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Axis I Psychopathology in Bariatric Surgery Candidates with and without Binge Eating Disorder: Results of Structured Clinical Interviews

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Abstract

Background

Prior studies have reached contradictory conclusions concerning whether binge eating disorder (BED) is associated with greater psychopathology in extremely obese patients who seek bariatric surgery. This study used the Structured Clinical Interview for DSM-IV Diagnoses (SCID) to compare rates of axis I psychopathology in surgery candidates who were determined to have BED or to be currently free of eating disorders. The relationship of BED to other psychosocial functioning and weight loss goals also was examined.

Methods

One hundred ninety five bariatric surgery patients completed the Weight and Lifestyle Inventory and the Beck Depression Inventory-II (BDI-II) and were later administered the Eating Disorder Examination. Of these 195, 44 who were diagnosed with BED, and 61 who were currently free of eating pathology, completed a telephone-administered SCID.

Results

Significantly more BED than non-BED participants had a current mood disorder (27.3% vs. 4.9%, p = 0.002) as well as a lifetime history of this condition (52.3% vs. 23.0%, p = 0.003). More BED than non-BED participants also had a current anxiety disorder (27.3% vs. 8.2%, p = 0.014) and lifetime anxiety disorder (36.4% vs. 16.4%, p = 0.019). BED also was associated with greater symptoms of depression, as measured by the BDI-II, as well as with lower self-esteem. BED and non-BED groups, however, did not differ in their desired weight loss goals following surgery.

Conclusions

The present findings indicate that the presence of BED, in patients who seek bariatric surgery, is associated with an increased prevalence of axis I psychopathology, beyond the already elevated rate observed with severe (i.e., class III) obesity.

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Disclosure

Dr. David Sarwer serves as a consultant for Allergan, Baronova, Enteromedics, and Ethicon Endo-Surgery. He also sits on the Board of Directors for the Surgical Review Corporation. Dr. Anthony Fabricatore serves as a consultant to Allergan. The other authors have no conflicts of interest to declare.

Author information

Authors and Affiliations

  1. Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    LaShanda R. Jones-Corneille, Thomas A. Wadden, David B. Sarwer, Lucy F. Faulconbridge, Anthony N. Fabricatore, Rebecca M. Stack, Faith A. Cottrell, Melissa E. Pulcini & Victoria L. Webb

  2. Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA

    LaShanda R. Jones-Corneille

  3. Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    David B. Sarwer & Noel N. Williams

  4. University of Pennsylvania, 3535 Market Street, Suite 3029, Philadelphia, PA, 19104, USA

    Thomas A. Wadden

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  1. LaShanda R. Jones-Corneille
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  2. Thomas A. Wadden
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  3. David B. Sarwer
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  4. Lucy F. Faulconbridge
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  6. Rebecca M. Stack
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  7. Faith A. Cottrell
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  8. Melissa E. Pulcini
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  9. Victoria L. Webb
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Corresponding author

Correspondence to Thomas A. Wadden.

Additional information

Preparation of this manuscript was supported, in part, by National Institutes of Health grants R01-DK069652 and K24-DK065018.

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Jones-Corneille, L.R., Wadden, T.A., Sarwer, D.B. et al. Axis I Psychopathology in Bariatric Surgery Candidates with and without Binge Eating Disorder: Results of Structured Clinical Interviews. OBES SURG 22, 389–397 (2012). https://doi.org/10.1007/s11695-010-0322-9

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