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Attachment Style in Bariatric Surgery Care: A Case Study

  • Sanjeev SockalingamEmail author
  • Raed Hawa
Chapter

Abstract

In this chapter, we will summarize an approach to using attachment-informed care in the Toronto Western Hospital (TWH) Bariatric Surgery Program as an illustrative case example of how attachment style can be integrated into the clinical care of patients in medical settings. We begin with an overview of the impact of attachment style on obesity and bariatric surgery care, followed by details on the integration and application of attachment theory on bariatric surgery patients.

Keywords

Bariatric Surgery Eating Disorder Binge Eating Disorder Attachment Style Attachment Theory 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Allison KC, Stunkard AJ (2005) Obesity and eating disorders. Psychiatr Clin North Am 28:55–67CrossRefPubMedGoogle Scholar
  2. Allison KC, Wadden TA, Sarver DB, Fabricatore AN, Crerand CE, Gibbons LM, Stack RM, Stunkard AJ, Williams NN (2006) Night eating syndrome and binge eating disorder among persons seeking bariatric surgery: prevalence and related features. Obesity 14:77S–82SCrossRefPubMedGoogle Scholar
  3. Bartholomew K, Horowitz LM (1991) Attachment styles among young adults: a test of a four-category model. J Pers Soc Psychol 61:226–244CrossRefPubMedGoogle Scholar
  4. Cassin SE, Sockalingam S, Wnuk S, Strimas R, Royal S, Hawa R, Parikh SV (2013) Cognitive behavioral therapy for bariatric surgery patients: preliminary evidence for feasibility, acceptability, and effectiveness. Cognitive and Behavioral Practice 20:529–543CrossRefGoogle Scholar
  5. Ciechanowski P, Russo J, Katon W, Von Korff M, Ludman E, Lin E, Simon G, Bush T (2004) Influence of patient attachment style on self-care and outcomes in diabetes. Psychosom Med 66:720–728CrossRefPubMedGoogle Scholar
  6. D’Argenio A, Mazzi C, Pecchioli L, Di Lorenzo G, Siracusano A, Troisi A (2009) Early trauma and adult obesity: is psychological dysfunction the mediating mechanism? Physiol Behav 98:543–546CrossRefPubMedGoogle Scholar
  7. De Zwann M, Mitchell JE, Howell LM, Monson N, Swan-Kreimeier L, Crasby RD, SEIM HC (2003) Characteristics of morbidly obese patients before gastric bypass surgery. Compr Psychiatry 44:428–434CrossRefGoogle Scholar
  8. Garb J, Welch G, Zagarins S, Kuhn J, Romanelli J (2009) Bariatric surgery for the treatment of morbid obesity: a meta-analysis of weight loss outcomes for laparoscopic adjustable gastric banding and laparoscopic gastric bypass. Obes Surg 19:1447–1455CrossRefPubMedGoogle Scholar
  9. Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 26:41–54CrossRefGoogle Scholar
  10. Kalarchian MA, Marcus MD, Wilson GT, Labouvie EW, Broulin RE, Lamarca LB (2002) Binge eating among gastric bypass patients at long-term follow-up. Obes Surg 12:270–275CrossRefPubMedGoogle Scholar
  11. Kalarchian MA, Marcus MD, Levine MD, Courcoulas AP, Pilkonis PA, Ringham RM, Soulakova JN, Weissfeld LA, Roffey DL (2007) Psychiatric disorder among bariatric surgery candidates: relationship to obesity and functional health status. Am J Psychiatry 164:328–334CrossRefPubMedGoogle Scholar
  12. Karlsson J, Sjostrom L, Sullivan M (1998) Swedish obese subjects (SOS): an intervention study of obesity: two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes Relat Metab Disord 22:113–126CrossRefPubMedGoogle Scholar
  13. Karlsson J, Taft C, Ryden A, Sjostrom L, Sullivan M (2007) Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes 31:1248–1261CrossRefGoogle Scholar
  14. King WC, Chen JY, Mitchell JE, Kalarchian MA, Stefeen KJ, Engel SG, Courcoulas AP, Pories WJ, Yanovski SZ (2012) Prevalence of alcohol use disorders before and after bariatric surgery. JAMA 307:2516–2525PubMedCentralCrossRefPubMedGoogle Scholar
  15. Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–613PubMedCentralCrossRefPubMedGoogle Scholar
  16. Kroenke K, Spitzer RL, Williams JBW, Lowe B (2010) The patient health questionnaire somatic, anxiety and depressive symptom scales: a systematic review. Gen Hosp Psychiatry 32Google Scholar
  17. Leon AC, Olfson M, Portera L, Farber L, Sheehan DV (1997) Assessing psychiatric impairment in primary care with the Sheehan disability scale. Int J Psychiatry Med 27:93–105CrossRefPubMedGoogle Scholar
  18. Lo C, Walsh A, Mikulincer M, Gagliese L, Zimmerman C, Rodin G (2009) Measuring attachment security in patients with advanced cancer: psychometric properties of a modified and brief experiences in close relationships scale. Psychooncology 18:490–499CrossRefPubMedGoogle Scholar
  19. Merrell J, Ashton K, Windover A, Heinberg L (2012) Psychological risk may influence drop-out prior to bariatric surgery. Surg Obes Relat Dis 8:463–469CrossRefPubMedGoogle Scholar
  20. Mitchell JE, Selzer F, Kalarchian MA, Devlin MJ, Strain GW, Elder KA, Marcus MD, Wonderlich S, Christian NJ, Yanovski SZ (2012) Psychopathology before surgery in the longitudinal assessment of bariatric surgery-3 (LABS-3) psychosocial study. Surg Obes Relat Dis 8:533–541PubMedCentralCrossRefPubMedGoogle Scholar
  21. Omalu BI, Cho P, Shakir AM, Agumadu UH, Rozin L, Kuller LH, Wecht CH (2005) Suicides following bariatric surgery for the treatment of obesity. Surg Obes Relat Dis 1:447–449CrossRefPubMedGoogle Scholar
  22. Pawlow LA, O’Neil PM, White MA, Byrne TK (2005) Findings and outcomes of psychological evaluations of gastric bypass applicants. Surg Obes Relat Dis 1:523–527; discussion 528–529CrossRefPubMedGoogle Scholar
  23. Pitzul KB, Jackson T, Crawford S, Kwong JC, Sockalingam S, Hawa R, Urbach D, Okrainec A (2014) Understanding disposition after referral for bariatric surgery: when and why patients referred do not undergo surgery. Obes Surg 24:134–140CrossRefPubMedGoogle Scholar
  24. Shakory S, van Exan J, Mills JS, Sockalingam S, Keating L, Taube-Schiff M (2015) Binge eating in bariatric surgery candidates: the role of insecure attachment and emotion regulation. Appetite 91:69–75Google Scholar
  25. Sockalingam S, Hawa R, Wnuk S, Strimas R, Kennedy S (2011a) Weight loss following roux-en-y gastric bypass surgery: a systematic review of psychosocial predictors. Curr Psych Rev 7:226–233CrossRefGoogle Scholar
  26. Sockalingam S, Wnuk S, Strimas R, Hawa R, Okrainec A (2011b) The association between attachment avoidance and quality of life in bariatric surgery candidates. Obes Facts 4:456–460CrossRefPubMedGoogle Scholar
  27. Sockalingam S, Cassin S, Crawford SA, Pitzul K, Khan A, Hawa R, Jackson T, Okrainec A (2013a) Psychiatric predictors of surgery non-completion following suitability assessment for bariatric surgery. Obes Surg 23:205–211CrossRefPubMedGoogle Scholar
  28. Sockalingam S, Cassin S, Hawa R, Khan A, Wnuk S, Jackson T, Okrainec A (2013b) Predictors of post-bariatric surgery appointment attendance: the role of relationship style. Obes Surg 23:2026–2032CrossRefPubMedGoogle Scholar
  29. Strimas R, Dionne MM, Cassin SE, Wnuk S, Taube-Schiff M, Sockalingam S (2014) Psychopathology in severely obese women from a Canadian bariatric setting. Ethnicity and Inequalities in Health and Social Care 7:3–3CrossRefGoogle Scholar
  30. Tasca GA, Balfour L (2014) P Attachment and eating disorders: a review of current research. Int J Eat Disord 47:710–717CrossRefPubMedGoogle Scholar
  31. Trombini E, Baldaro B, Bertaccini R, Mattei C, Montebarocci O, Rossi N (2003) Maternal attitudes and attachment styles in mothers of obese children. Percept Mot Skills 97:613–620CrossRefPubMedGoogle Scholar
  32. Wadden TA, Sarver DB, Fabricatore AN, Jones L, Stack R, Williams NS (2007) Psychosocial and behavioural status of patients undergoing bariatric surgery: what to expect before and after surgery. Med Clin North Am 91:451–469CrossRefPubMedGoogle Scholar
  33. Wei M, Russell DW, Mallinckrodt B, Vogel DL (2007) The experiences in close relationship scale (ECR)-short form: reliability, validity, and factor structure. J Pers Assess 88:187–204CrossRefPubMedGoogle Scholar
  34. White MA, Kalarchian MA, Masheb RM, Marcus MD, Grilo CM (2010) Loss of control over eating predicts outcomes in bariatric surgery patients: a prospective, 24-month follow-up study. J Clin Psychiatry 71:175–184PubMedCentralCrossRefPubMedGoogle Scholar
  35. Wilkinson LL, Rowe AC, Bishop RJ, Brunstrom JM (2010) Attachment anxiety, disinhibited eating, and body mass index in adulthood. Int J Obes 34:1442–1445CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Bariatric Surgery Psychosocial ProgramUniversity Health Network, University of TorontoTorontoCanada

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