Association between depression and eating behaviors among bariatric surgery candidates in a Turkish sample
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The purpose of this study was to explore further whether depression is associated with problematic eating behaviors in a sample of Turkish bariatric surgery candidates.
This descriptive study included 168 consecutively seen bariatric surgery candidates in a university bariatric surgery outpatient. Participants were asked to complete the Dutch Eating Behavior Questionnaire (DEBQ), the Beck Depression Inventory (BDI) and surveys assessing sociodemographic and clinical variables. Correlations and linear regression analyses were performed to evaluate the relationship between clinical and demographic variables.
Participants had a mean age 37.7 ± 11.3 years and BMI of 46.4 ± 6.7 kg/m2 (SD = 6.7). According to BDI scores, 75.5 % of the patients had mild, moderate, or severe depressive symptomatology. Lower levels of depressive symptoms were associated with higher levels of restrictive eating (r = −0.17; p = 0.04), whereas higher levels of depressive symptoms were associated with more frequent eating in response to both internal (r = 0.3; p = 0.002) and external (r = 0.2; p = 0.04) cues. The BDI scores were significantly associated with increased external eating (ß = 0.03, p < 0.02) and emotional eating (ß = 0.03, p < 0.002) scores. BMI (β = −0.02, p = 0.02 > 0.1) was not associated with DEBQ total scores.
This research suggests that mild, moderate or severe depressive symptoms are observed in most of the bariatric surgical candidate patients. There is a positive correlation between severity of depression and emotional/external eating behaviors, and a negative correlation between severity of depression and restrictive eating behavior. Additional research is needed to determine whether treating depression preoperatively can assist with alleviating problematic eating behaviors.
KeywordsObesity Bariatric surgery Eating behavior Emotional eating Depression
Compliance with ethical standards
There was no specific funding for this study.
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individiual participants included in the study.
- 5.Mitchell JE, Selzer F, Kalarchian MA, Devlin MJ, Strain GW, Elder KA, Marcus MD, Wonderlich S, Christian NJ, Yanovski SZ (2012) Psychopathology before surgery in the longitudinal assessment of bariatric surgery-3 (LABS-3) psychosocial study. Surg Obes Relat Dis 8(5):533–541. doi: 10.1016/j.soard.2012.07.001 CrossRefPubMedPubMedCentralGoogle Scholar
- 8.de Zwaan M, Enderle J, Wagner S, Mühlhans B, Ditzen B, Gefeller O, Mitchell JE, Müller A (2011) Anxiety and depression in bariatric surgery patients: a prospective, follow-up study using structured clinical interviews. J Affect Disord 133(1–2):61–68. doi: 10.1016/j.jad.2011.03.025 CrossRefPubMedGoogle Scholar
- 14.Schachter S, Rodin J (1974) Obese humans and rats. Lawrence Erlbaum Associates Publisher, Maryland, pp 126–129Google Scholar
- 15.Herman CP, Polivy J (1980) Restrained eating. In: Stunkard A (ed) Obesity. Saunders, Philadelphia, pp 208–225Google Scholar
- 22.Van Strien T, Frijers J, Bergers G, Defares P (1986) The Dutch Eating Behaviour Questionnaire (DEBQ) for assessment of the restrained emotional and external eating. Int J Eat Disord 5:195–217. doi: 10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T CrossRefGoogle Scholar
- 28.Vinai P, Da Ros A, Cardetti S, Casey H, Studt S, Gentile N, Tagliabue A, Vinai L, Vinai P, Bruno C, Mansueto G, Palmieri S, Speciale M (2016) The DSM-5 effect: psychological characteristics of new patients affected by Binge Eating Disorder following the criteria of the DSM-5 in a sample of severe obese patients. Eat Weight Disord 21(1):107–113. doi: 10.1007/s40519-015-0218-8 CrossRefPubMedGoogle Scholar
- 34.Fereidouni F, Atef-Vahid MK, Fathali Lavasani F, Jamshidi Orak R, Klonsky ED, Pazooki A (2015) Are Iranian obese women candidate for bariatric surgery different cognitively, emotionally and behaviorally from their normal weight counterparts? Eat Weight Disord 20(3):397–403. doi: 10.1007/s40519-014-0168-6 CrossRefPubMedGoogle Scholar
- 36.Schachter S, Rodin J (1974) Obese humans and rats. Lawrence Erlbaum Associates Publisher, Maryland, pp 81–85Google Scholar