Premium
Exploring the concept of eating dyscontrol in severely obese patients candidate to bariatric surgery
Author(s) -
Calderone A.,
Mauri M.,
Calabrò P. F.,
Piaggi P.,
Ceccarini G.,
Lippi C.,
Fierabracci P.,
Landi A.,
Vitti P.,
Santini F.
Publication year - 2015
Publication title -
clinical obesity
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 12
eISSN - 1758-8111
pISSN - 1758-8103
DOI - 10.1111/cob.12080
Subject(s) - psychopathology , binge eating , body mass index , medicine , eating disorders , mood , binge eating disorder , obesity , psychiatry , anxiety , clinical psychology , bulimia nervosa
Summary Eating dyscontrol constitutes a potential negative predictor for the outcome of treatment strategies for obese patients. The aim of this study was to examine the qualitative characteristics of eating dyscontrol in obese patients who engage in binge eating ( BE ) compared with those who do not ( NBE ), and to analyse the relationship between eating dyscontrol and axis‐ I , axis‐ II , spectrum psychopathology using instruments that explore mood, panic–agoraphobic, social–phobic, obsessive–compulsive and eating disorders spectrum psychopathology ( SCI‐MOODS‐SR , SCI‐PAS‐SR , SCI‐SHY‐SR , SCI‐OBS‐SR , SCI‐ABS‐SR ). This was a cross‐sectional study involving a clinical sample of adult obese patients with severe obesity (average body mass index = 45 ± 8 kg m −2 ) and candidate to bariatric surgery who were recruited between N ovember 2001 and N ovember 2010 at the O besity C enter of the E ndocrinology U nit, U niversity H ospital of P isa. All participants completed a face‐to‐face interview, including a diagnostic assessment of axes‐ I and II mental disorders (using the S tructured C linical I nterview for M anual of M ental D isorders, fourth edition [ SCID ]‐ I and SCID‐II ) and filled out self‐report spectrum instruments. Among obese patients not affected by BE , eating dyscontrol was highly represented. Indeed, 39.7% ( N = 177) of subjects endorsed six or more items of the A norexia– B ulimia S pectrum S elf‐ R eport, lifetime version domain exploring this behaviour. The cumulative probability of having axis‐ I , axis‐ II and a spectrum condition disorder increased significantly with the number of eating dyscontrol items endorsed. In both BE and NBE obese subjects, eating dyscontrol may represent an independent dimension strongly related to the spectrum psychopathology and axes I/II disorders. A systematic screening for eating dyscontrol symptoms by means of self‐report spectrum instruments may be valuable to assign specific treatment strategies.