Advertisement

Obesity Surgery

, Volume 27, Issue 12, pp 3253–3257 | Cite as

Adverse Childhood Experiences in a Post-bariatric Surgery Psychiatric Inpatient Sample

  • Kathryn Fink
  • Colin A. Ross
Original Contributions

Abstract

Background

Sixty-three inpatients in a psychiatric hospital who had previously undergone bariatric surgery were interviewed by the hospital dietitian. The purpose of the study was to determine the frequency of adverse childhood experiences in this population.

Methods

Participants completed the Adverse Childhood Experiences (ACE) Scale.

Results

The average score on the ACE was 5.4 (3.3); 76% of participants reported childhood emotional neglect, 70% childhood verbal abuse, and 64% childhood sexual abuse; only two participants reported no adverse childhood experiences.

Conclusions

The participants in the study reported high levels of adverse childhood experiences compared to the general population, which is consistent with prior literature on rates of childhood trauma in post-bariatric surgery patients. The role of adverse childhood experiences in post-bariatric surgery adaptation should be investigated in future research, including in prospective studies.

Keywords

Obesity Bariatric surgery Psychiatric inpatients Adverse childhood experiences 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from all individual participants included in the study.

Statement of Animal and Human Rights

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    Dutton GR, Bodell LP, Smith AR, et al. Examination of the relationship between obesity and suicidal ideation. Int J Obes. 2013;37:1282–6.CrossRefGoogle Scholar
  2. 2.
    Koball AM, Himes SM, Sim L, et al. Distress tolerance and psychological comorbidity in patients seeking bariatric surgery. Obes Surg. 2016;26:1559–64.CrossRefPubMedGoogle Scholar
  3. 3.
    Alciati A, Caldirola D, Grassi M, et al. Mediation effect of recent loss events on weight gain in obese people who experienced childhood parental death or separation. J Health Psychol. 2015, 2015; doi: 10.1177/1359105315595451.
  4. 4.
    Clark MM, Hanna BK, Mai JL, et al. (2007). Sexual abuse survivors and psychiatric hospitalization after bariatric surgery. Obes Surg. 2007;1:465–9.CrossRefGoogle Scholar
  5. 5.
    Grilo CM, Masheb RM, Brody M, et al. Childhood maltreatment in extremely obese male and female bariatric surgery candidates. Obes Res. 2005;13:123–30.CrossRefPubMedGoogle Scholar
  6. 6.
    Sansone RA, Schumacher D, Wiederman MW, et al. The prevalence of childhood trauma and parental caretaking quality among gastric surgery candidates. Eat Disord. 2008;16:117–27.CrossRefPubMedGoogle Scholar
  7. 7.
    Wildes JE, Kalacharian MA, Marcus MD, et al. Childhood maltreatment and psychiatric morbidity in bariatric surgery candidates. Obes Surg. 2008;18:306–13.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Afifi TO, MacMillian HL, Boyle M. Childhood abuse and physical health in adulthood. Health Rep. 2016;27:10–8.Google Scholar
  9. 9.
    Felitti VJ. Long-term medical consequences of incest, rape, and molestation. South Med J. 1991;84:328–31.CrossRefPubMedGoogle Scholar
  10. 10.
    Felitti VJ, Anda RF, Nordernberg D, et al. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) study. Am J Prev Med. 1998;14:245–58.CrossRefPubMedGoogle Scholar
  11. 11.
    Gota CE, Kaouk S, Wilke WS. Fibromylalgia and obesity: the association between body mass index and disability, depression, history of abuse, medications, and comorbidities. J Clin Rheumatol. 2015;21:289–95.CrossRefPubMedGoogle Scholar
  12. 12.
    Mason SM, MacLehose RF, Katz-Wise SL, et al. Childhood abuse victimization, stress-related eating, and weight status in young women. Ann Epidemiol. 2015;25:760–6.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Power C, Pinto Pereira SM. Childhood maltreatment and BMI trajectories to mid-adult life: follow-up to age 50y in a British birth cohort. PLoS One. 2015;10 doi: 10.1371/journal.pone.0119985.
  14. 14.
    Ramirez JC, Milan S. Childhood sexual abuse moderates the relationship between obesity and mental health in low-income women. Child Maltreat. 2016;21:85–9.CrossRefPubMedGoogle Scholar
  15. 15.
    Ross CA. Childhood sexual abuse and psychosomatic symptoms in irritable bowel syndrome. J Child Sex Abus. 2005;14:27–37.CrossRefPubMedGoogle Scholar
  16. 16.
    Ross CA. Psychodynamics of eating disorder behavior in sexual abuse survivors. Am J Psychother. 2009;63:211–26.PubMedGoogle Scholar
  17. 17.
    Schneider B, Lukaschek K, Baumert J, et al. Living alone, obesity, and smoking increase risk for suicide independently of depressive mood findings from the population-based MONICA/KORA Augsburg cohort study. J Affect Disord. 2014;416:152–4.Google Scholar
  18. 18.
    Wang Y, Wu B, Yang H, et al. The effect of childhood abuse on the risk of adult obesity. Ann Clin Psychiatry. 2015;27:175–84.PubMedGoogle Scholar
  19. 19.
    Booth H, Khan O, Prevost AT, et al. Impact of bariatric surgery on clinical depression. Interrupted time series study with matched controls. J Affect Disord. 2015;174:644–9.CrossRefPubMedGoogle Scholar
  20. 20.
    Burgmer R, Petersen I, Burgmer M, et al. Psychological outcome two years after restrictive bariatric surgery. Obes Surg. 2007;17:785–91.CrossRefPubMedGoogle Scholar
  21. 21.
    de Zwaan M, Enderle J, Wagner S, et al. Anxiety and depression in bariatric surgery patients: a prospective, follow-up study using structured clinical interviews. J Affect Disord. 2001;133:61–8.CrossRefGoogle Scholar
  22. 22.
    Wagner B, Klinitzke G, Brahler E, et al. Extreme obesity is associated with suicidal behavior and suicide attempts in adults: results of a population-based representative sample. Depress Anxiety. 2013;30:975–81.PubMedGoogle Scholar
  23. 23.
    Grilo CM, White MA, Masheb RM, et al. Relation of childhood sexual abuse and other forms of maltreatment to 12-month postoperative outcomes in extremely obese gastric bypass patients. Obes Surg. 2006;16:454–60.CrossRefPubMedGoogle Scholar
  24. 24.
    Lagerros YT, Brandt L, Hedberg J, et al. Suicide, self-harm, and depression after gastric bypass surgery: a nationwide cohort study. Ann Surg. 2016;20:1–7.Google Scholar
  25. 25.
    Mitchell JE, King WC, Chen JY, et al. Course of depressive symptoms and treatment in the longitudinal assessment of bariatric surgery (LABS-2) study. Obesity (Silver Spring). 2014;22:1799–806.CrossRefGoogle Scholar
  26. 26.
    Peterhansel C, Petroff D, Klinitzke G, et al. Risk of completed suicide after bariatric surgery: a systematic review. Obes Rev. 2013;14:369–82.CrossRefPubMedGoogle Scholar
  27. 27.
    Raoof M, Naslund I, Rask E, et al. Health-related quality-of-life (HRQoL) on an average of 12 years after gastric bypass surgery. Obes Surg. 2015;25:1119–27.CrossRefPubMedGoogle Scholar
  28. 28.
    Sjostrom L. Review of the key results from the Swedish obese subjects (SOS) trial—a prospective controlled intervention study of bariatric surgery. J Int Med. 2013;273:219–34.CrossRefGoogle Scholar
  29. 29.
    van Hout GC, Fortuin FA, Pelle AJ, et al. Psychosocial functioning, personality, and body image following vertical banded gastroplasty. Obes Surg. 2008;18:115–20.CrossRefPubMedGoogle Scholar
  30. 30.
    Bhatti JA, Nathens AB, Thirichelvam D, et al. Self-harm emergencies after bariatric surgery: a population-based cohort study. JAMA Surg. 2016;151:226–32.CrossRefPubMedGoogle Scholar
  31. 31.
    Mitchell JE, Christian NJ, Flum DR, et al. Post-operative behavioral variables and weight change 3 years after bariatric surgery. JAMA surg. 2016;151:752–7.CrossRefPubMedGoogle Scholar
  32. 32.
    King WC, Chen J-Y, Mitchell JE, et al. Prevalence of alcohol use disorders before and after bariatric surgery. JAMA. 2012;307:2516–25.CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Lhodia NA, Rosas US, Moore M, et al. Do adverse childhood experiences affect surgical weight loss outcomes? J Gastrointest Surg. 2015;19:993–8.CrossRefGoogle Scholar
  34. 34.
    Silva S, Maca A. Adverse childhood experiences in adults with morbid obesity. Acta Medica Port. 2007;20:495–502.Google Scholar
  35. 35.
    Bellis MA, Lowey H, Leckenby N, et al. Adverse childhood experiences: retrospective study to determine their impact on adult health behaviors and health outcomes of a UK population. J Public Health. 2014;36:81–91.CrossRefGoogle Scholar
  36. 36.
    Benarous X, Raffin M, Bodeau N, et al. Adverse childhood experiences among inpatient youths with severe and early-onset psychiatric disorders: prevalence and clinical correlates. Child Psychiatry Human Development. 2016; doi: 10.1007/s10578-016-0637-4.
  37. 37.
    Saunders JB, Aasland OG, Babor TF, et al. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction. 1993;88:791–803.CrossRefPubMedGoogle Scholar
  38. 38.
    Beck AT, Steer RA, Brown GK. BDI-II manual. New York: Harcourt Brace & Co; 1996.Google Scholar
  39. 39.
    Dube SR, Williamson DF, Thompson T, et al. Assessing the reliability of retrospective reports of adverse childhood experiences among adult HMO members attending a primary care clinic. Child Abus Negl. 2004;2:729–37.CrossRefGoogle Scholar
  40. 40.
    Rf A, Brown DW, Felitti VJ, et al. Adverse childhood experiences and prescribed psychotropic medications in adults. Am J Prev Med. 2007;32:389–94.CrossRefGoogle Scholar
  41. 41.
    Gache P, Michaud P, Landry U, et al. The Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for excessive drinking in primary care: reliability and validity of a French version. Alcohol Clin Exp Res. 2005;29:2001–7.CrossRefPubMedGoogle Scholar
  42. 42.
    Capoccia D, Monaco V, Coccia F, et al. Clin Ter. 2015;166:248–53.Google Scholar
  43. 43.
    Morgan DJ, Ho KM. Incidence and risk factors for deliberate self-harm, mental illness, and suicide following bariatric surgery: a state-wide population-based linked-data cohort study. Ann Surg. 2016; doi: 10.1097/SLA.0000000000001891.
  44. 44.
    Mitchell JE, Crosby R, de Zwann M, et al. Possible risk factors for increased suicide following bariatric surgery. Obesity. 2013;21:665–72.CrossRefPubMedPubMedCentralGoogle Scholar
  45. 45.
    Tindle HA, Omalu B, Coucouras A, et al. Risk of suicide after long-term follow-up from bariatric surgery. Am J Med. 2010;123:1036–42.CrossRefPubMedPubMedCentralGoogle Scholar
  46. 46.
    Jones-Corneille LR, Wadden TA, Sarwer DB. Risk of depression and suicide in patients with extreme obesity who seek bariatric surgery. Obes Manag. 2007;3:255–60.CrossRefGoogle Scholar
  47. 47.
    Kalarchian MA, Marcud MD. Psychosocial interventions pre and post bariatric surgery. Eur Eat Disord Rev. 2015;23:457–62.CrossRefPubMedGoogle Scholar
  48. 48.
    Janik MR, Rogula T, Bielecka CI, et al. Quality of life and bariatric surgery: cross-sectional study and analysis of factors influencing outcome. Obes Surg. 2016; doi: 10.1007/s11695-016-2220-2.

Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Institute for Psychological TraumaRichardsonUSA

Personalised recommendations