Relationship of depression, impulsivity, distress intolerance and coping styles with maladaptive eating patterns in bariatric candidates

Relationship of depression, impulsivity, distress intolerance and coping styles with maladaptive eating patterns in bariatric candidates

Purpose The study aimed to investigate the problematic eating patterns and understand their relationship to psychological constructs, including stress intolerance, coping mechanisms and impulsivity, and psychiatric symptoms among bariatric surgery candidates. Methods The bariatric candidates were ev...

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Bibliographic Details
Published in:Eating and weight disorders Vol. 27; no. 8; pp. 3351 - 3366
Main Authors: Erden Aki, Şahinde Özlem, Yıldız, M. İrem, Kamış, G. Zuhal, Aytulun, Aslı, Karakaya, Jale, Işıklı, Sedat
Format: Journal Article
Language:English
Published: Cham Springer International Publishing 01-12-2022
Springer Nature B.V
Subjects:
Adaptation, Psychological
Bariatric Surgery - psychology
Coping
Depression - psychology
Eating behavior
Feeding Behavior - psychology
Gastrointestinal surgery
Humans
Impulsive Behavior
Impulsivity
Medicine
Medicine & Public Health
Mental depression
Obesity, Morbid - surgery
Original Article
Psychiatry
Stress intolerance
Depression
Impulsivity
Bariatric candidate
Coping styles
Eating behavior
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Summary:Purpose The study aimed to investigate the problematic eating patterns and understand their relationship to psychological constructs, including stress intolerance, coping mechanisms and impulsivity, and psychiatric symptoms among bariatric surgery candidates. Methods The bariatric candidates were evaluated by psychiatric interview and standard scales assessing maladaptive eating behaviors (Eating Attitudes Test (EAT), Bulimia Investigatory Test-Edinburgh (BITE), Dutch Eating Behavior Questionnaire (DEBQ)), depression (Beck Depression Inventory (BDI)), psychiatric symptoms (Brief Symptom Inventory (BSI)), and psychological constructs (Distress Intolerance Index (DSI), Coping Styles Scale (CSS), UPPS Impulsive Behavior Scale(UPPS)). Results More than half (57.8%) had maladaptive eating behaviors, and 23.6% had binge-eating behavior. Depression and anxiety predicted EAT, BITE, and DEBQ emotional and external eating sub-scale scores; distress intolerance, helpless coping style, and impulsivity predicted maladaptive eating behaviors in bariatric candidates. Conclusion Maladaptive eating patterns play an essential role in the failure to lose weight and regain weight and are predicted by depression, anxiety, and psychological constructs in this study. Evaluation of pathological trait characteristics besides discrete psychiatric syndromes should be recommended in the pre-operation process to plan relevant interventions in the long-term management of weight. Level of evidence Level III, evidence obtained from well-designed cohort analytic studies.
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ISSN:1590-1262
1124-4909
1590-1262
DOI:10.1007/s40519-022-01465-9