Evidence map›Paper›PMID 26464243›Full record

ArticleObesity surgery2016

Distress Tolerance and Psychological Comorbidity in Patients Seeking Bariatric Surgery.

Afton M Koball, Susan M Himes, Leslie Sim, Matthew M Clark, Maria L Collazo-Clavell, Manpreet Mundi, Todd Kellogg, Karen Graszer, Karen B Grothe

Abstract read
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Article in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Afton M KoballDepartment of Behavioral Health, Gundersen Health System, 1900 South Avenue, La Crosse, WI, 54601, USA.
Susan M HimesDepartment of Psychiatry and Behavioral Medicine, Lahey Hospital and Medical Center, Burlington, MA, 01805, USA.
Leslie SimDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.
Matthew M ClarkDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.
Maria L Collazo-ClavellDepartment of Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
Manpreet MundiDepartment of Medicine, Mayo Clinic, Rochester, MN, 55905, USA.
Todd KelloggDepartment of Surgery, Mayo Clinic, Rochester, MN, 55905, USA.
Karen GraszerDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA.
Karen B GrotheDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, 55905, USA. grothe.karen@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction/purposeDistress intolerance is characterized by a low threshold for negative emotional experiences and lack of emotion regulation and has been shown to predict various health outcomes. As such, the primary aim of this study was to determine the association between distress tolerance and psychological variables (eating behaviors, mood, substance use, trauma history), completion of bariatric surgery, and post-bariatric surgery weight loss outcomes and follow up with a provider. MATERIALS AND

methodsTwo hundred forty-eight patients (75 % female, 89 % Caucasian) underwent a multidisciplinary evaluation for bariatric surgery and were assessed for psychiatric disorders via semi-structured clinical interview and psychometric questionnaires.

resultsLow distress tolerance was associated with symptoms of depression (p ≤ 0.001), anxiety (p ≤ 0.001), disordered eating behaviors (p ≤ 0.001), substance abuse (p ≤ 0.001), a history of being the victim of childhood sexual abuse (p ≤ 0.001), and with high BMI (p < .05). Patients endorsing higher levels of distress tolerance were more likely to undergo bariatric surgery (p < .01). Distress tolerance was not related to 2-year post-surgical weight loss outcomes or follow up with a provider.

conclusionThe ability to tolerate negative affect may be a variable that differentiates which patients undergo bariatric surgery rather than early postoperative outcomes.

Indexed as

Emotional AdjustmentAdaptation, PsychologicalAdultBariatric SurgeryComorbidityEmotionsFemaleHumansMaleMental DisordersMiddle AgedObesityPostoperative PeriodSurveys and QuestionnairesWeight LossBariatric SurgeryDistress ToleranceEating DisordersRisk for Weight RegainSubstance Use

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.