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

• 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
• ISSN: 1590-1262; 1124-4909; 1590-1262
• DOI: 10.1007/s40519-022-01465-9

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.