| 1. |
- de Man Lapidoth, Joakim, et al.
(författare)
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A comparison of eating disorders among patients receiving surgical vs non-surgical weight-loss treatments
- 2008
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Ingår i: Obesity Surgery. - Berlin : Springer. - 0960-8923 .- 1708-0428. ; 18:6, s. 715-720
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Little is known about differences between patients in surgical and non-surgical weight-loss treatments (WLT) regarding eating disorders, level of general psychopathology, and health-related quality of life (HRQL). Such differences could indicate different clinical needs in the management of surgical compared to non-surgical WLT patients. METHODS: Participants were a subset of 100 patients from a Swedish study investigating the long-term effects of eating disorders in WLT. Participants filled out the Eating Disorders in Obesity Questionnaire as well as self-rating questionnaires of general psychopathology and HRQL before initiating surgical (n = 54) or non-surgical (n = 46) WLT. RESULTS: Eating disorders were found to be more common among patients accepted for surgical treatments, whereas binge eating (as a symptom) was found to be equally common in both groups. Surgical patients also indicated higher levels of psychopathology compared to those receiving non-surgical treatment. CONCLUSION: Patients in surgical WLT are younger, more obese, and indicate higher levels of eating disorders and psychopathology than non-surgical WLT patients. Results highlight the importance of surgical WLT units having adequate knowledge, resources, and methods for detecting and addressing issues of eating disorders and psychopathology before and during the WLT. Future longitudinal studies need to ascertain to what extent eating and general psychopathology influence the outcome of WLT in terms of lapses, complications, weight gain, quality of life, etc.
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| 2. |
- de Man Lapidoth, Joakim
(författare)
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Binge eating and obesity treatment : prevalence, measurement and long-term outcome
- 2009
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Eating disorders and binge eating has repeatedly been shown to be common in surgical and behavioural weight loss treatments. Due to methodological variations and shortcomings in previous research, there is insufficient information about how eating disorders and binge eating are associated with outcome in weight loss treatments. There is therefore no consensus on how eating pathology should be adressed in weight loss treatments, which has led to large differences in the clinical practice. The main aim of this thesis was to address the issues of eating disorders and binge eating in weight loss treatments, and to investigate how binge eating is associated with long-term treatment outcome.
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| 3. |
- 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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| 4. |
- de Man Lapidoth, Joakim, 1969-, et al.
(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
- 2011
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Ingår i: Eating and Weight Disorders. - : Editrice Kurtis S R L. - 1124-4909 .- 1590-1262. ; 16:4, s. E263-E269
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Studies that have investigated the relationship between binge eating and the long-term outcome of bariatric surgery have shown mixed results. Does binge eating affect long-term BMI, health-related quality of life (HRQL), or psychopathology after surgery?METHODS: We assessed 173 bariatric patients before and three years after weight loss surgery with regard to weight, binge eating, HRQL, and psychopathology.RESULTS: Binge eating before and after weight loss surgery was unrelated to long-term BMI outcome. Binge eating after weight loss surgery was associated with more psychopathology and lower HRQL.CONCLUSIONS: Binge eating before or after weight loss surgery does not predict long-term BMI outcome. Therefore, exclusions from surgery for this reason alone are difficult to motivate. However, results show that binge eating after weight loss surgery is common and is associated with more psychopathology and lower HRQL, which might increase the vulnerability for future weight regain and complications beyond the follow-up period of the present study. The high rate of binge eating after surgery and its negative association with HRQL and psychopathology suggest that we need to be observant of the occurrence and potential effects of binge eating in the context of bariatric surgery.
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| 5. |
- de Man Lapidoth, Joakim, et al.
(författare)
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Eating disorders and disordered eating among patients seeking non-surgical weight-loss treatment in Sweden
- 2006
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Ingår i: Eating Behaviors. - : Elsevier BV. - 1471-0153 .- 1873-7358. ; 7:1, s. 15-26
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this cross-sectional descriptive study of 194 Swedish men and women seeking non-surgical weight-loss treatment was to investigate the presence of eating disorders and binge eating symptoms and to compare these two groups of patients with a group without eating disorder- or binge eating symptoms. The groups were compared in regard to co-morbid psychopathology, Health Related Quality of Life (HRQL) and anthropometric data. Of the total sample, 9.8% fulfilled criteria for any eating disorder. An additional 7.2% indicated binge eating symptoms without having an eating disorder. The three groups were significantly different in regard to psychopathology scales and most HRQL items. Eating disorders and binge eating symptoms are common among patients seeking non-surgical weight-loss treatments in Sweden and both groups showed elevated levels of co-morbid psychopathology and lower HRQL compared to patients without disordered eating. These findings point to the importance of assessing the full range of eating disorder symptoms and disorders as well as HRQL and co-morbid psychopathology before weight-loss treatment, as these factors might affect treatment outcome.
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| 6. |
- De Man Lapidoth, Joakim, 1969-, et al.
(författare)
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Psychometric properties of the Eating Disorders in Obesity questionnaire : Validating against the Eating Disorder Examination interview
- 2007
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Ingår i: Eating and Weight Disorders. - : Editrice Kurtis s.r.l.. - 1124-4909 .- 1590-1262. ; 12:4, s. 168-175
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Tidskriftsartikel (refereegranskat)abstract
- Inconclusive results of how weight-loss treatment (WLT) results are affected by participants' eating disorders and/or binge eating are partly due to the variation caused by the multitude of assessment instruments used. The objective of the present study was to evaluate the psychometric properties of a short DSM-IV-based assessment instrument designed to be used specifically in WLT settings, the Eating Disorders in Obesity (EDO) questionnaire. Participants were 97 patients seeking WLT at four surgical and one non-surgical clinics. Participants were assessed by the EDO and the Eating Disorder Examination (EDE) interview . The validity and reliability of the EDO was measured as concordance with the EDE, and test-retest agreement of the EDO, respectively. Validity as well as reliability was found to be good for both eating disorders diagnoses and binge eating as a distinct symptom. Results suggest that the EDO is a short, easily administered instrument with good psychometric properties which makes it a suitable, economical method of assessing eating disorders and binge eating in clinical WLT settings. ©2007, Editrice Kurtis.
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| 7. |
- Högdahl, Louise, et al.
(författare)
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Internet-based cognitive behavioral therapy for bulimic eating disorders in a clinical setting : Results from a randomized trial with one-year follow-up
- 2023
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Ingår i: Internet Interventions. - : Elsevier. - 2214-7829. ; 31
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundThose who suffer from eating disorders often experience serious impairment in quality of life and the majority never receive treatment. Treatment availability may be increased by implementing methods that demand less resources and are more easy accessible such as internet-based treatments, but knowledge about their effects is still insufficient. The study evaluated effects of two types of internet-based cognitive behavioral therapy and a structured day patient program, the latter being a standard treatment at an eating disorder clinic at the time for the study.Methods150 participants with bulimic eating disorders randomized to two types of internet based treatments (one pure online treatment and one based on a self-help guide in book-format) or an intensive 16-week day patient program. The number of participants that started treatment was 120 of which 98 in internet treatment and 22 in the day program. Outcome assessments were carried out at baseline, post treatment, and at one-year follow-up.ResultsAll treatments were associated with significantly improved eating disorder pathology, self-image, and clinical impairment. Although the day program generally showed larger effects, only one significant difference found was in diagnostic remission post treatment; 51 % of the participant was in remission in internet treatment and 88 % in the day program. At one-year follow-up, participants in the internet treatments had continued to improve, whereas in the day patient program the effect sustained. Internet treatment had a 36 % drop out rate, there were no dropouts found in the day program.ConclusionsAll treatments were comparable in effect at follow-up, suggesting that internet treatment is a conceivable alternative to standard treatment. Internet treatment in a book-based format was also equally effective as a pure online format. Internet delivered cognitive behavioral treatment forms can make important contributions to achieve increased access to treatment for patients with bulimic eating disorders. Future research and clinical implications for internet delivered treatments in eating disorder services are discussed.
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