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Eating pathology before and after bariatric surgery: A prospective study
Author(s) -
Powers Pauline S.,
Perez Aura,
Boyd Felecia,
Rosemurgy Alexander
Publication year - 1999
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/(sici)1098-108x(199904)25:3<293::aid-eat7>3.0.co;2-g
Subject(s) - binge eating , psychopathology , eating disorders , vomiting , binge eating disorder , psychology , prospective cohort study , medicine , psychiatry , bulimia nervosa , surgery
Objective The objectives of the study were (1) to determine the prevalence of eating pathology in patients before bariatric surgery and at follow‐up; (2) to assess the relationship of presurgical eating pathology to various measures of psychopathology; and (3) to assess the relationship between presurgical eating pathology and outcome. Method One hundred sixteen patients were evaluated prior to surgery and at follow‐up an average of 5.5 years after surgery. Results Preoperative binge eating occurred in 52% of patients, 16% met criteria for binge eating disorder, and 10% had the night eating syndrome. All three forms of presurgical eating pathology were statistically associated with cognitive distortions. At follow‐up, 33% of patients were vomiting at least weekly. There was no relationship between presurgical eating pathology and weight outcome or presence of vomiting at follow‐up. Discussion Although postoperative vomiting usually does not represent purge behavior, it may represent failed attempts to binge. © 1999 by John Wiley & Sons, Inc. Int J Eat Disord 25: 293–300, 1999.