Shannon M Clark-Sienkiewicz1,2,3, Leah M Hecht1,2,3, Bethany Pester1,2,3, Kellie Martens1,2, Aaron Hamann1,2, Arthur M Carlin2, Lisa R Miller-Matero4,5. 1. Department of Behavioral Health, Henry Ford Health System, 313-874-6707, 1 Ford Place, 3A, Detroit, MI, 48202, USA. 2. Department of Surgery, Henry Ford Health System, Detroit, MI, USA. 3. Center for Health Policy and Health Services Research, Henry Ford Health System, 313-874-6707, 1 Ford Place, 3A, Detroit, MI, 48202, USA. 4. Department of Behavioral Health, Henry Ford Health System, 313-874-6707, 1 Ford Place, 3A, Detroit, MI, 48202, USA. LMatero1@hfhs.org. 5. Center for Health Policy and Health Services Research, Henry Ford Health System, 313-874-6707, 1 Ford Place, 3A, Detroit, MI, 48202, USA. LMatero1@hfhs.org.
Abstract
BACKGROUND: Black patients typically lose less weight than White patients following bariatric surgery; however, the reasons for this racial disparity are unclear. The purpose of the current study was to evaluate whether there are differences in psychiatric symptoms and problematic eating behaviors between White and Black patients pursuing bariatric surgery as this may aid in understanding postsurgical weight loss disparities and inform psychosocial assessment of bariatric candidates. METHODS: A retrospective chart review was conducted of participants (N = 284) who completed a psychological evaluation prior to surgery. Information collected included history of binge eating and purging as well as data from measures administered (i.e., the Hospital Anxiety and Depression Scale, the Emotional Eating Scale, and the Yale Food Addiction Scale 2.0). RESULTS: White patients reported higher levels of eating in response to anger/frustration (p = .03) and eating in response to depression (p = .01) than Black patients. White patients also reported more symptoms of food addiction, a difference that was trending toward significance (p = .05). No significant differences were found on measures of anxiety or depression. CONCLUSION: White patients appear to have higher levels of presurgical problematic eating as compared with Black patients pursuing bariatric surgery; thus, these measurements of problematic eating may not explain the racial disparity in outcomes. However, future research should determine whether measures are valid among diverse populations and identify additional factors that may contribute to racial disparities in bariatric outcomes.
BACKGROUND: Black patients typically lose less weight than White patients following bariatric surgery; however, the reasons for this racial disparity are unclear. The purpose of the current study was to evaluate whether there are differences in psychiatric symptoms and problematic eating behaviors between White and Black patients pursuing bariatric surgery as this may aid in understanding postsurgical weight loss disparities and inform psychosocial assessment of bariatric candidates. METHODS: A retrospective chart review was conducted of participants (N = 284) who completed a psychological evaluation prior to surgery. Information collected included history of binge eating and purging as well as data from measures administered (i.e., the Hospital Anxiety and Depression Scale, the Emotional Eating Scale, and the Yale Food Addiction Scale 2.0). RESULTS: White patients reported higher levels of eating in response to anger/frustration (p = .03) and eating in response to depression (p = .01) than Black patients. White patients also reported more symptoms of food addiction, a difference that was trending toward significance (p = .05). No significant differences were found on measures of anxiety or depression. CONCLUSION: White patients appear to have higher levels of presurgical problematic eating as compared with Black patients pursuing bariatric surgery; thus, these measurements of problematic eating may not explain the racial disparity in outcomes. However, future research should determine whether measures are valid among diverse populations and identify additional factors that may contribute to racial disparities in bariatric outcomes.
Authors: Mustafa M Husain; A John Rush; Madhukar H Trivedi; Shawn M McClintock; Stephen R Wisniewski; Lori Davis; James F Luther; Sid Zisook; Maurizio Fava Journal: J Psychosom Res Date: 2007-08 Impact factor: 3.006
Authors: Mohamed Aysar Khattab; Abdelrahman Tarek Abdelnaby Mohammed; Abdulrahman Zaid M Alqahtani; Ebtehal Zaid M Alqahtani; Manar Mohammed A Alslim; Nawaf Essa A Alharbi; Rana Mohammed A Alslim; Zobaida Saleh; Mohammed Ali Qassim Atia; Albaraa Jubran Shanaq; Abdelwahab Saleh Journal: Cureus Date: 2022-05-05