Evidence map›Paper›PMID 33341423›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2021

Psychopathology, disordered eating, and impulsivity in patients seeking bariatric surgery.

David B Sarwer, Thomas A Wadden, Rebecca L Ashare, Jacqueline C Spitzer, Courtney McCuen-Wurst, Caitlin LaGrotte, Noel N Williams, Michael Edwards, Colleen Tewksbury, Jingwei Wu and 2 more

Open access · greenAbstract read
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
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

26 citing papers in PubMed, 48 citations in OpenAlex.

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  8. Association of psychiatric history with hypertension among adults who present for metabolic and bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
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  13. Psychopathology, disordered eating, and impulsivity as predictors of weight loss 24 months after metabolic and bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2024
    Article
  14. Post bariatric surgery complications, nutritional and psychological status.Asia Pacific journal of clinical nutrition · 2024
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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

12 authors at 3 institutions in 1 country.

David B SarwerCenter for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, Pennsylvania. Electronic address: dsarwer@temple.edu.
Thomas A WaddenCenter for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Rebecca L AshareDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jacqueline C SpitzerCenter for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, Pennsylvania.
Courtney McCuen-WurstCenter for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Caitlin LaGrotteCenter for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, Pennsylvania.
Noel N WilliamsDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania.
Michael EdwardsDepartment of Surgery, Mayo Clinic, Jacksonville, Florida.
Colleen TewksburyDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania.
Jingwei WuDepartment of Epidemiology and Biostatistics, College of Public Health, Temple University, Philadelphia, Pennsylvania.
Gabriel TajeuDepartment of Health Services Administration and Policy, College of Public Health, Temple University, Philadelphia, Pennsylvania.
Kelly C AllisonCenter for Weight and Eating Disorders, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Pennsylvania · USTemple University · USMayo Clinic in Florida · US

Funding

Psychopathology, Disordered Eating, and Impulsivity as Predictors of Outcomes of Bariatric SurgeryR01DK108628 · NIDDK · TEMPLE UNIV OF THE COMMONWEALTH · PI SARWER, DAVID B · 2015 to 2019
$2.1M
Machine Learning to Reduce Hypertension Treatment Clinical InertiaK01HL151974 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI TAJEU, GABRIEL S · 2020 to 2024
$739k
NHLBI NIH HHS K01 HL151974NHLBI NIH HHS L30 HL148987NIDDK NIH HHS R01 DK108628
6 · The paper itself

Abstract

backgroundMost patients who undergo bariatric surgery experience significant weight loss and improvements in obesity-related co-morbidities in the first 6-18 months after surgery. However, 20%-30% of patients experience suboptimal weight loss or significant weight regain within the first few postoperative years. Psychosocial functioning may contribute to suboptimal weight loss and/or postoperative psychosocial distress.

objectiveAssess psychosocial functioning, eating behavior, and impulsivity in patients seeking bariatric surgery.

settingTwo university hospitals.

methodsValidated interviews and questionnaires. Impulsivity assessed via computer program.

resultsThe present study included a larger (n = 300) and more racially diverse (70% non-White) sample than previous studies of these relationships. Forty-eight percent of participants had a current psychiatric diagnosis and 78% had at least 1 lifetime diagnosis. Anxiety disorders were the most common current diagnosis (25%); major depressive disorder was the most common lifetime diagnosis (44%). Approximately 6% of participants had a current alcohol or substance use disorder; 7% had a positive drug screen before surgery. A current psychiatric diagnosis was associated with greater symptoms of food addiction and night eating. Current diagnosis of alcohol use disorder or a lifetime diagnosis of anxiety disorders was associated with higher delay discounting.

conclusionThe study identified high rates of psychopathology and related symptoms among a large, diverse sample of bariatric surgery candidates. Psychopathology was associated with symptoms of disordered eating and higher rates of delay discounting, suggesting impulse control issues.

Indexed as

Bariatric SurgeryFeeding and Eating DisordersMajor Depressive DisorderObesity, MorbidDepressionHumansImpulsive BehaviorSurveys and QuestionnairesBariatric surgeryDisordered eatingImpulsivityPsychopathology

Identifiers

PMID33341423
PMCPMC8212387
OpenAlexW3100396995

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.