Contributions of Emotional Overload, Emotion Dysregulation, and Impulsivity to Eating Patterns in Obese Patients with Binge Eating Disorder and Seeking Bariatric Surgery.
bariatric surgery
binge eating disorder
emotion dysregulation
emotional eating
external eating
impulsivity
non-acceptance
obesity
strategies
Journal
Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595
Informations de publication
Date de publication:
12 Oct 2020
12 Oct 2020
Historique:
received:
30
08
2020
revised:
04
10
2020
accepted:
06
10
2020
entrez:
15
10
2020
pubmed:
16
10
2020
medline:
13
4
2021
Statut:
epublish
Résumé
Binge eating disorder (BED) is very frequently observed in patients considered for weight loss surgery and seems to influence their outcome critically. Literature highlights a global emotional overload in individuals with BED, but little is known on the mechanisms involved. The present study aimed to focus on emotion regulation, impulsivity, depression, and anxiety in people with and without BED and fulfilling inclusion criteria for bariatric surgery. Doing so, we sought to individualize factors related to BED. Then, we examined the contribution of depression, anxiety, emotion regulation difficulties, and impulsivity to inappropriate eating behaviors observed in patients with BED. A sample of 121 individuals (79.3% female, mean age: 40.82 ± 9.26, mean current body mass index (BMI): 44.92 kg/m Multivariable analyses showed that limited access to emotional regulation strategies was significantly associated with BED. Furthermore, inappropriate eating behaviors were independently associated with age, depression severity, anxiety, emotional dysregulation, and impulsivity in BED group. The present findings are indicative of an association between emotion deficit and BED in obese patients seeking bariatric surgery. Patients with BED could benefit from the addition of an emotion regulation intervention.
Sections du résumé
BACKGROUND
BACKGROUND
Binge eating disorder (BED) is very frequently observed in patients considered for weight loss surgery and seems to influence their outcome critically. Literature highlights a global emotional overload in individuals with BED, but little is known on the mechanisms involved. The present study aimed to focus on emotion regulation, impulsivity, depression, and anxiety in people with and without BED and fulfilling inclusion criteria for bariatric surgery. Doing so, we sought to individualize factors related to BED. Then, we examined the contribution of depression, anxiety, emotion regulation difficulties, and impulsivity to inappropriate eating behaviors observed in patients with BED.
METHODS
METHODS
A sample of 121 individuals (79.3% female, mean age: 40.82 ± 9.26, mean current body mass index (BMI): 44.92 kg/m
RESULTS
RESULTS
Multivariable analyses showed that limited access to emotional regulation strategies was significantly associated with BED. Furthermore, inappropriate eating behaviors were independently associated with age, depression severity, anxiety, emotional dysregulation, and impulsivity in BED group.
CONCLUSIONS
CONCLUSIONS
The present findings are indicative of an association between emotion deficit and BED in obese patients seeking bariatric surgery. Patients with BED could benefit from the addition of an emotion regulation intervention.
Identifiants
pubmed: 33053641
pii: nu12103099
doi: 10.3390/nu12103099
pmc: PMC7650699
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Références
Psychol Bull. 2008 Nov;134(6):807-28
pubmed: 18954158
Eat Weight Disord. 2019 Aug;24(4):633-644
pubmed: 31243741
J Am Diet Assoc. 1996 Jan;96(1):58-61
pubmed: 8537571
Eur Psychiatry. 1996;11(4):198-203
pubmed: 19698450
Ann Intern Med. 2016 Sep 20;165(6):409-20
pubmed: 27367316
J Affect Disord. 2020 Sep 1;274:602-609
pubmed: 32663993
Nutrients. 2019 Nov 07;11(11):
pubmed: 31703374
JAMA. 2016 Jan 12;315(2):150-63
pubmed: 26757464
Appetite. 2019 Dec 1;143:104438
pubmed: 31479694
Addict Behav. 1982;7(1):47-55
pubmed: 7080884
World Health Organ Tech Rep Ser. 2000;894:i-xii, 1-253
pubmed: 11234459
Obes Rev. 2016 Jan;17(1):30-42
pubmed: 26644173
Nutrients. 2017 Oct 27;9(11):
pubmed: 29077027
CNS Spectr. 2015 Dec;20(6):522-9
pubmed: 26258270
Encephale. 1986 Mar-Apr;12(2):77-9
pubmed: 3743520
Psychol Assess. 2015 Dec;27(4):1129-46
pubmed: 25822833
J Clin Psychiatry. 1998;59 Suppl 20:22-33;quiz 34-57
pubmed: 9881538
J Consult Clin Psychol. 1988 Jun;56(3):433-9
pubmed: 3397436
Psychol Health. 2012;27(12):1375-87
pubmed: 21777156
Open Med (Wars). 2019 Jun 07;14:407-415
pubmed: 31231682
Obes Surg. 2019 Jun;29(6):1773-1780
pubmed: 30820886
J Psychiatr Res. 2019 Aug;115:61-68
pubmed: 31121393
Compr Psychiatry. 2012 Jul;53(5):609-15
pubmed: 22036009
Nutrients. 2017 Nov 22;9(11):
pubmed: 29165348
Eat Behav. 2015 Jan;16:1-4
pubmed: 25464057
Arq Gastroenterol. 2019 May 20;56(1):55-60
pubmed: 31141066
Eat Behav. 2013 Aug;14(3):309-13
pubmed: 23910772
JAMA. 2013 Nov 27;310(20):2191-4
pubmed: 24141714
Clin Obes. 2015 Aug;5(4):165-97
pubmed: 26173752
Anxiety Stress Coping. 2018 May;31(3):262-276
pubmed: 29433339
Atherosclerosis. 2018 Aug;275:239-245
pubmed: 29980050
Arch Gerontol Geriatr. 2018 Sep - Oct;78:127-131
pubmed: 29957267
Br J Psychiatry. 1987 Jan;150:18-24
pubmed: 3651670
Clin Toxicol (Phila). 2020 May;58(5):375-382
pubmed: 31387415
Encephale. 2016 Oct;42(5):426-433
pubmed: 27017318
Eat Weight Disord. 2017 Jun;22(2):353-360
pubmed: 28390005
Eat Weight Disord. 2014 Mar;19(1):95-102
pubmed: 24014259