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Depression subtypes, binge eating, and weight loss in bariatric surgery candidates

Highlights•Depressive symptoms are associated with Binge Eating Disorder diagnosis.•Atypical depressive symptoms associated with highest risk of Binge Eating Disorder.•Patients with atypical depressive symptoms exhibit greater binge eating severity.•Pre-operative depression subtypes did not predict 18-month post-surgical weight-loss.AbstractBackgroundDepression and binge eating disorder (BED) are prevalent among bariatric surgery candidates. Depression subtypes may be differentially related to obesity, such that the atypical subtype predicts poorer outcomes. However, no research has examined depression subtypes, BED, and weight loss in bariatric candidates.ObjectiveTo examine whether presurgical atypical depressive symptoms, compared with no depressive and melancholic depressive symptoms, were associated with higher rates of presurgical BED, binge eating severity, and poorer postsurgical weight loss trajectories among bariatric candidates.SettingAn outpatient Midwest bariatric clinic.MethodsParticipants were 345 adults (aged 46.27 ± 12.78 yr, 76% female; body mass index = 49.84 ± 8.51 kg/m2) who received a presurgical evaluation. Depression subtypes (melancholic, atypical, and no depressive symptoms) were categorized using the Beck Depression Inventory-II. BED diagnosis and severity were evaluated using the Eating Disorder Diagnostic Scale and Binge Eating Scale, respectively. Weight loss trajectories were calculated as percent total weight loss postsurgery.ResultsUsing no depression as the referent, participants reporting melancholic symptoms (odds ratio = 7.60, P < .001 confidence interval95 [2.59–22.28]) and atypical symptoms (odds ratio = 10.11, P < .01 confidence interval95 [2.69–37.94]) were more likely to meet criteria for BED. Patients with atypical depressive symptoms exhibited the highest binge eating severity scores (mean = 23.03). Depression subtypes did not predict percent total weight loss trajectories within 18-months postbariatric surgery.ConclusionsPatients reporting preoperative atypical depressive symptoms were more likely to meet criteria for co-morbid BED diagnosis and have greater binge eating severity but did not have poorer weight loss within 18 months postsurgery. Future studies with longer-term follow-up and corresponding measures of postsurgical depression and binge eating pathology are warranted.

(افسردگی)، پرخوری، پرخوری، و کاهش وزن در candidates جراحی پلاستیک

نکات برجسته: علائم depressive با تشخیص اختلال در خوردن اختلال مرتبط هستند. علائم افسردگی روحی همراه با بالاترین خطر اختلال در خوردن غذا. بیمارانی که علائم افسردگی غیرمعمول دارند، پرخوری بیشتری را از خود نشان می‌دهند. * های افسردگی قبل از عمل جراحی پس از جراحی و اختلال در خوردن پرخوری بین candidates جراحی bariatric ۱۸ ماهه را پیش‌بینی نمی‌کنند. subtypes (Depression)ممکن است به صورت متمایزی مرتبط با چاقی باشد، مانند این نوع غیر معمول نتایج ضعیفی را پیش‌بینی می‌کند. با این حال، هیچ تحقیقی به بررسی علائم افسردگی presurgical، بستری و کاهش وزن در bariatric candidates.Obje در مقایسه با علائم افسردگی مبتلا به افسردگی BED ingan yr ingan outpatient bariatric clinic.Meth odsParticipants، ۷۶ درصد زن؛ شاخص توده بدنی = ۴۹.۸۴ ± ۱۲.۷۸ kg / m۲)که ارزیابی presurgical را دریافت کرده بودند، مورد بررسی قرار نگرفته است. subtypes (melancholic)(melancholic، غیرمعمول، و بدون علایم افسردگی)با استفاده از افسردگی Beck بین بک - ۲ طبقه‌بندی شدند. تشخیص و شدت بستری در BED به ترتیب با استفاده از مقیاس تشخیص اختلال و مقیاس تغذیه Binge ارزیابی شدند. مسیر کاهش وزن به صورت درصدی از کاهش وزن کلی محاسبه شد که بدون افسردگی به عنوان مدلول، شرکت کنندگان علایم سودا زده (نسبت احتمالات)= ۷.۶۰، پی < را گزارش می‌کنند. interval۹۵ (۲.۵۹ - ۲۲.۲۸)و نشانه‌های غیر معمول (نسبت احتمالات = ۱۰.۱۱، P <. ۰۱ اعتماد به نفس [ ۲.۶۹ - ۳۷.۹۴ ])به احتمال زیاد معیارها را برای بستری شدن انتخاب کردند. بیمارانی که علائم افسردگی غیرمعمول دارند بیش‌ترین میزان پرخوری را نشان می‌دهند (میانگین = ۲۳.۰۳). در طول ۱۸ ماه - postbariatric surgery.Conc lusionsPatients percent weight depressive predict criteria not not to likely more more atypical more meet meet and - morbid morbid severity eating BED BED but but weight weight poorer loss not not not predict predict predict predict predict did did did predict predict predict predict predict predict predict predict predict predict predict predict predict predict predict predict predict predict predict have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have have did مطالعات آینده با پی‌گیری بلند مدت و معیارهای مربوط به افسردگی postsurgical و پاتولوژی را تضمین می‌کنند.

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