1
|
Khalid R, Lister NB, Paxton SJ, Maguire S, Libesman S, Seidler AL, Cooper K, Quigley F, Yourell J, Baur LA, Jebeile H. Potential pathways to the onset and development of eating disorders in people with overweight and obesity: A scoping review. Obes Rev 2024:e13840. [PMID: 39367579 DOI: 10.1111/obr.13840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 08/28/2024] [Accepted: 09/03/2024] [Indexed: 10/06/2024]
Abstract
OBJECTIVE To describe pathways to eating disorder (ED) development that have been evaluated in people with overweight and obesity. METHODS Four databases were searched to identify studies testing ED development models in adolescents (10-19 years) or adults (>19 years) with overweight and obesity. Explanatory variables were thematically grouped into constructs to describe pathways to each ED outcome. RESULTS Of 2226 studies screened, 46 (10 adolescent; 36 adult) were included. Study samples were predominantly female, ranging from 22 to 2236 participants and mean age 12.3 to 56.0 years. In total, 207 explanatory variables were grouped into 18 constructs to summarize 107 pathways that were identified. The most common ED outcome was binge eating (n = 24 studies), followed by global ED psychopathology (n = 10 studies). Across pathways to ED development, negative affect was the most proposed construct, followed by preoccupation with weight/shape and weight stigma. CONCLUSION Pathways to ED development in people with overweight and obesity are complex and may include more than 18 different explanatory factors of which negative affect, preoccupation with weight/shape, and weight stigma are the most common. More research on adolescents, males, and the spectrum of ED in diverse populations is required for early identification and intervention.
Collapse
Affiliation(s)
- Rabia Khalid
- Children's Hospital Westmead Clinical School, The University of Sydney, Westmead, New South Wales, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia
| | - Natalie B Lister
- Children's Hospital Westmead Clinical School, The University of Sydney, Westmead, New South Wales, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia
| | - Susan J Paxton
- School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
| | - Sarah Maguire
- InsideOut Institute for Eating Disorders, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia
| | - Sol Libesman
- National Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia
| | - Anna L Seidler
- National Health and Medical Research Council Clinical Trials Centre, The University of Sydney, Sydney, New South Wales, Australia
| | - Kelly Cooper
- Weight Issues Network, Sydney, New South Wales, Australia
| | - Fiona Quigley
- Institute of Nursing and Health Research, Ulster University, Belfast, UK
| | - Jacqlyn Yourell
- Department of Family, Youth and Community Sciences, University of Florida College of Agricultural and Life Sciences, Gainesville, Florida, USA
- Fit Minded, Inc, Phoenix, Arizona, USA
| | - Louise A Baur
- Children's Hospital Westmead Clinical School, The University of Sydney, Westmead, New South Wales, Australia
- Weight Management Services, The Children's Hospital at Westmead, Westmead, New South Wales, Australia
| | - Hiba Jebeile
- Children's Hospital Westmead Clinical School, The University of Sydney, Westmead, New South Wales, Australia
- Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia
| |
Collapse
|
2
|
Joshi V, Graziani P, Del-Monte J. Bodily sensations and bariatric surgery: Links between interoceptive sensibility, intuitive and disordered eating behaviour in obesity and obesity surgery. EUROPEAN EATING DISORDERS REVIEW 2024; 32:514-523. [PMID: 38288998 DOI: 10.1002/erv.3066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 11/30/2023] [Accepted: 01/13/2024] [Indexed: 02/06/2024]
Abstract
OBJECTIVE This study evaluated interoceptive sensibility, intuitive and disordered eating among bariatric candidates, operated individuals and individuals with obesity seeking non-surgical treatment. METHOD We recruited 57 individuals with obesity seeking nonsurgical weight-loss (IOB), 84 bariatric candidates (Pre) and 22 individuals post-bariatric surgery (Post) who responded to questionnaires: Multidimensional Assessment of Interoceptive Awareness, Intuitive Eating Scale-2 (IES-2), Dutch Eating Behaviour Questionnaire, Binge Eating Scale, State-Trait Anxiety Inventory, Beck's Depression Inventory. RESULTS Overall, the Post group manifested higher scores on 'Body-Listening' (F = 4.95, p = 0.01), 'Emotional Awareness' (F = 8.83, p < 0.001) and 'Trusting' (F = 6.71, p = 0.002) interoceptive dimensions, on the IES-2 total score (F = 5.48, p = 0.007) and 'Reliance on hunger and satiety cues' (F = 31.3, p < 0.001) when age was controlled. The IOB group presented higher scores on emotional (F = 3.23, p = 0.047) and binge eating (F = 5.99, p = 0.004). Among operated individuals, intuitive eating mediated the relationship between interoceptive sensibility dimensions and binge eating: 'Attention regulation' (54%) 'Self-regulation' (75.1%), 'Body listening' (94.09%) and 'Trusting' (84.9%). CONCLUSIONS Our results suggest the therapeutic potential of interoceptive sensibility and intuitive eating in obesity management in/beyond the bariatric context.
Collapse
Affiliation(s)
- Vrutti Joshi
- Team ENACT, University of Nîmes, France
- Laboratoire de Psychologie Sociale, Aix-Marseille University, France
| | - Pierluigi Graziani
- Team ENACT, University of Nîmes, France
- Laboratoire de Psychologie Sociale, Aix-Marseille University, France
| | - Jonathan Del-Monte
- Team ENACT, University of Nîmes, France
- Laboratoire de Psychologie Sociale, Aix-Marseille University, France
| |
Collapse
|
3
|
Martín AD. Autoestima: Actualización y Mantenimiento. Un Modelo Teórico con Aplicaciones en Terapia. CLÍNICA CONTEMPORÁNEA 2021. [DOI: 10.5093/cc2021a16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
|