The utility of DSM-5 indicators of loss of control eating for the bariatric surgery population.
The utility of DSM-5 indicators of loss of control eating for the bariatric surgery population.
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DOI：
10.1002/erv.2737
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发表时间：
2020-07
期刊：
影响因子：
--
通讯作者：
Vaz AR
中科院分区：
文献类型：
--
作者：
Conceição EM;de Lourdes M;Peixoto AP;Pinto-Bastos A;Goldschmidt AB;Vaz AR
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. 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. ANOVAS, T-test, χ2, and regressions compared the groups in terms of LOC indicators endorsed and to explain disordered eating psychopathology. 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 was associated with increased eating-related psychopathology (F(1,134)=31.06, p<.001), but only for the post-surgery patients. The LOC indicators proposed by DSM-5 need to be refined or revised for the bariatric population.
