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Gender Differences in the Psychopathology of Obesity: How Relevant Is the Role of Binge Eating Behaviors?
Background: Obesity is a condition that affects humans both physically and mentally. Moreover, many psychopathological conditions can be observed in obese patients that may threaten the positive outcomes of bariatric surgery. Purpose: The aim of this study was to identify the main psychopathological...
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Published in: | Brain sciences 2022-07, Vol.12 (7), p.955 |
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creator | Di Natale, Chiara Lucidi, Lorenza Montemitro, Chiara Pettorruso, Mauro Collevecchio, Rebecca Di Caprio, Lucia Giampietro, Luana Aceto, Liberato Martinotti, Giovanni Giannantonio, Massimo di |
description | Background: Obesity is a condition that affects humans both physically and mentally. Moreover, many psychopathological conditions can be observed in obese patients that may threaten the positive outcomes of bariatric surgery. Purpose: The aim of this study was to identify the main psychopathological correlates of obese candidates for bariatric surgery, with particular attention on the relationship between psychopathology and gender. Methods: In total, 273 candidates for bariatric surgery for obesity underwent a psychiatric evaluation using a compilation of psychometric scales: the Revised Symptom Checklist 90-R (SCL-90-R), the Eating Disorder Examination Questionnaire (EDE-Q), the Binge Eating Scale (BES), the Body Uneasiness Test (BUT) and the Obesity-Related Well-Being (ORWELL 97). The sample was divided on the basis of gender and binge eating disorder (BED) severity. Comparisons between the groups were performed using an analysis of variance model (ANOVA) or a Pearson’s chi-squared test. Further, we also divided our sample into a severe binge eating group (score > 27), a mild to moderate group (18 < score < 26) and a low/no symptoms group (score < 17). Results: Male and female subjects showed different results for the BES, with higher scores reported among women (17.50 ± 9.59) compared to men (14.08 ± 8.64). Women also showed higher scores across most of the SCL-90-R domains and worse outcomes in terms of quality of life. Both women and men in the severe binge eating group reported higher scores for the SCL-90-R. Conclusion: The symptoms of BED, along with body image dissatisfaction (BID), are among the most important to investigate for candidates for bariatric surgery in order to improve the surgery outcomes. Level of evidence: Level III as the evidence came from a cohort analytic study. |
doi_str_mv | 10.3390/brainsci12070955 |
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Moreover, many psychopathological conditions can be observed in obese patients that may threaten the positive outcomes of bariatric surgery. Purpose: The aim of this study was to identify the main psychopathological correlates of obese candidates for bariatric surgery, with particular attention on the relationship between psychopathology and gender. Methods: In total, 273 candidates for bariatric surgery for obesity underwent a psychiatric evaluation using a compilation of psychometric scales: the Revised Symptom Checklist 90-R (SCL-90-R), the Eating Disorder Examination Questionnaire (EDE-Q), the Binge Eating Scale (BES), the Body Uneasiness Test (BUT) and the Obesity-Related Well-Being (ORWELL 97). The sample was divided on the basis of gender and binge eating disorder (BED) severity. Comparisons between the groups were performed using an analysis of variance model (ANOVA) or a Pearson’s chi-squared test. Further, we also divided our sample into a severe binge eating group (score > 27), a mild to moderate group (18 < score < 26) and a low/no symptoms group (score < 17). Results: Male and female subjects showed different results for the BES, with higher scores reported among women (17.50 ± 9.59) compared to men (14.08 ± 8.64). Women also showed higher scores across most of the SCL-90-R domains and worse outcomes in terms of quality of life. Both women and men in the severe binge eating group reported higher scores for the SCL-90-R. Conclusion: The symptoms of BED, along with body image dissatisfaction (BID), are among the most important to investigate for candidates for bariatric surgery in order to improve the surgery outcomes. Level of evidence: Level III as the evidence came from a cohort analytic study.</description><identifier>ISSN: 2076-3425</identifier><identifier>EISSN: 2076-3425</identifier><identifier>DOI: 10.3390/brainsci12070955</identifier><identifier>PMID: 35884761</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Antidepressants ; Anxiety ; bariatric surgery ; Binge eating ; binge eating disorder ; Body image ; body image dissatisfaction ; Body mass index ; Contraindications ; COVID-19 ; Eating disorders ; Females ; Gastrointestinal surgery ; Gender ; Gender differences ; Informed consent ; Mental depression ; Mental disorders ; Obesity ; Overweight ; Pandemics ; Psychopathology ; Quality of life ; Quantitative psychology ; Questionnaires ; Self esteem ; Self image ; Sex differences ; Surgery</subject><ispartof>Brain sciences, 2022-07, Vol.12 (7), p.955</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490t-313c8937a3f0de2431a85947f24f98201bc59a3a8aced0a36d87457188d0fd373</citedby><cites>FETCH-LOGICAL-c490t-313c8937a3f0de2431a85947f24f98201bc59a3a8aced0a36d87457188d0fd373</cites><orcidid>0000-0003-2701-6929 ; 0000-0001-5788-3789 ; 0000-0002-4164-3040 ; 0000-0002-7292-2341 ; 0000-0002-3280-1895</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2693935632?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2693935632?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793,74412,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35884761$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Di Natale, Chiara</creatorcontrib><creatorcontrib>Lucidi, Lorenza</creatorcontrib><creatorcontrib>Montemitro, Chiara</creatorcontrib><creatorcontrib>Pettorruso, Mauro</creatorcontrib><creatorcontrib>Collevecchio, Rebecca</creatorcontrib><creatorcontrib>Di Caprio, Lucia</creatorcontrib><creatorcontrib>Giampietro, Luana</creatorcontrib><creatorcontrib>Aceto, Liberato</creatorcontrib><creatorcontrib>Martinotti, Giovanni</creatorcontrib><creatorcontrib>Giannantonio, Massimo di</creatorcontrib><title>Gender Differences in the Psychopathology of Obesity: How Relevant Is the Role of Binge Eating Behaviors?</title><title>Brain sciences</title><addtitle>Brain Sci</addtitle><description>Background: Obesity is a condition that affects humans both physically and mentally. Moreover, many psychopathological conditions can be observed in obese patients that may threaten the positive outcomes of bariatric surgery. Purpose: The aim of this study was to identify the main psychopathological correlates of obese candidates for bariatric surgery, with particular attention on the relationship between psychopathology and gender. Methods: In total, 273 candidates for bariatric surgery for obesity underwent a psychiatric evaluation using a compilation of psychometric scales: the Revised Symptom Checklist 90-R (SCL-90-R), the Eating Disorder Examination Questionnaire (EDE-Q), the Binge Eating Scale (BES), the Body Uneasiness Test (BUT) and the Obesity-Related Well-Being (ORWELL 97). The sample was divided on the basis of gender and binge eating disorder (BED) severity. Comparisons between the groups were performed using an analysis of variance model (ANOVA) or a Pearson’s chi-squared test. Further, we also divided our sample into a severe binge eating group (score > 27), a mild to moderate group (18 < score < 26) and a low/no symptoms group (score < 17). Results: Male and female subjects showed different results for the BES, with higher scores reported among women (17.50 ± 9.59) compared to men (14.08 ± 8.64). Women also showed higher scores across most of the SCL-90-R domains and worse outcomes in terms of quality of life. Both women and men in the severe binge eating group reported higher scores for the SCL-90-R. Conclusion: The symptoms of BED, along with body image dissatisfaction (BID), are among the most important to investigate for candidates for bariatric surgery in order to improve the surgery outcomes. Level of evidence: Level III as the evidence came from a cohort analytic study.</description><subject>Antidepressants</subject><subject>Anxiety</subject><subject>bariatric surgery</subject><subject>Binge eating</subject><subject>binge eating disorder</subject><subject>Body image</subject><subject>body image dissatisfaction</subject><subject>Body mass index</subject><subject>Contraindications</subject><subject>COVID-19</subject><subject>Eating disorders</subject><subject>Females</subject><subject>Gastrointestinal surgery</subject><subject>Gender</subject><subject>Gender differences</subject><subject>Informed consent</subject><subject>Mental depression</subject><subject>Mental disorders</subject><subject>Obesity</subject><subject>Overweight</subject><subject>Pandemics</subject><subject>Psychopathology</subject><subject>Quality of life</subject><subject>Quantitative psychology</subject><subject>Questionnaires</subject><subject>Self esteem</subject><subject>Self image</subject><subject>Sex differences</subject><subject>Surgery</subject><issn>2076-3425</issn><issn>2076-3425</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpdkk1vEzEQQFcIRKvQOydkiQuXFNtj79ocQLT0I1KlogrOlmPPZh1t1sHeBOXf4zSlauvLjOw3T-PRVNV7Rk8BNP08TzYM2QXGaUO1lK-q45LVUxBcvn6SH1UnOS9pOYpSkPRtdQRSKdHU7LgKVzh4TORHaFtMODjMJAxk7JD8zDvXxbUdu9jHxY7EltzOMYdx94Vcx7_kDnvc2mEks3zP38Ue99BZGBZILuxYIjnDzm5DTPnbu-pNa_uMJw9xUv2-vPh1fj29ub2anX-_mTqh6TgFBk5paCy01CMXwKySWjQtF61WnLK5k9qCVdahpxZqrxohG6aUp62HBibV7OD10S7NOoWVTTsTbTD3FzEtjE1jcD0aX1uO3ionoBHFoxkKx0QDyOuWl2FNqq8H13ozX6F3OIzJ9s-kz1-G0JlF3BoNnImaF8GnB0GKfzaYR7MK2WHf2wHjJhtea8kVyFoW9OMLdBk3aSij2lOgCwR7IT1QLsWcE7aPzTBq9mthXq5FKfnw9BOPBf-XAP4BmVGz8Q</recordid><startdate>20220721</startdate><enddate>20220721</enddate><creator>Di Natale, Chiara</creator><creator>Lucidi, Lorenza</creator><creator>Montemitro, Chiara</creator><creator>Pettorruso, Mauro</creator><creator>Collevecchio, Rebecca</creator><creator>Di Caprio, Lucia</creator><creator>Giampietro, Luana</creator><creator>Aceto, Liberato</creator><creator>Martinotti, Giovanni</creator><creator>Giannantonio, Massimo di</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M2O</scope><scope>M7P</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2701-6929</orcidid><orcidid>https://orcid.org/0000-0001-5788-3789</orcidid><orcidid>https://orcid.org/0000-0002-4164-3040</orcidid><orcidid>https://orcid.org/0000-0002-7292-2341</orcidid><orcidid>https://orcid.org/0000-0002-3280-1895</orcidid></search><sort><creationdate>20220721</creationdate><title>Gender Differences in the Psychopathology of Obesity: How Relevant Is the Role of Binge Eating Behaviors?</title><author>Di Natale, Chiara ; Lucidi, Lorenza ; Montemitro, Chiara ; Pettorruso, Mauro ; Collevecchio, Rebecca ; Di Caprio, Lucia ; Giampietro, Luana ; Aceto, Liberato ; Martinotti, Giovanni ; Giannantonio, Massimo di</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490t-313c8937a3f0de2431a85947f24f98201bc59a3a8aced0a36d87457188d0fd373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Antidepressants</topic><topic>Anxiety</topic><topic>bariatric surgery</topic><topic>Binge eating</topic><topic>binge eating disorder</topic><topic>Body image</topic><topic>body image dissatisfaction</topic><topic>Body mass index</topic><topic>Contraindications</topic><topic>COVID-19</topic><topic>Eating disorders</topic><topic>Females</topic><topic>Gastrointestinal surgery</topic><topic>Gender</topic><topic>Gender differences</topic><topic>Informed consent</topic><topic>Mental depression</topic><topic>Mental disorders</topic><topic>Obesity</topic><topic>Overweight</topic><topic>Pandemics</topic><topic>Psychopathology</topic><topic>Quality of life</topic><topic>Quantitative psychology</topic><topic>Questionnaires</topic><topic>Self esteem</topic><topic>Self image</topic><topic>Sex differences</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Di Natale, Chiara</creatorcontrib><creatorcontrib>Lucidi, Lorenza</creatorcontrib><creatorcontrib>Montemitro, Chiara</creatorcontrib><creatorcontrib>Pettorruso, Mauro</creatorcontrib><creatorcontrib>Collevecchio, Rebecca</creatorcontrib><creatorcontrib>Di Caprio, Lucia</creatorcontrib><creatorcontrib>Giampietro, Luana</creatorcontrib><creatorcontrib>Aceto, Liberato</creatorcontrib><creatorcontrib>Martinotti, Giovanni</creatorcontrib><creatorcontrib>Giannantonio, Massimo di</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Biological Sciences</collection><collection>ProQuest research library</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Brain sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Di Natale, Chiara</au><au>Lucidi, Lorenza</au><au>Montemitro, Chiara</au><au>Pettorruso, Mauro</au><au>Collevecchio, Rebecca</au><au>Di Caprio, Lucia</au><au>Giampietro, Luana</au><au>Aceto, Liberato</au><au>Martinotti, Giovanni</au><au>Giannantonio, Massimo di</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gender Differences in the Psychopathology of Obesity: How Relevant Is the Role of Binge Eating Behaviors?</atitle><jtitle>Brain sciences</jtitle><addtitle>Brain Sci</addtitle><date>2022-07-21</date><risdate>2022</risdate><volume>12</volume><issue>7</issue><spage>955</spage><pages>955-</pages><issn>2076-3425</issn><eissn>2076-3425</eissn><abstract>Background: Obesity is a condition that affects humans both physically and mentally. Moreover, many psychopathological conditions can be observed in obese patients that may threaten the positive outcomes of bariatric surgery. Purpose: The aim of this study was to identify the main psychopathological correlates of obese candidates for bariatric surgery, with particular attention on the relationship between psychopathology and gender. Methods: In total, 273 candidates for bariatric surgery for obesity underwent a psychiatric evaluation using a compilation of psychometric scales: the Revised Symptom Checklist 90-R (SCL-90-R), the Eating Disorder Examination Questionnaire (EDE-Q), the Binge Eating Scale (BES), the Body Uneasiness Test (BUT) and the Obesity-Related Well-Being (ORWELL 97). The sample was divided on the basis of gender and binge eating disorder (BED) severity. Comparisons between the groups were performed using an analysis of variance model (ANOVA) or a Pearson’s chi-squared test. Further, we also divided our sample into a severe binge eating group (score > 27), a mild to moderate group (18 < score < 26) and a low/no symptoms group (score < 17). Results: Male and female subjects showed different results for the BES, with higher scores reported among women (17.50 ± 9.59) compared to men (14.08 ± 8.64). Women also showed higher scores across most of the SCL-90-R domains and worse outcomes in terms of quality of life. Both women and men in the severe binge eating group reported higher scores for the SCL-90-R. Conclusion: The symptoms of BED, along with body image dissatisfaction (BID), are among the most important to investigate for candidates for bariatric surgery in order to improve the surgery outcomes. 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subjects | Antidepressants Anxiety bariatric surgery Binge eating binge eating disorder Body image body image dissatisfaction Body mass index Contraindications COVID-19 Eating disorders Females Gastrointestinal surgery Gender Gender differences Informed consent Mental depression Mental disorders Obesity Overweight Pandemics Psychopathology Quality of life Quantitative psychology Questionnaires Self esteem Self image Sex differences Surgery |
title | Gender Differences in the Psychopathology of Obesity: How Relevant Is the Role of Binge Eating Behaviors? |
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