective behaviour change, the development of apps has allowed consumers to constantly evaluate their own diet, with little examination of what this might mean for eating behaviour. The aim of this study was to investigate whether self‐monitoring of diet using the app MyFitnessPal or daily self‐weighing increases the reported occurrence of eating disorders in adults with overweight/obesity following a weight loss programme.MethodsTwo hundred fifty adults with body mass index ≥ 27 kg/m2 received diet and exercise advice and were randomized to one of four monitoring strategies (daily self‐weighing, MyFitnessPal, brief monthly consults or self‐monitoring hunger) or control for 12 months. The Eating Disorder Examination Questionnaire 6.0 was used to assess eating disorder symptoms and behaviours for the previous 28 d at 0 and 12 months.ResultsThere were no significant differences in the global Eating Disorder Examination Questionnaire score or the subscales between those in the four monitoring groups and the control at 12 months (all p ≥ 0.164), nor were there differences in binge eating, self‐induced vomiting, laxative misuse or excessive exercise at 12 months (p ≥ 0.202). The overall prevalence of one or more episodes of binge eating was 53.6% at baseline and 50.6% at 12 months, with no change over time (p = 0.662).ConclusionsThere was no evidence that self‐monitoring, including using diet apps like MyFitnessPal or daily self‐weighing, increases the reported occurrence of eating disorder behaviours in adults with overweight/obesity who are trying to lose weight.

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“…Picking and nibbling behaviours also seem to occur more often after bariatric surgery (Conceição et al , ). Parker and colleagues suggest the use of a revised version of the EDE‐Q with a distinct factor structure that has been found to have an improved internal consistency in a bariatric population (Parker, Mitchell, O'Brien, & Brennan, ). It is also noteworthy that the weight concern scale in our sample had a poor reliability, and therefore the results should be interpreted with caution.…”

Section: Discussionmentioning

confidence: 99%

Subtypes of Personality and ‘Locus of Control’ in Bariatric Patients and their Effect on Weight Loss, Eating Disorder and Depressive Symptoms, and Quality of Life

Peterhänsel

Linde

Wagner

et al. 2017

Euro Eating Disorders Rev

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The present study subdivided personality types in a bariatric sample and investigated their impact on weight loss and psychopathology 6 and 12 months after surgery. One hundred thirty participants answered questionnaires on personality (NEO-FFI), 'locus of control' (IPC), depression severity (BDI-II), eating disorder psychopathology (EDE-Q), and health-related quality of life (HRQoL; SF-12). K-means cluster analyses were used to identify subtypes. Two subtypes emerged: an 'emotionally dysregulated/undercontrolled' cluster defined by high neuroticism and external orientation and a 'resilient/high functioning' cluster with the reverse pattern. Prior to surgery, the first subtype reported more eating disorder and depressive symptoms and less HRQoL. Differences persisted regarding depression and mental HRQoL until 12 months after surgery, except in the areas weight loss and eating disorders. Personality seems to influence the improvement or maintenance of psychiatric symptoms after bariatric surgery. Future research could elucidate whether adapted treatment programmes could have an influence on the improvement of procedure outcomes. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

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Psychometric Evaluation of Disordered Eating Measures in Bariatric Surgery Candidates

Cited by 40 publications

References 52 publications

Agreement of screening tools with established questionnaires used in psychological assessment of bariatric patients

Agreement of screening tools with established questionnaires used in psychological assessment of bariatric patients

Self‐monitoring has no adverse effect on disordered eating in adults seeking treatment for obesity

Subtypes of Personality and ‘Locus of Control’ in Bariatric Patients and their Effect on Weight Loss, Eating Disorder and Depressive Symptoms, and Quality of Life

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