Relationship of depression, impulsivity, distress intolerance and coping styles with maladaptive eating patterns in bariatric candidates


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ERDEN AKI Ş. Ö., Yildiz M. I., Kamis G. Z., AYTULUN A., KARAKAYA KARABULUT J., İŞIKLI S.

EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY, cilt.27, ss.3351-3366, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 27
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1007/s40519-022-01465-9
  • Dergi Adı: EATING AND WEIGHT DISORDERS-STUDIES ON ANOREXIA BULIMIA AND OBESITY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, Food Science & Technology Abstracts, MEDLINE, Psycinfo
  • Sayfa Sayıları: ss.3351-3366
  • Anahtar Kelimeler: Bariatric candidate, Eating behavior, Depression, Stress intolerance, Coping styles, Impulsivity, PATIENTS SEEKING, FOLLOW-UP, SURGERY CANDIDATES, PSYCHOLOGICAL STRESS, SYMPTOMS, DISORDER, PSYCHOPATHOLOGY, BEHAVIORS, OBESITY, PREVALENCE
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Purpose The study aimed to investigate the problematic eating patterns and understand their relationship to psychological constructs, including stress intolerance, coping mechanisms and impulsivity, and psychiatric symptoms among bariatric surgery candidates. Methods The bariatric candidates were evaluated by psychiatric interview and standard scales assessing maladaptive eating behaviors (Eating Attitudes Test (EAT), Bulimia Investigatory Test-Edinburgh (BITE), Dutch Eating Behavior Questionnaire (DEBQ)), depression (Beck Depression Inventory (BDI)), psychiatric symptoms (Brief Symptom Inventory (BSI)), and psychological constructs (Distress Intolerance Index (DSI), Coping Styles Scale (CSS), UPPS Impulsive Behavior Scale(UPPS)). Results More than half (57.8%) had maladaptive eating behaviors, and 23.6% had binge-eating behavior. Depression and anxiety predicted EAT, BITE, and DEBQ emotional and external eating sub-scale scores; distress intolerance, helpless coping style, and impulsivity predicted maladaptive eating behaviors in bariatric candidates. Conclusion Maladaptive eating patterns play an essential role in the failure to lose weight and regain weight and are predicted by depression, anxiety, and psychological constructs in this study. Evaluation of pathological trait characteristics besides discrete psychiatric syndromes should be recommended in the pre-operation process to plan relevant interventions in the long-term management of weight.