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Exploring the relationship between problematic eating behaviors and bipolar disorder: A study on candidates for bariatric surgery.
Carmassi, Claudia; Musetti, Laura; Cambiali, Erika; Violi, Miriam; Simoncini, Marly; Fantasia, Sara; Massoni, Leonardo; Massimetti, Gabriele; Nannipieri, Monica; Dell'Osso, Liliana.
Afiliación
  • Carmassi C; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Musetti L; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Cambiali E; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy. Electronic address: erikacam@libero.it.
  • Violi M; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Simoncini M; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Fantasia S; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Massoni L; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Massimetti G; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Nannipieri M; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
  • Dell'Osso L; Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
J Affect Disord ; 368: 564-572, 2024 Sep 16.
Article en En | MEDLINE | ID: mdl-39293606
ABSTRACT

BACKGROUND:

Obesity is a major concern in patients with bipolar disorder (BD) and problematic eating behaviors have been suggested to mediate their relationship. The association between problematic eating behaviors and obesity has been studied but limited data have explored the role of BD. We investigated problematic eating behaviors among patients with BD compared with candidates for bariatric surgery (BS), with or without BD, and explored the possible correlations between mood spectrum, impulsivity, body mass index (BMI).

METHODS:

50 euthymic patients with BD and 200 subjects eligible for BS, 48 with BD (BS + BD) and 152 without BD (BS-BD), were recruited at the Psychiatric Clinic of University of Pisa. Assessments included Structured Clinical Interview (SCID-5), Emotional Eating Scale (EES), Yale Food Addiction Scale (YFAS), Eating Disorder Inventory (EDI-2), Eating Disorder Questionnaire (EDE-Q), Night Eating Scale (NES), Grazing Questionnaire (GQ), Mood Spectrum Self-Report (MOOD-SR), Barratt Impulsivity Scale (BIS).

RESULTS:

BS + BD reported significantly higher EDI-2 and EDE-Q scores than the other groups. BD and BS + BD showed significantly higher BIS-11 scores than BS-BD. Among BS, EES and YFAS were associated with mood spectrum symptoms.

LIMITATIONS:

Small BD sample size, BS may have underreported psychiatric symptoms to get approved for surgery, the interview didn't inquire about BS receiving GLP-1 agonists therapy.

CONCLUSIONS:

Results showed a high prevalence of problematic eating behaviors among patients with BD and severely obese. Problematic eating behaviors may aggravate BD symptoms. Mood spectrum symptoms in obese subjects need to be carefully researched in as relate to severity and post-surgical course of BS.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Affect Disord Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Países Bajos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Affect Disord Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Países Bajos