The Prognostic Significance of Regular Binge Eating in Extremely Obese Gastric Bypass Patients

White, Marney A.; Masheb, Robin M.; Rothschild, Bruce; Burke-Martindale, Carolyn H.; Grilo, Carlos M.

doi:10.4088/jcp.v67n1213

Cited by 96 publications

(114 citation statements)

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“…In agreement with other studies assessing the effects of maladaptive eating behaviours on weight loss outcome, e.g. Bocchieri-Ricciardi et al, 2006;White, et al, 2006;Powers et al,1999), pre and postoperative BE were unable to significantly predict weight loss at three and six months postoperatively.…”

Section: Discussionsupporting

confidence: 90%

“…Some studies have found that higher preoperative levels of BE predicted poorer weight loss (e.g. Hsu, Sullivan, & Benotti, 1997), whereas others have found no evidence to support this (Bocchieri-Ricciardi et al, 2006;White, Masheb, Rothschild, Burke-Martindale, & Grilo, 2006;Powers, Perez, Boyd, & Rosemurgy, 1999) and some have even found better weight loss outcomes (e.g. Latner & Wilson, 2002).…”

Section: Introductionmentioning

confidence: 99%

“…Latner & Wilson, 2002). In addition, studies have reported that BE behaviours can continue or develop postoperatively affecting weight loss outcome (Hsu, Betancourt & Sullivan,1996;Scholtz, Bidlake, Morgan, Fiennes, El-Etar, & Lacey, 2007) whereas others report a decrease or disappearance following surgery (Powers et al, 1999;White et al, 2006;Colles, Dixon, & O'Brien, 2008). Such conflictions may be the result of methodological issues such as poor study design, measurement error or sampling errors due to problems with sample sizes or may indicate that the role of eating behaviours in individuals undergoing obesity surgery is more complex than first thought.…”

Section: Introductionmentioning

confidence: 99%

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Explaining the role of binge eating behaviour in weight loss post bariatric surgery

Wood

Ogden

2012

Appetite

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Explaining the role of binge eating behaviour in weight loss post bariatric surgery

Wood

Ogden

2012

Appetite

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“…Although some studies have reported only modest convergence with the interview method for this instrument (20,21), these reports and others (22) have noted the utility of the EDE-Q for screening and identifying heightened risk for disordered eating and associated psychological problems. Given the widespread use of the EDE-Q in research with bariatric samples (23)(24)(25)(26)(27), the primary purpose of this study was to evaluate the factor structure and construct validity of the EDE-Q in a large sample of bariatric surgery candidates.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Evaluation of the Eating Disorder Examination-Questionnaire for Bariatric Surgery Candidates

Hrabosky¹,

White²,

Masheb³

et al. 2008

Obesity

Self Cite

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Objective-Despite increasing use of the Eating Disorder Examination-Questionnaire (EDE-Q) in bariatric surgery patients, little is known about the utility and psychometric performance of this self-report measure in this clinical group. The primary purpose of the current study was to evaluate the factor structure and construct validity of the EDE-Q in a large series of bariatric surgery candidates.Methods and Procedures-Participants were 337 obese bariatric surgery candidates. Participants completed the EDE-Q and a battery of behavioral and psychological measures.Results-Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) produced a 12-item, 4-factor structure of the EDE-Q. The four factors, interpreted as Dietary Restraint, Eating Disturbance, Appearance Concerns, and Shape/Weight Overvaluation, were found to be internally consistent and converged with other relevant measures of psychopathology.Discussion-Factor analysis of the EDE-Q in bariatric surgery candidates did not replicate the original subscales but revealed an alternative factor structure. Future research must further evaluate the psychometric properties, including the factor structure, of the EDE-Q in this and other diverse populations and consider means of improving this measure's ability to best assess eatingrelated pathology in bariatric surgery patients.

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“…O prognóstico de compulsão alimentar em pacientes obesos graves que se submetem à cirurgia bariátrica é incerto. Não há consenso na literatura e dados precisos que garantam bom ou mau prognóstico adequadamente estudados e comprovados 14,25 . Os critérios de TCAP e episódios compulsivos precisam ser revisados e ampliados para que se obtenha mais precisão nas pesquisas e diagnósticos deste distúrbio 11 .…”

Section: Discussionunclassified

Compulsão alimentar antes e após a cirurgia bariátrica

Machado¹,

Zilberstein²,

Cecconello³

et al. 2008

ABCD, arq. bras. cir. dig.

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INTRODUÇÃOA obesidade é distúrbio de origem multifatorial complexa que congrega aspectos de ordem psicológica, social, biológica e requer abordagem multidisciplinar para compreensão, diagnóstico e tratamento adequados. É considerada fator de risco para a compulsão alimentar, de modo que a dinâmica emocional do obeso contribuiria para desencadear o ato compulsivo 9 .Diversos estudos demonstram a associação entre obesidade e compulsão alimentar, apresentando alta incidência na população que busca tratamento para redução de peso 6,7,13,18,19,24 . Grande parte destes pacientes apresenta episódios recorrentes de comer compulsivo, sem os comportamentos compensatórios característicos da bulimia nervosa. O besidade e compulsão alimentar podem ter relação causal na qual o comportamento compulsivo é o agente causador ou facilitador da obesidade, assim como a gravidade da compulsão também parece estar relacionada com o grau de obesidade.Estudos epidemiológicos demonstram compulsão alimentar em 15% a 50% dos pacientes que buscam tratamento para emagrecer, com tendência 1,5 maior para as mulheres 1 . No Brasil entre os portadores de obesidade que realizam a cirurgia bariátrica a prevalência é de 27% a 47%, porém esta dimensão pode variar, em parte, devido às dificuldades diagnósticas 1,22 .Os pacientes que apresentam compulsão alimentar têm maior frequência de recaídas após o tratamento para a perda de peso, maior comorbidades como depressão, abuso de álcool e drogas, transtornos de personalidade e insatisfação com a imagem corporal quando comparados com obesos-controle.Na cirurgia bariátrica, em que existe redução do estômago, cria-se um componente restritivo no qual a quantidade de alimentos ingerida é intensamente diminuída, levando a perda de peso duradoura. A limitação imposta pela operação pode representar grande risco aos pacientes compulsivos, tornando-se difícil a adaptação à nova

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The Prognostic Significance of Regular Binge Eating in Extremely Obese Gastric Bypass Patients

Cited by 96 publications

References 0 publications

Explaining the role of binge eating behaviour in weight loss post bariatric surgery

Explaining the role of binge eating behaviour in weight loss post bariatric surgery

Psychometric Evaluation of the Eating Disorder Examination-Questionnaire for Bariatric Surgery Candidates

Compulsão alimentar antes e após a cirurgia bariátrica

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