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  • Alfonsson, Sven, et al. (författare)
  • Is age a better predictor of weight loss one year after Gastric bypass than symptoms of disordered eating, depression, adult ADHD, and alcohol consumption?
  • 2014
  • Ingår i: Eating Behaviors. - 1471-0153 .- 1873-7358. ; 15:4, s. 644-647
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><strong>INTRODUCTION:</strong></p><p>Findings regarding psychological risk factors for low weight loss after bariatric surgery have been inconsistent. The association between gender and weight outcome is unclear while younger age has been consistently shown to be associated with better weight outcome. The aim of this study was to analyze the interactions between gender and age on the one hand and symptoms of disordered eating, depression, adult ADHD and alcohol consumption on the other hand in regard to weight loss after gastric bypass.</p><p><strong>METHODS:</strong></p><p>Bariatric surgery patients were recruited and asked to fill out self-report questionnaires regarding behavioral risk factors before and twelve months after surgery. Data from one hundred and twenty-nine patients were analyzed.</p><p><strong>RESULTS:</strong></p><p>After controlling for age, no psychological variable measured prior to surgery could predict weight loss after twelve months. After surgery, there was an interaction effect between age, gender and specific eating disorder symptoms. Specifically, loss of control over eating was a risk factor for low weight loss among older, but not among younger, female participants. Symptoms of adult ADHD were associated with elevated alcohol consumption after surgery.</p><p><strong>DISCUSSION:</strong></p><p>These results indicate that age and gender may moderate the effects of potential risk factors for inferior weight outcome. This interaction could potentially be one of the reasons behind the mixed findings in this field. Thus, there are important gender differences in the bariatric population that should be considered. The present study is the first to show that symptoms of adult ADHD may not be a risk factor for inferior weight loss but for alcohol risk consumption after gastric bypass.</p>
  • Alfonsson, Sven, et al. (författare)
  • The meal pattern questionnaire : A psychometric evaluation using the eating disorder examination
  • 2016
  • Ingår i: Eating Behaviors. - 1471-0153 .- 1873-7358. ; 21, s. 7-10
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective</p><p>Meal pattern is an important variable in both obesity treatment and treatment for eating disorders. Momentary assessment and eating diaries are highly valid measurement methods but often cumbersome and not always feasible to use in clinical practice. The aim of this study was to design and evaluate a self-report instrument for measuring meal patterns.</p><p>Method</p><p>The Pattern of eating item from the Eating Disorder Examination (EDE) interview was adapted to self-report format to follow the same overall structure as the Eating Disorder Examination Questionnaire. The new instrument was named the Meal Patterns Questionnaire (MPQ) and was compared with the EDE in a student sample (<em>n</em> = 105) and an obese sample (<em>n</em> = 111).</p><p>Results</p><p>The individual items of the MPQ and the EDE showed moderate to high correlations (<em>rho</em> = .63–89) in the two samples. Significant differences between the MPQ and EDE were only found for two items in the obese sample. The total scores correlated to a high degree (<em>rho</em> = .87/.74) in both samples and no significant differences were found in this variable.</p><p>Discussion</p><p>The MPQ can provide an overall picture of a person's eating patterns and is a valid way to collect data regarding meal patterns. The MPQ may be a useable tool in clinical practice and research studies when more extensive instruments cannot be used. Future studies should evaluate the MPQ in diverse cultural populations and with more ecological assessment methods.</p>
  • Anzengruber, D, et al. (författare)
  • Smoking in eating disorders
  • 2006
  • Ingår i: Eating behaviors. - 1471-0153. ; 7:4, s. 291-9
  • Tidskriftsartikel (refereegranskat)
  • Björck, Caroline, et al. (författare)
  • Negative self-image and outcome in eating disorders : results at 3-year follow-up.
  • 2007
  • Ingår i: Eating Behaviors. - 1471-0153 .- 1873-7358. ; 8:3, s. 398-406
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>INTRODUCTION: Negative self-image has been hypothesised to be of aetiological significance in eating disorders; however, its relationship to outcome remains unclear. The present study examined the relationship between self-image and follow-up status in a heterogeneous sample of eating disorder patients (N=246). METHODS: Patients were assessed at intake and after 36 months. Self-image was measured using SASB, and a general outcome measure was calculated comprising eating disorder symptoms, occupational status, interpersonal relationships and general psychopathology. RESULTS: SASB self-hate was the most important variable for predicting poor outcome, followed by occupational status, interpersonal relationships, eating disorder symptoms, SASB self-emancipation and general psychiatric symptoms. Together these variables predicted 23% of the variance in outcome. DISCUSSION: High levels of self-hate may increase the risk of poor outcome in eating disorders by adversely affecting interpersonal relationships and making it difficult for patients to engage in treatment.</p>
  • De Jesus, A. Y., et al. (författare)
  • Media internalization and conformity to traditional masculine norms in relation to body image concerns among men
  • 2015
  • Ingår i: Eating Behaviors. - 1471-0153. ; 18, s. 137-142
  • Tidskriftsartikel (refereegranskat)abstract
    • Previous studies have separately examined conformity tomasculine norms and internalization of body ideals in themedia in relation to the drive formuscularity (DM). This study was designed to examine these factors together in relation toDM, and further examine howtheymay differ in relation to drive for thinness (DT) and drive for leanness (DL). Participants were 284 Australian males between ages 18 and 42. They completed validated measures that assessed DM, DT, DL, male gender role norms, and internalization of body ideals. The findings showed that internalization of body ideals mediated the relationship between masculine role norms and body image in the case of both DM and DL. However, masculine norms and internalization were independent predictors of DT. Our findings contribute to further understanding of the roles that the media and masculine norms have in shaping men's drive for muscularity, leanness, and thinness. Longitudinal research is needed to confirm the nature and direction of these relationships. (C) 2015 Elsevier Ltd. All rights reserved.
  • de Man Lapidoth, Joakim (författare)
  • Binge eating in surgical weight-loss treatments Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology
  • 2009
  • Ingår i: Eating Behaviors. - 1471-0153 .- 1873-7358. ; 7:1, s. 15-26
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective Previous studies that have investigated the relationshipbetween binge eating and the long-term outcome of bariatric surgeryhave shown mixed results. Does binge eating before or after bariatricsurgery affect long-term BMI, health-related quality of life (HRQL), orpsychopathology after surgery? The objective of the present studywas to address these questions to determine the extent to whichbinge eating needs to be addressed in the context of bariatric surgeryMethods. We assessed 173 bariatric patients before and three yearsafter weight loss surgery with regard to weight, binge eating, HRQL,and psychopathology.Results. Binge eating habits before and after weight loss surgerywere unrelated to the long-term BMI outcome. Binge eating afterweight loss surgery was associated with more psychopathology and alower HRQL.Conclusion. Binge eating before or after weight loss surgery doesnot predict long-term BMI outcome. Therefore, exclusions fromsurgery for this reason alone are difficult to motivate. However,results show that binge eating after weight loss surgery is commonand is associated with both more psychopathology and a lower HRQL.The poor psychological health status of patients that binge eat afterweight loss surgery motivates studies with longer follow-up periods toinvestigate whether post-surgical binge eating might increase thevulnerability to future weight regain and complications at time pointsbeyond three years. The high rate of binge eating after surgery andits negative association with the HRQL and psychopathology indicatethat we need to be observant of the occurrence and potential effectsof binge eating in the context of bariatric surgery.</p>
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