nach oben

Obesity Surgery

Erschienen in:

13.10.2020 | Original Contributions

Disinhibition and Subjective Hunger as Mediators Between Weight Bias Internalization and Binge Eating Among Pre-Surgical Bariatric Patients

verfasst von: Zachary A. Soulliard, Cassie Brode, Lawrence E. Tabone, Nova Szoka, Salim Abunnaja, Stephanie Cox

Erschienen in: Obesity Surgery | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Weight bias internalization, or the process of applying negative weight-related attitudes and beliefs to oneself, is an important construct in regard to patients pursuing bariatric surgery. Weight bias internalization (or internalized weight bias) has been previously associated with depressive symptoms and binge eating among pre-surgical bariatric patients. However, a gap in the literature exists pertaining to how certain eating behaviors may mediate the relationship between weight bias internalization and binge eating. The present study assessed the role of eating behaviors (i.e., cognitive restraint, disinhibition, and hunger) as mediators between weight bias internalization and binge eating symptoms when controlling for depression.

Materials and Methods

A total of 708 adults (M_age = 42.91; White = 95.3%; women = 79.4%) seeking bariatric surgery at a tertiary academic medical center in the Appalachia region of the USA were included in this retrospective study. Patients completed validated measures of weight bias internalization, eating behaviors, and depression as part of a routine, psychological evaluation in order to determine surgical clearance.

Results

Disinhibition and hunger were significant mediators in the relationship between weight bias internalization and binge eating beyond the role of depressive symptoms alone.

Conclusion

Disinhibited eating, or the tendency to experience a loss of control and eating in response to negative emotions, as well as subjective feelings of hunger are important dimensions of eating, particularly as related to weight bias internalization and binge eating. Weight bias internalization is an important factor to consider among pre-surgical bariatric patients and warrants additional treatment considerations.

Puhl RM, Brownell KD. Bias, discrimination, and obesity. Obes Res. 2001;9:788–805. https://doi.org/10.1038/oby.2001.108.CrossRefPubMed

Puhl RM, Brownell KD. Psychosocial origins of obesity stigma: toward changing a powerful and pervasive bias. Obes Rev. 2003;4:213–27. https://doi.org/10.1046/j.1467-789X.2003.00122.x.CrossRefPubMed

Lee M, Ata RN, Brannick MT. Malleability of weight-biased attitudes and beliefs: a meta-analysis of weight bias reduction interventions. Body Image. 2014;11:251–9. https://doi.org/10.1016/j.bodyim.2014.03.003.CrossRefPubMed

Andreyeva T, Puhl RM, Brownell KD. Changes in perceived weight discrimination among Americans, 1995-1996 through 2004-2006. Obesity. 2008;16:1129–34. https://doi.org/10.1038/oby.2008.35.CrossRefPubMed

Eisenberg D, Noria S, Grover B, et al. American Society for Metabolic and Bariatric Surgery Clinical Issues Committee. ASMBS position statement on weight bias and stigma. Surg Obes Relat Dis. 2019;15:814–21. https://doi.org/10.1016/j.soard.2019.04.031.CrossRefPubMed

Durso LE, Latner JD. Understanding self-directed stigma: development of the weight bias internalization scale. Obesity. 2008;16:S80–6. https://doi.org/10.1038/oby.2008.448.CrossRefPubMed

Papadopoulos S, Brennan L. Correlates of weight stigma in adults with overweight and obesity: a systematic literature review. Obesity. 2015;23:1743–60. https://doi.org/10.1002/oby.21187.CrossRefPubMed

Puhl RM, Himmelstein MS, Pearl RL. Weight stigma as a psychosocial contributor to obesity. Am Psychol. 2020;75:274–89. https://doi.org/10.1037/amp0000538.CrossRefPubMed

Lent MR, Napolitano MA, Wood GC, et al. Internalized weight bias in weight-loss surgery patients: psychosocial correlates and weight loss outcomes. Obes Surg. 2014;24:2195–9. https://doi.org/10.1007/s11695-014-1455-z.CrossRefPubMed

10.

Roberto CA, Sysko R, Bush J, et al. Clinical correlates of the weight bias internalization scale in a sample of obese adolescents seeking bariatric surgery. Obesity. 2012;20:533–9. https://doi.org/10.1038/oby.2011.123.CrossRefPubMed

11.

Lawson JL, LeCates A, Ivezaj V, et al. Internalized weight bias and loss-of-control eating following bariatric surgery. Eat Disord J Treat Prev. 2020:1–14. https://doi.org/10.1080/10640266.2020.1731920.

12.

Kahan S, Puhl RM. The damaging effects of weight bias internalization. Obesity. 2017;25:280–1. https://doi.org/10.1002/oby.21772.CrossRefPubMed

13.

Puhl RM, Moss-Racusin CA, Schwartz MB. Internalization of weight bias: implications for binge eating and emotional well-being. Obesity. 2007;15:19–23. https://doi.org/10.1038/oby.2007.521.CrossRefPubMed

14.

Meany G, Conceição E, Mitchell JE. Binge eating, binge eating disorder and loss of control eating: effects on weight outcomes after bariatric surgery. Eur Eat Disord Rev. 2014;22:87–91. https://doi.org/10.1002/erv.2273.CrossRefPubMedPubMedCentral

15.

Baldofski S, Rudolph A, Tigges W, et al. Weight bias internalization, emotion dysregulation, and non-normative eating behaviors in prebariatric patients. Int J Eat Disord. 2016;49:180–5. https://doi.org/10.1002/eat.22484.CrossRefPubMed

16.

Cox S, Brode C. Predictors of binge eating among bariatric surgery candidates: disinhibition as a mediator of the relationship between depressive symptoms and binge eating. Obes Surg. 2018;28:1990–6. https://doi.org/10.1007/s11695-018-3129-8.CrossRefPubMedPubMedCentral

17.

Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 1985;29:71–83. https://doi.org/10.1016/0022-3999(85)90010-8.

18.

Kalarchian MA, Marcus MD, Wilson GT, et al. Binge eating among gastric bypass patients at long-term follow-up. Obes Surg. 2002;12:270–5. https://doi.org/10.1381/096089202762552494.CrossRefPubMed

19.

Linde JA, Jeffery RW, Levy RL, et al. Binge eating disorder, weight control self-efficacy, and depression in overweight men and women. Int J Obes. 2004;28:418–25. https://doi.org/10.1038/sj.ijo.0802570.CrossRef

20.

Gormally J, Black S, Daston S, et al. The assessment of binge eating severity among obese persons. Addict Behav. 1982;7:47–55. https://doi.org/10.1016/0306-4603(82)90024-7.CrossRefPubMed

21.

Grupski AE, Hood MM, Hall BJ, et al. Examining the binge eating scale in screening for binge eating disorder in bariatric surgery candidates. Obes Surg. 2013;23:1–6. https://doi.org/10.1007/s11695-011-0537-4.CrossRefPubMedPubMedCentral

22.

Allison DB, Kalinsky LB, Gorman BS. A comparison of the psychometric properties of three measures of dietary restraint. Psychol Assess. 1992;4:391–8. https://doi.org/10.1037/1040-3590.4.3.391.CrossRef

23.

Beck AT, Steer RA, Brown GK. Beck Depression Inventory-II 1996. https://doi.org/10.1037/t00742-000.

24.

Hood MM, Grupski AE, Hall BJ, et al. Factor structure and predictive utility of the binge eating scale in bariatric surgery candidates. Surg Obes Relat Dis. 2013;9:942–8. https://doi.org/10.1016/j.soard.2012.06.013.CrossRefPubMed

25.

Marek RJ, Heinberg LJ, Lavery M, et al. A review of psychological assessment instruments for use in bariatric surgery evaluations. Psychol Assess. 2016;28:1142–57. https://doi.org/10.1037/pas0000286.CrossRefPubMed

26.

Pan H, Liu S, Miao D, et al. Sample size determination for mediation analysis of longitudinal data. BMC Med Res Methodol. 2018;18(1):32. https://doi.org/10.1186/s12874-018-0473-2.CrossRefPubMedPubMedCentral

27.

Hayes AF. Introduction to mediation, moderation, and conditional process analysis: a regression-based approach. 2nd ed. New York: The Guilford Press; 2018.

28.

Cohen J. A power primer. Psychol Bull. 1992;112:155–9. https://doi.org/10.1037/0033-2909.112.1.155.CrossRefPubMed

29.

Adler S, Fowler N, Robinson AH, et al. Correlates of dietary adherence and maladaptive eating patterns following roux-en-y bariatric surgery. Obes Surg. 2018;28:1130–5. https://doi.org/10.1007/s11695-017-2987-9.CrossRefPubMed

30.

Mensinger JL, Calogero RM, Tylka TL. Internalized weight stigma moderates eating behavior outcomes in women with high BMI participating in a healthy living program. Appetite. 2016;102:32–43. https://doi.org/10.1016/j.appet.2016.01.033.CrossRefPubMed

31.

Sienko RM, Saules KK, Carr MM. Internalized weight bias mediates the relationship between depressive symptoms and disordered eating behavior among women who think they are overweight. Eat Behav. 2016;22:141–4. https://doi.org/10.1016/j.eatbeh.2016.06.002.CrossRefPubMed

32.

Matthew B, Flesher M, Sampath S, et al. The effect of intensive preconditioning and close follow-up on bariatric surgery outcomes: does multidisciplinary care contribute to positive results whether a gastric bypass or sleeve gastrectomy is performed? B C Med J. 2015;57(6):238–43.

33.

McVay MA, Friedman KE. The benefits of cognitive behavioral groups for bariatric surgery patients. Bariatr Times. 2012;9:22–8.

34.

Winer ES, Cervone D, Bryant J, et al. Distinguishing mediational models and analyses in clinical psychology: atemporal associations do not imply causation. J Clin Psychol. 2016;72:947–55. https://doi.org/10.1002/jclp.22298.CrossRefPubMed

35.

Quilliot D, Brunaud L, Mathieu J, et al. Links between traumatic experiences in childhood or early adulthood and lifetime binge eating disorder. Psychiatry Res. 2019;276:134–41. https://doi.org/10.1016/j.psychres.2019.05.008.CrossRefPubMed

36.

Ambwani S, Boeka AG, Brown JD, et al. Socially desirable responding by bariatric surgery candidates during psychological assessment. Surg Obes Relat Dis. 2013;9:300–5. https://doi.org/10.1016/j.soard.2011.06.019.CrossRefPubMed

Titel: Disinhibition and Subjective Hunger as Mediators Between Weight Bias Internalization and Binge Eating Among Pre-Surgical Bariatric Patients
verfasst von: Zachary A. Soulliard
Cassie Brode
Lawrence E. Tabone
Nova Szoka
Salim Abunnaja
Stephanie Cox
Publikationsdatum: 13.10.2020
Verlag: Springer US
Erschienen in: Obesity Surgery / Ausgabe 2/2021
Print ISSN: 0960-8923
Elektronische ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-05023-z

Neu im Fachgebiet Chirurgie

23.04.2024 | Ablationstherapie | Nachrichten

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

23.04.2024 | Appendizitis | Nachrichten

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 | Operationsvorbereitung | Nachrichten

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

19.04.2024 | EAU 2024 | Kongressbericht | Nachrichten

Ureterstriktur: Innovative OP-Technik bewährt sich

weitere anzeigen

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare

CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare

CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske

Dr. med. Benjamin Meyknecht

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare

CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Disinhibition and Subjective Hunger as Mediators Between Weight Bias Internalization and Binge Eating Among Pre-Surgical Bariatric Patients

Abstract

Purpose

Materials and Methods

Results

Conclusion

Neu im Fachgebiet Chirurgie

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

Hinter dieser Appendizitis steckte ein Erreger

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

Ureterstriktur: Innovative OP-Technik bewährt sich

Update Chirurgie

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

S2e-Leitlinie „Distale Radiusfraktur“

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Materials and Methods

Results

Conclusion

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2021

Criticizing Vitamin D Level in Pregnant Women After Gastric Bypass

Correction to: Physical Activity, Sedentary Behavior, and Sleep before and after Bariatric Surgery and Associations with Weight Loss Outcome

Small Intestinal Bacterial Overgrowth: Clinical Presentation in Patients with Roux-en-Y Gastric Bypass

It Takes a Village: Sleeve Gastrectomy in a Patient with Heterotaxy Syndrome and Congenital Heart Disease

Bariatric Surgery Outcomes in Patients with Previous Organ Transplant: Scoping Review and Analysis of the MBSAQIP

Gastroesophageal Reflux Predicts Utilization of Dehydration Treatments After Bariatric Surgery

Neu im Fachgebiet Chirurgie

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

Hinter dieser Appendizitis steckte ein Erreger

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

Ureterstriktur: Innovative OP-Technik bewährt sich

Update Chirurgie

Aktuelle BDC Leitlinien-Webinare

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

S2e-Leitlinie „Distale Radiusfraktur“

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“