Effects of bariatric surgery on binge eating and related psychopathology

  • Melissa A. Kalarchian
  • G.T Wilson
  • R.E. Brolin
  • L. Bradley
Original Research Paper

Abstract

The Beck Depression Inventory (BDI), the Three-Factor Eating Questionnaire (TFEQ), and the Eating Disorder Examination (EDE) were administered to 50 morbidly obese patients before and after gastric bypass surgery. Subjects were classified as non-binge or binge eaters prior to surgery. Though the two groups differed markedly before operation, they were largely indistinguishable 4 months afterward. A)1 binge eating had ceased and mood had improved markedly. TFEQ Restraint scores increased, and Disinhibition and Hunger scores decreased. EDE Eating Concern, Shape Concern, and Weight Concern scores dropped. EDE Restraint scores decreased in non-binge caters and increased in binge eaters. The overall findings indicate that gastric bypass surgery had a positive short-term impact on non-binge and binge eaters alike.

Key words

Morbid obesity eating disorders binge eating bariatric surgery gastric bypass weight loss 

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References

  1. 1.
    National Institute of Health Consensus Development Conference Panel. Gastrointestinal surgery for severe obesity: National Institutes of Health Consensus Devolopment Conference Statement. Am. J. Clin. Nutr., 55, 615S–619S, 1992.Google Scholar
  2. 2.
    Kral J.G.: Surgical interventions for obesity. In: Brownell K.D., Fairbum C.G. (Eds.), Eating disorders and obesity: A comprehensive handbook. New York, The Guilford Press, 1995, pp. 510–515.Google Scholar
  3. 3.
    Stunkard A.J., Wadden T.A. Psychological aspects of severe obesity. Am. J. Clin. Nutr., 55, 524S–532S, 1992.PubMedGoogle Scholar
  4. 4.
    Stunkard A.J., Stinnett J.L., Smoller J.W.: Psychological and social aspects of the surgical treatment of obesity. Am. J. Psychiatry, 143, 417–429, 1986.CrossRefPubMedGoogle Scholar
  5. 5.
    Adami G.F., Gandolfo P., Bauer B., Scopinaro N.: Binge eating in massively obese patients undergoing bariatric surgery. Int. J. Eating Disord., 17, 45–50, 1995.CrossRefGoogle Scholar
  6. 6.
    Stunkard A.J., Messick S.: The three-factor eating questionnaire to measure dietary restraint, disinhibition, and hunger. J. Psychosom. Res., 29, 71–83, 1985.CrossRefPubMedGoogle Scholar
  7. 7.
    Kalarchian M.A., Wilson G.T., Brolin R.E.. Bradley L.: Binge eating in bariatic surgery patients. Int. J. Eating Disord., 23, 89–92, 1998.CrossRefGoogle Scholar
  8. 8.
    Measurement of overweight. Stat. Bull. Metrop. Insur. Co., 65, 20–23, 1984.Google Scholar
  9. 9.
    Beck A.T., Ward C., Mendelson M., Mock J., Erbaugh J.: An inventory for measuring depression. Arch. Gen. Psychiatry, 4, 561–571, 1961.CrossRefPubMedGoogle Scholar
  10. 10.
    Fairburn C.G., Cooper Z.: The eating disorder examination (12th ed.). In: Fairburn C.G., Wilson G.T., (Eds.), Binge eating: Nature, assessment and treatment. New York, The Guilford Press, 190, pp. 317–360.Google Scholar
  11. 11.
    Wilson G.T.: Assessment of binge eating. In: Fairburn C.G., Wilson G.T., (Eds.), Binge eating: Nature, assessment and treatment. New York, The Guilford Press, 1993, pp. 227–249.Google Scholar
  12. 12.
    American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (4th ed.) Washington, D.C., A.P.A. 1994, p. 202.Google Scholar
  13. 13.
    Hsu L.K.G., Betancourt S., Sullivan S.P.: Eating disturbances before and after vertical banded gastroplasty: A pilot study. Int. J. Eating Disord., 19, 23–34, 1996.CrossRefGoogle Scholar
  14. 14.
    Hsu L.K.G., Sullivan S.P., Benotti P.N.: Eating disturbances and outcome of gastric bypass surgery. A pilot study. Int. J. Eating Disord., 21, 385–390, 1997.CrossRefGoogle Scholar

Copyright information

© Editrice Kurtis 1999

Authors and Affiliations

  • Melissa A. Kalarchian
    • 1
  • G.T Wilson
    • 2
  • R.E. Brolin
    • 3
  • L. Bradley
    • 3
  1. 1.Westem Psychiatric Institute and ClinicUniversity of Pittsburgh school of MedicinePittsburghUSA
  2. 2.Psychology DepartmentRutgers UniversityNew BrunswickUSA
  3. 3.Robert Wood Johnson Medical SchoolUniversity of Medicine and Dentistry of New JerseyNew BrunswickUSA

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