Objective: To characterize loss-of-control eating following sleeve gastrectomy surgery by comparing relevant patient groups. Method: Participants were 431 adults seeking treatment for eating/weight concerns categorized into one of four groups: 1) overweight/obesity (OW/OB), 2) binge-eating disorder (BED), 3) “Bariatric Binge-Eating Disorder” (Bar-BED) defined as meeting all criteria for DSM-5 binge-eating disorder, except for the requirement of an unusually large amount of food, following sleeve gastrectomy surgery, and 4) “Bariatric Loss-of-Control Eating” (Bar-LOC Only), defined as experiencing at least once weekly loss-of-control eating episodes during the past month without the other associated clinical features and distress that characterize Bar-BED, following sleeve gastrectomy surgery. Results: The Bar-BED and BED groups reported comparable levels of overall eating-disorder and depressive symptoms, and these levels were significantly higher than those levels reported by the OW/OB and Bar-LOC Only groups. Adjusting for age, body mass index, and race did not change the overall pattern of findings. Conclusion: “Bariatric Binge-Eating Disorder” shares clinical features of DSM-5 binge-eating disorder, regardless of the quantity of food consumed. Careful assessment of loss-of-control eating, associated behavioral features, and distress is warranted following surgery. More broadly, our findings highlight the importance of assessing loss-of-control eating across patient groups with obesity.
|Original language||English (US)|
|Number of pages||6|
|Journal||General Hospital Psychiatry|
|State||Published - Sep 1 2018|
Bibliographical noteFunding Information:
This work was supported by the National Institutes of Health: R03-DK10400801A1 and K23-DK092279 for RDB; R01 DK098492 and R01 DK073542 for CMG.
This work was supported by the National Institutes of Health : R03-DK10400801A1 and K23-DK092279 for RDB; R01 DK098492 and R01 DK073542 for CMG.
© 2018 Elsevier Inc.
- Bariatric surgery
- Binge-eating disorder