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The utility of DSM‐5 indicators of loss of control eating for the bariatric surgery population
Author(s) -
Conceição Eva M.,
Lourdes Marta,
Peixoto Ana P.,
PintoBastos Ana,
Goldschmidt Andrea B.,
Vaz Ana R.
Publication year - 2020
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2737
Subject(s) - psychopathology , binge eating disorder , binge eating , eating disorders , population , medicine , bulimia nervosa , feeling , psychiatry , obesity , clinical psychology , psychology , environmental health , social psychology
Objectives This study investigated the utility of DSM‐5 indicators of loss of control (LOC) eating in adult bariatric surgery patients who presented with binge‐eating episodes. Methods Participants (all women) were 40 preoperative and 28 postoperative bariatric surgery patients reporting objective binge eating (OBE), 46 preoperative and 52 postoperative with subjective binge‐eating (SBE), 53 bulimia nervosa (BN) controls, and 34 binge‐eating disorder (BED) controls. Face‐to‐face Eating Disorder Examination interviews and questionnaires were administered. ANOVA, T‐ test, χ 2 , and regressions compared the groups in terms of LOC indicators endorsed and to explain disordered eating psychopathology. Results The indicator most commonly reported by bariatric patients with OBE was “ feeling disgusted ” (90% and 75% of pre‐ and postoperative groups), and the least endorsed was “ eating alone ” (40 and 28.6%). These indicators were reported by >84.9% of the BN and BED. Bariatric patients (pre‐ or post‐surgery) with OBE only reported a higher number of indicators than patients with SBE only ( t (150) = 2.34, p = .021). A higher number of indicators reported were associated with increased eating‐related psychopathology ( F (1,134) = 31.06, p < .001), but only for the post‐surgery patients. Conclusions The LOC indicators proposed by DSM‐5 need to be refined or revised for the bariatric population. Highlights Bariatric patients endorse fewer LOC indicators than BN or BED during a binge‐eating episode. Some of the DSM‐5 LOC indicators may not be suited to assess episodes of loss of control eating among bariatric patients. The Higher the number of LOC indicators reported, the higher the eating‐related psychopathology.