Loss-of-control eating after bariatric/sleeve gastrectomy surgery: Similar to binge-eating disorder despite differences in quantities

Valentina Ivezaj, Rachel D. Barnes, Zafra Cooper, Carlos M. Grilo

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

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 languageEnglish (US)
Pages (from-to)25-30
Number of pages6
JournalGeneral Hospital Psychiatry
Volume54
DOIs
StatePublished - Sep 1 2018
Externally publishedYes

Bibliographical note

Funding 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.

Funding 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.

Publisher Copyright:
© 2018 Elsevier Inc.

Keywords

  • Assessment
  • Bariatric surgery
  • Binge-eating disorder
  • Obesity
  • Overweight

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