The impact of childhood trauma on change in depressive symptoms, eating pathology, and weight after Roux-en-Y gastric bypass.
Childhood trauma
Roux-en-Y gastric bypass
bariatric surgery
childhood maltreatment
depression
depressive symptoms
eating pathology
mental disorders
weight
Journal
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
ISSN: 1878-7533
Titre abrégé: Surg Obes Relat Dis
Pays: United States
ID NLM: 101233161
Informations de publication
Date de publication:
07 2019
07 2019
Historique:
received:
30
01
2019
revised:
25
03
2019
accepted:
03
04
2019
pubmed:
4
6
2019
medline:
25
7
2020
entrez:
3
6
2019
Statut:
ppublish
Résumé
History of childhood trauma is associated with increased risk of mental disorders, eating pathology, and obesity. To examine associations between childhood trauma and changes in depressive symptoms, eating pathology, and weight after Roux-en-Y Gastric Bypass (RYGB). Three U.S. academic medical centers. Adults undergoing bariatric surgery (2007-2011) were enrolled in a cohort study. Participants (96 of 114; 86%) completed the Beck Depression Inventory-1 (BDI-1) to assess depressive symptomology, the interviewer-administered Eating Disorder Examination (EDE) to assess subthreshold eating pathology, weight assessment before and 6 months and annually after RYGB for ≥7 years, and the Childhood Trauma Questionnaire (CTQ) once post-RYGB. Presurgery, median age was 46 years, and median body mass index was 47 kg/m Although childhood trauma did not affect weight outcomes after RYGB, those who experienced childhood trauma had less improvement in depressive symptomology and eating pathology and therefore might benefit from clinical intervention.
Sections du résumé
BACKGROUND
History of childhood trauma is associated with increased risk of mental disorders, eating pathology, and obesity.
OBJECTIVE
To examine associations between childhood trauma and changes in depressive symptoms, eating pathology, and weight after Roux-en-Y Gastric Bypass (RYGB).
SETTING
Three U.S. academic medical centers.
METHOD
Adults undergoing bariatric surgery (2007-2011) were enrolled in a cohort study. Participants (96 of 114; 86%) completed the Beck Depression Inventory-1 (BDI-1) to assess depressive symptomology, the interviewer-administered Eating Disorder Examination (EDE) to assess subthreshold eating pathology, weight assessment before and 6 months and annually after RYGB for ≥7 years, and the Childhood Trauma Questionnaire (CTQ) once post-RYGB.
RESULTS
Presurgery, median age was 46 years, and median body mass index was 47 kg/m
CONCLUSIONS
Although childhood trauma did not affect weight outcomes after RYGB, those who experienced childhood trauma had less improvement in depressive symptomology and eating pathology and therefore might benefit from clinical intervention.
Identifiants
pubmed: 31153892
pii: S1550-7289(19)30148-0
doi: 10.1016/j.soard.2019.04.012
pmc: PMC6702081
mid: NIHMS1530515
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1080-1088Subventions
Organisme : NCRR NIH HHS
ID : UL1 RR024996
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK066585
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK066557
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR002384
Pays : United States
Organisme : NIDDK NIH HHS
ID : R01 DK084979
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK066667
Pays : United States
Organisme : NIDDK NIH HHS
ID : U01 DK066471
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2019 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
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