Evidence map›Paper›PMID 37926627›Full record

ArticleSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2024

Shape discrepancy, weight bias internalization, and eating-disorder psychopathology in patients with loss-of-control eating after bariatric surgery.

Ashley Dunford, Valentina Ivezaj, Carlos M Grilo

Abstract read
In one paragraph

Article in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Weight and shape overvaluation and its relation to anxiety, depression, and maladaptive eating symptoms for patients up to 4 years after bariatric surgery.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
    Article
  4. Review
  5. Article
4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Ashley DunfordDepartment of Psychiatry, Yale University School of Medicine, Program for Obesity, Weight, and Eating Research, New Haven, Connecticut. Electronic address: ashley.dunford@yale.edu.
Valentina IvezajDepartment of Psychiatry, Yale University School of Medicine, Program for Obesity, Weight, and Eating Research, New Haven, Connecticut.
Carlos M GriloDepartment of Psychiatry, Yale University School of Medicine, Program for Obesity, Weight, and Eating Research, New Haven, Connecticut.

Funding

Using a SMART Design to Examine Pharmacological and Behavioral Treatments to Treat Loss-of-Control Eating and Improve Weight Outcomes after Metabolic and Bariatric SurgeryR01DK126637 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M · 2020 to 2025
$3.4M
Behavioral and Pharmacological Treatments to Enhance Weight Outcomes after Metabolic and Bariatric SurgeryR01DK125650 · NIDDK · YALE UNIVERSITY · PI IVEZAJ, VALENTINA · 2021 to 2025
$3.3M
Treatment of Loss of Control Eating Following Bariatric SurgeryR01DK098492 · NIDDK · YALE UNIVERSITY · PI GRILO, CARLOS M · 2014 to 2018
$2.2M
NIDDK NIH HHS R01 DK098492NIDDK NIH HHS R01 DK125650NIDDK NIH HHS R01 DK126637
6 · The paper itself

Abstract

backgroundPostoperative loss-of-control (LOC) eating is associated with eating-disorder psychopathology, poorer weight loss, and mental health outcomes following bariatric surgery. The nature and significance of shape discrepancy has not been examined in patients with LOC eating following bariatric surgery.

objectivesTo examine shape discrepancy, WBI (weight bias internalization) and ED (eating-disorder) psychopathology in patients with LOC eating after bariatric surgery.

settingYale University School of Medicine, United States.

methodsParticipants (N = 148, 84.5% female) seeking treatment for eating and weight concerns and with recurrent LOC eating approximately 6 months after bariatric surgery were assessed with the Eating Disorder Examination-Bariatric Surgery Version Interview and completed questionnaires measuring WBI and depression. Participants selected body shapes representing their current and ideal shapes, and a shape discrepancy score was calculated.

resultsMost participants (N = 142/148) reported an ideal shape smaller than their current shape; shape discrepancy scores ranged from 0 to 5 (M = 1.89, SD = .82). Greater shape discrepancy was significantly correlated with greater current body mass index (BMI; r = .271, p=<.001) and percent weight loss (%WL) since surgery (r = -.19, p = .023). After adjusting for %WL, shape discrepancy was significantly correlated with greater WBI (r = .37, p < .001), depression (r = .27, p < .001), and ED psychopathology (r = .25, p = .002).

conclusionsNearly all participants preferred a significantly smaller shape than their current shape. Greater discrepancy between current and ideal shape was associated with higher levels of a range of behavioral (ED psychopathology), cognitive (WBI), and psychological/somatic (depression) concerns. These findings, which persisted after adjusting for %WL, highlight the importance of addressing body image in postoperative interventions.

Indexed as

Bariatric SurgeryFeeding and Eating DisordersWeight PrejudiceBody Mass IndexFemaleHumansMaleWeight LossBariatric surgeryBody imageEating disordersLoss-of-control eatingObesityWeight bias internalization

Identifiers

PMID37926627
PMCPMC10922050

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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.