Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237 |
Resumo: | Introduction: Bariatric surgery is the most effective method for the treatment of morbid obesity. However, the development of eating psychopathology and the emergence of problematic eating behaviours have been reported in the literature. The aim of this crosssectional study was to characterize the post-bariatric population in terms of the frequency of problematic eating behaviours over time and to understand the related psychological features.Material and Methods: This sample was composed of 155 bariatric patients that responded to several self-reported instruments assessing eating psychopathology, problematic eating behaviours, anxiety, depression and stress and impulsive behaviour.Results: Results showed that grazing, binge eating, concerns about body weight and shape, and negative urgency are significantly more frequent at 24 months after bariatric surgery (when compared to earlier postoperative assessments). Correlational analyses showed that eating psychopathology and problematic eating behaviours were significantly and positively associated with levels of anxiety, depression, stress and negative urgency. This study also reinforces the mediating role of negative urgency in the relationship between time elapsed since surgery and psychological distress, and problematic eating behaviours, accounting for a total of 32.3% and 27.2% of its variance, respectively.Discussion: The results suggest a growing trend of problematic eating behaviours and levels of impulsivity being reported by bariatric patients over time.Conclusion: Given the established evidence that supports its impact on weight variability, early identification of problematic eating behaviours and of patients with a tendency to act impulsively in situations of negative emotionality should be a central concern in the follow-up of the bariatric population. |
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Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese SampleComportamentos Alimentares Problemáticos após Cirurgia Bariátrica: Um Estudo com Amostra Nacional PortuguesaBariatric SurgeryFeeding and Eating Disorders/psychologyFeeding BehaviorObesityMorbid/surgerySnacksCirurgia BariátricaComportamentos AlimentarCompulsão Alimentar/psicologiaObesidade Mórbida/cirurgiaPetisco ContínuoIntroduction: Bariatric surgery is the most effective method for the treatment of morbid obesity. However, the development of eating psychopathology and the emergence of problematic eating behaviours have been reported in the literature. The aim of this crosssectional study was to characterize the post-bariatric population in terms of the frequency of problematic eating behaviours over time and to understand the related psychological features.Material and Methods: This sample was composed of 155 bariatric patients that responded to several self-reported instruments assessing eating psychopathology, problematic eating behaviours, anxiety, depression and stress and impulsive behaviour.Results: Results showed that grazing, binge eating, concerns about body weight and shape, and negative urgency are significantly more frequent at 24 months after bariatric surgery (when compared to earlier postoperative assessments). Correlational analyses showed that eating psychopathology and problematic eating behaviours were significantly and positively associated with levels of anxiety, depression, stress and negative urgency. This study also reinforces the mediating role of negative urgency in the relationship between time elapsed since surgery and psychological distress, and problematic eating behaviours, accounting for a total of 32.3% and 27.2% of its variance, respectively.Discussion: The results suggest a growing trend of problematic eating behaviours and levels of impulsivity being reported by bariatric patients over time.Conclusion: Given the established evidence that supports its impact on weight variability, early identification of problematic eating behaviours and of patients with a tendency to act impulsively in situations of negative emotionality should be a central concern in the follow-up of the bariatric population.Introdução: A cirurgia bariátrica é o método mais eficaz para o tratamento da obesidade mórbida. No entanto, o desenvolvimento de psicopatologia alimentar e o aparecimento de comportamentos alimentares problemáticos têm sido relatados na literatura. Este estudo transversal teve como objetivo a caracterização da população pós-cirurgia bariátrica em termos da frequência de comportamentos alimentares problemáticos ao longo do tempo e a compreensão das características psicológicas associadas.Material e Métodos: A amostra foi constituída por 155 doentes sujeitos a cirurgia bariátrica que responderam a instrumentos de autorrelato destinados a avaliar psicopatologia alimentar, comportamentos alimentares problemáticos, ansiedade, depressão e stress e comportamento impulsivo.Resultados: Os resultados mostram que o petisco contínuo, a ingestão alimentar compulsiva, a preocupação com o peso e com a forma e a urgência negativa são significativamente mais frequentes 24 meses após a cirurgia bariátrica (comparativamente com momentos pós-operatórios mais precoces). A psicopatologia alimentar e a presença de comportamentos alimentares problemáticos correlacionam-se significativa e positivamente com níveis de ansiedade, depressão, stress e urgência negativa. Este estudo reforça ainda o papel mediador da urgência negativa na relação entre tempo decorrido desde a cirurgia e distress psicológico, e comportamentos alimentares problemáticos, explicando 32,3% e 27,2% da variância, respectivamente.Discussão: Os resultados apontam para uma tendência crescente de doentes a reportar comportamentos alimentares problemáticos e níveis de impulsividade ao longo do tempo.Conclusão: Tendo em conta a evidência estabelecida do seu impacto na perda e aumento ponderal, a identificação precoce de comportamentos alimentares problemáticos e de doentes com tendência para agir impulsivamente em situações de emocionalidade negativa deve ser central no acompanhamento do doente sujeito a cirurgia bariátrica.Ordem dos Médicos2018-11-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/jpegimage/jpegapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237oai:ojs.www.actamedicaportuguesa.com:article/9237Acta Médica Portuguesa; Vol. 31 No. 11 (2018): November; 633-640Acta Médica Portuguesa; Vol. 31 N.º 11 (2018): Novembro; 633-6401646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/5533https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/6060https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/9747https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/9748https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/9787https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/10584https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/10604Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessConceição, EvaTeixeira, FláviaRodrigues, TâniaLourdes, Marta deBastos, Ana PintoVaz, AnaRamalho, Sofia2022-12-20T11:05:43Zoai:ojs.www.actamedicaportuguesa.com:article/9237Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:41.774125Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample Comportamentos Alimentares Problemáticos após Cirurgia Bariátrica: Um Estudo com Amostra Nacional Portuguesa |
title |
Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample |
spellingShingle |
Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample Conceição, Eva Bariatric Surgery Feeding and Eating Disorders/psychology Feeding Behavior Obesity Morbid/surgery Snacks Cirurgia Bariátrica Comportamentos Alimentar Compulsão Alimentar/psicologia Obesidade Mórbida/cirurgia Petisco Contínuo |
title_short |
Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample |
title_full |
Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample |
title_fullStr |
Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample |
title_full_unstemmed |
Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample |
title_sort |
Problematic Eating Behaviors after Bariatric Surgery: A National Study with a Portuguese Sample |
author |
Conceição, Eva |
author_facet |
Conceição, Eva Teixeira, Flávia Rodrigues, Tânia Lourdes, Marta de Bastos, Ana Pinto Vaz, Ana Ramalho, Sofia |
author_role |
author |
author2 |
Teixeira, Flávia Rodrigues, Tânia Lourdes, Marta de Bastos, Ana Pinto Vaz, Ana Ramalho, Sofia |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Conceição, Eva Teixeira, Flávia Rodrigues, Tânia Lourdes, Marta de Bastos, Ana Pinto Vaz, Ana Ramalho, Sofia |
dc.subject.por.fl_str_mv |
Bariatric Surgery Feeding and Eating Disorders/psychology Feeding Behavior Obesity Morbid/surgery Snacks Cirurgia Bariátrica Comportamentos Alimentar Compulsão Alimentar/psicologia Obesidade Mórbida/cirurgia Petisco Contínuo |
topic |
Bariatric Surgery Feeding and Eating Disorders/psychology Feeding Behavior Obesity Morbid/surgery Snacks Cirurgia Bariátrica Comportamentos Alimentar Compulsão Alimentar/psicologia Obesidade Mórbida/cirurgia Petisco Contínuo |
description |
Introduction: Bariatric surgery is the most effective method for the treatment of morbid obesity. However, the development of eating psychopathology and the emergence of problematic eating behaviours have been reported in the literature. The aim of this crosssectional study was to characterize the post-bariatric population in terms of the frequency of problematic eating behaviours over time and to understand the related psychological features.Material and Methods: This sample was composed of 155 bariatric patients that responded to several self-reported instruments assessing eating psychopathology, problematic eating behaviours, anxiety, depression and stress and impulsive behaviour.Results: Results showed that grazing, binge eating, concerns about body weight and shape, and negative urgency are significantly more frequent at 24 months after bariatric surgery (when compared to earlier postoperative assessments). Correlational analyses showed that eating psychopathology and problematic eating behaviours were significantly and positively associated with levels of anxiety, depression, stress and negative urgency. This study also reinforces the mediating role of negative urgency in the relationship between time elapsed since surgery and psychological distress, and problematic eating behaviours, accounting for a total of 32.3% and 27.2% of its variance, respectively.Discussion: The results suggest a growing trend of problematic eating behaviours and levels of impulsivity being reported by bariatric patients over time.Conclusion: Given the established evidence that supports its impact on weight variability, early identification of problematic eating behaviours and of patients with a tendency to act impulsively in situations of negative emotionality should be a central concern in the follow-up of the bariatric population. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-11-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237 oai:ojs.www.actamedicaportuguesa.com:article/9237 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/9237 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/5533 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/6060 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/9747 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/9748 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/9787 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/10584 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9237/10604 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2018 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2018 Acta Médica Portuguesa |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf image/jpeg image/jpeg application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 31 No. 11 (2018): November; 633-640 Acta Médica Portuguesa; Vol. 31 N.º 11 (2018): Novembro; 633-640 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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