Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates

Abstract Background Even if bariatric surgery is considered the most effective therapeutic approach, it is not equally successful among individuals suffering from severe obesity and candidates for this weight loss surgery. Among the factors that influence postsurgical outcomes, eating behaviors styl...

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Autores principales:	Farid Benzerouk, Monique Guénin, Fabien Gierski, Delphine Raucher-Chéné, Sarah Barrière, Eric Bertin, Arthur Kaladjian
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Obesity Emotions Thoughts (Lack of) perseverance Urgency Bariatric surgery Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/e81401e98c2a45b582159feabff3d36d
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spelling	oai:doaj.org-article:e81401e98c2a45b582159feabff3d36d2021-11-14T12:10:38ZContributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates10.1186/s40337-021-00503-82050-2974https://doaj.org/article/e81401e98c2a45b582159feabff3d36d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40337-021-00503-8https://doaj.org/toc/2050-2974Abstract Background Even if bariatric surgery is considered the most effective therapeutic approach, it is not equally successful among individuals suffering from severe obesity and candidates for this weight loss surgery. Among the factors that influence postsurgical outcomes, eating behaviors styles are known to play a key role in relapses. The aim of our study was to assess eating behaviors styles and several modulating psychopathological factors in patients suffering from severe obesity. Methods Patients seeking bariatric surgery (N = 127) completed a set of standardized tools assessing eating behaviors (Dutch Eating Behavior Questionnaire), comorbid psychiatric conditions (Mini International Neuropsychiatric Interview), depression, and anxiety scores (Beck Depression Inventory, State-Trait Anxiety Inventory), and impulsivity scores (UPPS-P Impulsive Behavior Scale). Results We detected significant correlations between DEBQ Emotional Eating (EmoE) and depression, state and trait anxiety, and all dimensions of impulsivity. Significant correlations were also present between DEBQ External Eating (ExtE) and depression, state and trait anxiety and UPPS-P positive urgency, lack of perseverance and sensation seeking. Regression analyses identified sex (female), trait anxiety, and lack of perseverance as explanatory factors for EmoE, and depression severity score and positive urgency for ExtE. Conclusions EmoE might be a means of dealing with negative emotions and/or intrusive thoughts, while ExtE might result from a mechanism associated with depression. These results should help to improve patients’ outcomes by defining specific therapeutic targets in psychological interventions. Plain English summary After bariatric surgery, some patients regain weight. This is likely due to various factors, including a return of maladaptive eating styles, such as emotional eating (which occurs as a response to negative emotions, like depression, anxiety, anger, sadness, and discouragement), external eating (which refers to the tendency to eat in response to positive external cues, regardless of internal signals of hunger and satiety), and restraint eating (implying to make efforts to develop and maintain strategies to control calories intake, associated with weight loss after lifestyle intervention). Our goal in this research project was to explore associated factors (particularly depression, anxiety, and impulsivity) to these eating styles in patients suffering from obesity prior to bariatric surgery. Individuals seeking bariatric surgery were asked questions about their eating styles and their levels of depression, anxiety, and impulsivity using standardized questionnaires. We found that emotional eating might be a means of dealing with negative emotions and/or intrusive thoughts (e.g. about food or body dissatisfaction), while external eating might result from a mechanism associated with depression. We detected no association between restraint eating and any of the dimensions of impulsivity, nor depression and anxiety. Therapies aimed at improving patients’ abilities to regulate negative affects seem promising among subjects suffering from obesity and those seeking bariatric surgery. If well learned, these therapies might also help them to maintain weight loss after surgery by limiting maladaptive eating styles.Farid BenzeroukMonique GuéninFabien GierskiDelphine Raucher-ChénéSarah BarrièreEric BertinArthur KaladjianBMCarticleObesityEmotionsThoughts(Lack of) perseveranceUrgencyBariatric surgeryPsychiatryRC435-571ENJournal of Eating Disorders, Vol 9, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Obesity Emotions Thoughts (Lack of) perseverance Urgency Bariatric surgery Psychiatry RC435-571
spellingShingle	Obesity Emotions Thoughts (Lack of) perseverance Urgency Bariatric surgery Psychiatry RC435-571 Farid Benzerouk Monique Guénin Fabien Gierski Delphine Raucher-Chéné Sarah Barrière Eric Bertin Arthur Kaladjian Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates
description	Abstract Background Even if bariatric surgery is considered the most effective therapeutic approach, it is not equally successful among individuals suffering from severe obesity and candidates for this weight loss surgery. Among the factors that influence postsurgical outcomes, eating behaviors styles are known to play a key role in relapses. The aim of our study was to assess eating behaviors styles and several modulating psychopathological factors in patients suffering from severe obesity. Methods Patients seeking bariatric surgery (N = 127) completed a set of standardized tools assessing eating behaviors (Dutch Eating Behavior Questionnaire), comorbid psychiatric conditions (Mini International Neuropsychiatric Interview), depression, and anxiety scores (Beck Depression Inventory, State-Trait Anxiety Inventory), and impulsivity scores (UPPS-P Impulsive Behavior Scale). Results We detected significant correlations between DEBQ Emotional Eating (EmoE) and depression, state and trait anxiety, and all dimensions of impulsivity. Significant correlations were also present between DEBQ External Eating (ExtE) and depression, state and trait anxiety and UPPS-P positive urgency, lack of perseverance and sensation seeking. Regression analyses identified sex (female), trait anxiety, and lack of perseverance as explanatory factors for EmoE, and depression severity score and positive urgency for ExtE. Conclusions EmoE might be a means of dealing with negative emotions and/or intrusive thoughts, while ExtE might result from a mechanism associated with depression. These results should help to improve patients’ outcomes by defining specific therapeutic targets in psychological interventions. Plain English summary After bariatric surgery, some patients regain weight. This is likely due to various factors, including a return of maladaptive eating styles, such as emotional eating (which occurs as a response to negative emotions, like depression, anxiety, anger, sadness, and discouragement), external eating (which refers to the tendency to eat in response to positive external cues, regardless of internal signals of hunger and satiety), and restraint eating (implying to make efforts to develop and maintain strategies to control calories intake, associated with weight loss after lifestyle intervention). Our goal in this research project was to explore associated factors (particularly depression, anxiety, and impulsivity) to these eating styles in patients suffering from obesity prior to bariatric surgery. Individuals seeking bariatric surgery were asked questions about their eating styles and their levels of depression, anxiety, and impulsivity using standardized questionnaires. We found that emotional eating might be a means of dealing with negative emotions and/or intrusive thoughts (e.g. about food or body dissatisfaction), while external eating might result from a mechanism associated with depression. We detected no association between restraint eating and any of the dimensions of impulsivity, nor depression and anxiety. Therapies aimed at improving patients’ abilities to regulate negative affects seem promising among subjects suffering from obesity and those seeking bariatric surgery. If well learned, these therapies might also help them to maintain weight loss after surgery by limiting maladaptive eating styles.
format	article
author	Farid Benzerouk Monique Guénin Fabien Gierski Delphine Raucher-Chéné Sarah Barrière Eric Bertin Arthur Kaladjian
author_facet	Farid Benzerouk Monique Guénin Fabien Gierski Delphine Raucher-Chéné Sarah Barrière Eric Bertin Arthur Kaladjian
author_sort	Farid Benzerouk
title	Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates
title_short	Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates
title_full	Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates
title_fullStr	Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates
title_full_unstemmed	Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates
title_sort	contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e81401e98c2a45b582159feabff3d36d
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Contributing roles of depression, anxiety, and impulsivity dimensions in eating behaviors styles in surgery candidates

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