An examination of emotional and loss-of-control eating after sleeve gastrectomy surgery

• Main Authors: Grilo, C.M (Author), Ivezaj, V. (Author), Wiedemann, A.A (Author)
• Format: Article
• Language: English
• Published: Elsevier Ltd 2018
• Subjects: adult; Adult; aged; Article; bariatric surgery; Bariatric surgery; Bariatric Surgery; Beck Depression Inventory; behavior assessment; body weight loss; control; eating; Eating; eating disorder; Eating Disorder Examination Bariatric Surgery Version; emotion; emotional eating; Emotional eating; Emotions; female; Female; gastrectomy; Gastrectomy; help seeking behavior; human; Humans; Internal-External Control; loss of control eating; major clinical study; male; Male; middle aged; Middle Aged; Obesity; postoperative period; priority journal; procedures; prognosis; psychology; Roux-en-Y gastric bypass; sleeve gastrectomy; Sleeve gastrectomy; treatment outcome; Treatment Outcome; Weight loss; Yale Emotional Overeating Questionnaire
• Online Access: View Fulltext in Publisher

 Emotional eating has been identified as a predictor of poorer weight loss outcomes in non-bariatric clinical samples. It is unknown, however, whether emotional eating contributes to poorer weight loss outcomes after bariatric surgery or how it might be associated with loss-of-control (LOC) eating, a known predictor of post-surgical outcomes. This study examined the nature and significance of emotional eating among post-bariatric surgery patients with LOC eating. Participants (N = 134) were patients with LOC eating (at least once weekly) seeking treatment to help improve eating approximately 4–9 months following sleeve gastrectomy surgery. Participants were assessed with the Eating Disorder Examination-Bariatric Surgery Version interview, Yale Emotional Overeating Questionnaire, and Beck Depression Inventory-II. Emotional eating and LOC eating were significantly negatively correlated with post-surgical weight loss (p's < 0.05), both variables had a small effect. Linear regression analyses revealed that both emotional eating and frequency of LOC eating were independently associated with weight loss (R2 = 0.041 and 0.049, respectively). Our findings suggest that, among post-sleeve gastrectomy patients with LOC eating, greater frequency of LOC eating and LOC eating in response to emotions are associated with poorer weight outcomes. © 2018 Elsevier Ltd