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Article

Prospective Study of Attachment as a Predictor of Binge Eating, Emotional Eating and Weight Loss Two Years after Bariatric Surgery

1
Centre for Mental Health, University Health Network, Toronto, ON M5G 2C4, Canada
2
Bariatric Surgery Program, Toronto Western Hospital, Toronto, ON M5T 2S8, Canada
3
Department of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada
4
Division of General Surgery, University Health Network, University of Toronto, Toronto, ON M5T 2S8, Canada
5
Department of Psychology, Ryerson University, Toronto, ON M5B 2K3, Canada
6
Centre for Addiction and Mental Health, Toronto, ON M5S 2S1, Canada
*
Authors to whom correspondence should be addressed.
Nutrients 2019, 11(7), 1625; https://doi.org/10.3390/nu11071625
Received: 8 June 2019 / Revised: 10 July 2019 / Accepted: 15 July 2019 / Published: 17 July 2019
(This article belongs to the Special Issue Binge Eating Disorder 2019)
Bariatric surgery remains the most effective treatment for severe obesity, though post-surgical outcomes are variable with respect to long-term weight loss and eating-related psychopathology. Attachment style is an important variable affecting eating psychopathology among individuals with obesity. To date, studies examining eating psychopathology and attachment style in bariatric surgery populations have been limited to pre-surgery samples and cross-sectional study design. The current prospective study sought to determine whether attachment insecurity is associated with binge eating, emotional eating, and weight loss outcomes at 2-years post-surgery. Patients (n = 108) completed questionnaires on attachment style (ECR-16), binge eating (BES), emotional eating (EES), depression (PHQ-9), and anxiety (GAD-7). Multivariate linear regression analyses were conducted to examine the association between attachment insecurity and 2-years post-surgery disordered eating and percent total weight loss. Female gender was found to be a significant predictor of binge eating (p = 0.007) and emotional eating (p = 0.023) at 2-years post-surgery. Avoidant attachment (p = 0.009) was also found to be a significant predictor of binge eating at 2-years post-surgery. To our knowledge, this study is the first to explore attachment style as a predictor of long-term post-operative eating pathology and weight outcomes in bariatric surgery patients. View Full-Text
Keywords: bariatric surgery; attachment theory; disordered eating; binge eating; predictors bariatric surgery; attachment theory; disordered eating; binge eating; predictors
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MDPI and ACS Style

Leung, S.E.; Wnuk, S.; Jackson, T.; Cassin, S.E.; Hawa, R.; Sockalingam, S. Prospective Study of Attachment as a Predictor of Binge Eating, Emotional Eating and Weight Loss Two Years after Bariatric Surgery. Nutrients 2019, 11, 1625. https://doi.org/10.3390/nu11071625

AMA Style

Leung SE, Wnuk S, Jackson T, Cassin SE, Hawa R, Sockalingam S. Prospective Study of Attachment as a Predictor of Binge Eating, Emotional Eating and Weight Loss Two Years after Bariatric Surgery. Nutrients. 2019; 11(7):1625. https://doi.org/10.3390/nu11071625

Chicago/Turabian Style

Leung, Samantha E., Susan Wnuk, Timothy Jackson, Stephanie E. Cassin, Raed Hawa, and Sanjeev Sockalingam. 2019. "Prospective Study of Attachment as a Predictor of Binge Eating, Emotional Eating and Weight Loss Two Years after Bariatric Surgery" Nutrients 11, no. 7: 1625. https://doi.org/10.3390/nu11071625

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