Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric Surgery

Background: Preoperative binge eating behavior has been associated with difficulties in weight loss maintenance among patients pursuing bariatric surgery. However, limited data exists on the relationship between interpersonal difficulties and binge eating. Objectives: To identify interpersonal facto...

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Main Authors: Rawan Salameh-Dakwar, Roni Elran-Barak, Yara Zahra-Zeitoun, Gidon Soroka, Dvir Froylich, Ahmad Assalia, Yael Latzer
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/21/2836
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author Rawan Salameh-Dakwar
Roni Elran-Barak
Yara Zahra-Zeitoun
Gidon Soroka
Dvir Froylich
Ahmad Assalia
Yael Latzer
author_facet Rawan Salameh-Dakwar
Roni Elran-Barak
Yara Zahra-Zeitoun
Gidon Soroka
Dvir Froylich
Ahmad Assalia
Yael Latzer
author_sort Rawan Salameh-Dakwar
collection DOAJ
description Background: Preoperative binge eating behavior has been associated with difficulties in weight loss maintenance among patients pursuing bariatric surgery. However, limited data exists on the relationship between interpersonal difficulties and binge eating. Objectives: To identify interpersonal factors linked with binge eating among bariatric surgery candidates. Setting: One hundred and seventeen adult bariatric surgery candidates (BMI = 42.2 ± 5.2) from three different hospitals completed questionnaires on the day of their bariatric committee meeting for operation approval. Methods: Binge eating was assessed using the Questionnaire on Eating and Weight Patterns-5 (QEWP-5) as a dichotomous variable. Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES), and interpersonal characteristics were evaluated using the short version of the Inventory of Interpersonal Problems (IIP-32). Sociodemographic variables (age, gender, income, education) and BMI were considered as confounders. Results: Approximately 25% of bariatric surgery candidates reported experiencing binge eating episodes within the previous three months. Participants with binge eating exhibited significantly lower self-esteem and more interpersonal difficulties, particularly in the domains of aggressiveness and dependence, compared to those without binge eating. Logistic regression analysis revealed that aggressiveness was a significant predictor of binge eating in this sample. Conclusions: This study is the first, to the best of our knowledge, to investigate the relationship between interpersonal difficulties and binge eating among bariatric surgery candidates. The findings highlight the significant contribution of aggressiveness to binge eating and emphasize the importance of clinicians assessing patients’ interpersonal functioning, particularly with regard to aggressiveness, as a factor that may contribute to the maintenance and occurrence of binge eating behaviors.
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spelling doaj.art-6b155a300b394aa48652eb3cee2ce79b2023-11-10T15:03:43ZengMDPI AGHealthcare2227-90322023-10-011121283610.3390/healthcare11212836Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric SurgeryRawan Salameh-Dakwar0Roni Elran-Barak1Yara Zahra-Zeitoun2Gidon Soroka3Dvir Froylich4Ahmad Assalia5Yael Latzer6School of Public Health, University of Haifa, Haifa 3498838, IsraelSchool of Public Health, University of Haifa, Haifa 3498838, IsraelSchool of Public Health, University of Haifa, Haifa 3498838, IsraelBnai Zion Medical Center, Haifa 31048, IsraelCarmel Medical Center, Haifa 3436212, IsraelRambam Medical Center, Haifa 3109601, IsraelSchool of Public Health, University of Haifa, Haifa 3498838, IsraelBackground: Preoperative binge eating behavior has been associated with difficulties in weight loss maintenance among patients pursuing bariatric surgery. However, limited data exists on the relationship between interpersonal difficulties and binge eating. Objectives: To identify interpersonal factors linked with binge eating among bariatric surgery candidates. Setting: One hundred and seventeen adult bariatric surgery candidates (BMI = 42.2 ± 5.2) from three different hospitals completed questionnaires on the day of their bariatric committee meeting for operation approval. Methods: Binge eating was assessed using the Questionnaire on Eating and Weight Patterns-5 (QEWP-5) as a dichotomous variable. Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES), and interpersonal characteristics were evaluated using the short version of the Inventory of Interpersonal Problems (IIP-32). Sociodemographic variables (age, gender, income, education) and BMI were considered as confounders. Results: Approximately 25% of bariatric surgery candidates reported experiencing binge eating episodes within the previous three months. Participants with binge eating exhibited significantly lower self-esteem and more interpersonal difficulties, particularly in the domains of aggressiveness and dependence, compared to those without binge eating. Logistic regression analysis revealed that aggressiveness was a significant predictor of binge eating in this sample. Conclusions: This study is the first, to the best of our knowledge, to investigate the relationship between interpersonal difficulties and binge eating among bariatric surgery candidates. The findings highlight the significant contribution of aggressiveness to binge eating and emphasize the importance of clinicians assessing patients’ interpersonal functioning, particularly with regard to aggressiveness, as a factor that may contribute to the maintenance and occurrence of binge eating behaviors.https://www.mdpi.com/2227-9032/11/21/2836obesitybariatric surgerybinge eatinginterpersonalaggressivenessself-esteem
spellingShingle Rawan Salameh-Dakwar
Roni Elran-Barak
Yara Zahra-Zeitoun
Gidon Soroka
Dvir Froylich
Ahmad Assalia
Yael Latzer
Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric Surgery
Healthcare
obesity
bariatric surgery
binge eating
interpersonal
aggressiveness
self-esteem
title Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric Surgery
title_full Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric Surgery
title_fullStr Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric Surgery
title_full_unstemmed Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric Surgery
title_short Interpersonal Characteristics and Binge Eating among Patients Pursuing Bariatric Surgery
title_sort interpersonal characteristics and binge eating among patients pursuing bariatric surgery
topic obesity
bariatric surgery
binge eating
interpersonal
aggressiveness
self-esteem
url https://www.mdpi.com/2227-9032/11/21/2836
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