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- de Man Lapidoth, Joakim
(författare)
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Binge eating in surgical weight-loss treatments : Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology
- 2009
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Ingår i: Eating Behaviors. - 1471-0153 .- 1873-7358. ; 7:1, s. 15-26
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Tidskriftsartikel (refereegranskat)abstract
- 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.
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| 2. |
- Welch, Elisabeth, et al.
(författare)
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Does perfectionism mediate or moderate the relation between body dissatisfaction and disordered eating attitudes and behaviors?
- 2009
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Ingår i: Eating Behaviors. - : Elsevier BV. - 1471-0153 .- 1873-7358. ; 10:3, s. 168-175
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Tidskriftsartikel (refereegranskat)abstract
- A link between perfectionism and disordered eating has been documented in previous studies. The purpose of the current study was to expand our knowledge of the specific role of perfectionism in disordered eating by examining perfectionism as a mediator or a moderator in the relation between body dissatisfaction and disordered eating (assessed using the EAT-26 and its subscales. and the Binge Scale) We sampled a large ethnically diverse sample of university women (N = 520) using two measures of perfectionism the Eating Disorder Inventory Perfectionism subscale (EDI-P) and the Multidimensional Perfectionism Scale (H-MPS) In general, socially prescribed and self-oriented perfectionism, but not other-oriented perfectionism, were correlated with disordered eating attitudes and behaviors, except binge eating. Furthermore, perfectionism was found to partially mediate and moderate the relation between body dissatisfaction and disordered eating, however the strength of these associations differed depending on both the particular measure of perfectionism (EDI-P versus H-MPS) and the specific dimension of perfectionism (self-oriented, socially prescribed, other-oriented) used in the analyses. The findings are discussed in relation to the need for more informed and theoretically sound models of the development and maintenance of disordered eating.
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