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Di Natale C, Lucidi L, Montemitro C, Pettorruso M, Collevecchio R, Di Caprio L, Giampietro L, Aceto L, Martinotti G, Giannantonio MD. Gender Differences in the Psychopathology of Obesity: How Relevant Is the Role of Binge Eating Behaviors? Brain Sci 2022; 12:brainsci12070955. [PMID: 35884761 PMCID: PMC9321462 DOI: 10.3390/brainsci12070955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2022] [Revised: 07/15/2022] [Accepted: 07/19/2022] [Indexed: 12/10/2022] Open
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. Level of evidence: Level III as the evidence came from a cohort analytic study.
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Affiliation(s)
- Chiara Di Natale
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University, 66100 Chieti, Italy; (C.D.N.); (C.M.); (M.P.); (R.C.); (G.M.); (M.d.G.)
| | - Lorenza Lucidi
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University, 66100 Chieti, Italy; (C.D.N.); (C.M.); (M.P.); (R.C.); (G.M.); (M.d.G.)
- Correspondence:
| | - Chiara Montemitro
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University, 66100 Chieti, Italy; (C.D.N.); (C.M.); (M.P.); (R.C.); (G.M.); (M.d.G.)
| | - Mauro Pettorruso
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University, 66100 Chieti, Italy; (C.D.N.); (C.M.); (M.P.); (R.C.); (G.M.); (M.d.G.)
| | - Rebecca Collevecchio
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University, 66100 Chieti, Italy; (C.D.N.); (C.M.); (M.P.); (R.C.); (G.M.); (M.d.G.)
| | - Lucia Di Caprio
- Psychiatry Department, Madonna del Soccorso Hospital, 63074 San Benedetto del Tronto, Italy;
| | - Luana Giampietro
- Psychiatry Department, SS. Annunziata Hospital, 66100 Chieti, Italy;
| | - Liberato Aceto
- Obesity Surgery Center, SS. Annunziata Hospital, 66100 Chieti, Italy;
| | - Giovanni Martinotti
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University, 66100 Chieti, Italy; (C.D.N.); (C.M.); (M.P.); (R.C.); (G.M.); (M.d.G.)
- Department of Clinical and Pharmaceutical Sciences, University of Hertfordshire, Hatfield AL10, UK
| | - Massimo di Giannantonio
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University, 66100 Chieti, Italy; (C.D.N.); (C.M.); (M.P.); (R.C.); (G.M.); (M.d.G.)
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