Characteristics of morbidly obese patients before gastric bypass surgery

Compr Psychiatry. 2003 Sep-Oct;44(5):428-34. doi: 10.1016/S0010-440X(03)00092-0.

Abstract

The prevalence of binge eating disorder (BED) was assessed in a sample of 110 morbidly obese presurgery patients by means of self-report (Questionnaire on Eating and Weight Patterns [QEWP]). Subsequently, patients with (n = 19, 17.3%) and without BED (n = 91, 82.7%) were compared on several eating-related and general psychopathological instruments, as well as an obesity-specific health-related quality-of-life measure. Patients with BED exhibited higher scores than non-BED patients on most of the subscales of two questionnaires measuring eating behavior and attitudes towards eating, shape, and weight (Three Factor Eating Questionnaire [TFEQ], Eating Disorders Examination-questionnaire version [EDE-Q4]) with the exception of the respective restraint subscales. The two groups also differed significantly on the disease-specific quality-of-life measure (Impact of Quality of Life Questionnaire-Lite [IWQOL-Lite]). No differences were found for measures of severity of depressive symptoms (Inventory of Depressive Symptoms [IDS]) and impairment of self-esteem (Rosenberg Self-Esteem Questionnaire [RSE]). Our findings replicate the results of other studies comparing patients with and without BED in samples with different degrees of obesity and extend the results to an obesity-specific quality-of-life measure. Further research needs to investigate the short- and long-term impact of presurgery BED on surgery outcome, as well as the impact of surgery on binge eating and eating-related psychopathology.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Age Factors
  • Attitude to Health
  • Bulimia / epidemiology*
  • Depression / diagnosis
  • Female
  • Gastric Bypass*
  • Humans
  • Male
  • Middle Aged
  • Mood Disorders / diagnosis
  • North Dakota / epidemiology
  • Obesity, Morbid / psychology*
  • Obesity, Morbid / surgery*
  • Prevalence
  • Quality of Life
  • Self Concept
  • Sex Factors
  • Sexual Behavior / psychology
  • Surveys and Questionnaires
  • Work / psychology