Top

Gepubliceerd in:

05-03-2018 | ORIGINAL PAPER

The Interaction Between Mindfulness, Emotion Regulation, and Social Anxiety and Its Association with Emotional Eating in Bariatric Surgery Candidates

Auteurs: Kristy L. Dalrymple, Heather Clark, Iwona Chelminski, Mark Zimmerman

Gepubliceerd in: Mindfulness | Uitgave 6/2018

Abstract

Previous research has shown that emotional eating is common in bariatric surgery candidates, and may be related to poorer surgical outcomes. Emotional eating may be particularly common in surgery candidates reporting social anxiety symptoms, but less is known about the possible mechanisms that may link social anxiety and emotional eating. The aim of the current study was to examine the interaction between mindfulness/emotion regulation and social anxiety and the association of this interaction with emotional eating in bariatric surgery candidates. Bariatric surgery candidates (n = 1088) were referred by their surgeons for a comprehensive psychiatric presurgical evaluation, including a semistructured diagnostic interview and self-report questionnaires. The relationship between emotional eating and the interaction of mindfulness facets/emotion regulation skills and social anxiety was examined using hierarchical linear regressions. The interaction between social anxiety and the mindfulness facets of observing, describing, and acting with awareness was significantly associated with emotional eating after controlling for covariates. However, only the observing by social anxiety interaction was significant relative to the other facets in a final regression model. The interaction between social anxiety and emotional regulation deficits related to goals, strategies, impulse control, and clarity was significantly associated with emotional eating, but only the nonacceptance by social anxiety interaction was significant relative to the other emotion regulation subscales. Findings continue to suggest a potential link between social anxiety and emotional eating in bariatric surgery candidates, and indicate that deficits in certain mindfulness facets and emotion regulation skills may be particularly relevant in this sample.

vorige artikel Reducing Israeli-Jewish Pupils’ Outgroup Prejudice with a Mindfulness and Compassion-Based Social-Emotional Program

volgende artikel Meditation-Induced Near-Death Experiences: a 3-Year Longitudinal Study

Allan, N. P., Oglesby, M. E., Uhl, A., & Schmidt, N. B. (2017). Cognitive risk factors explain the relations between neuroticism and social anxiety for males and females. Cognitive Behaviour Therapy, 46(3), 224–238. https://doi.org/10.1080/16506073.2016.1238503.CrossRefPubMed

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington: American Psychiatric Association.CrossRef

Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13(1), 27–45. https://doi.org/10.1177/1073191105283504.CrossRefPubMed

Baldofski, S., Rudolph, A., Tigges, W., Herbig, B., Jurowich, C., Kaiser, S., et al. (2016). Weight bias internalization, emotion dysregulation, and non-normative eating behaviors in prebariatric patients. International Journal of Eating Disorders, 49(2), 180–185. https://doi.org/10.1002/eat.22484.CrossRefPubMed

Beck, N. N., Mehlsen, M., & Stoving, R. K. (2012). Psychological characteristics and associations with weight outcomes two years after gastric bypass surgery: postoperative eating disorder symptoms are associated with weight loss outcomes. Eating Behaviors, 13(4), 394–397. https://doi.org/10.1016/j.eatbeh.2012.06.001.CrossRefPubMed

Buchwald, H., Avidor, Y., Braunwald, E., Jensen, M. D., Pories, W., Fahrbach, K., & Schoelles, K. (2004). Bariatric surgery: a systematic review and meta-analysis. JAMA, 292(14), 1724–1737. https://doi.org/10.1001/jama.292.14.1724.CrossRefPubMed

Canetti, L., Berry, E. M., & Elizur, Y. (2009). Psychosocial predictors of weight loss and psychological adjustment following bariatric surgery and a weight-loss program: the mediating role of emotional eating. International Journal of Eating Disorders, 42(2), 109–117. https://doi.org/10.1002/eat.20592.CrossRefPubMed

Cash, M., & Whittingham, K. (2010). What facets of mindfulness contribute to psychological well-being and depressive, anxious, and stress-related symptomatology? Mindfulness, 1, 177–182.CrossRef

Castellini, G., Godini, L., Amedei, S. G., Faravelli, C., Lucchese, M., & Ricca, V. (2014). Psychological effects and outcome predictors of three bariatric surgery interventions: a 1-year follow-up study. Eating and Weight Disorders, 19(2), 217–224. https://doi.org/10.1007/s40519-014-0123-6.CrossRefPubMed

Chacko, S. A., Yeh, G. Y., Davis, R. B., & Wee, C. C. (2016). A mindfulness-based intervention to control weight after bariatric surgery: preliminary results from a randomized controlled pilot trial. Complementary Therapies in Medicine, 28, 13–21. https://doi.org/10.1016/j.ctim.2016.07.001.CrossRefPubMedPubMedCentral

Cisler, J. M., & Olatunji, B. O. (2012). Emotion regulation and anxiety disorders. Current Psychiatry Reports, 14(3), 182–187. https://doi.org/10.1007/s11920-012-0262-2.CrossRefPubMedPubMedCentral

Crockett, A. C., Myhre, S. K., & Rokke, P. D. (2015). Boredom proneness and emotion regulation predict emotional eating. Journal of Health Psychology, 20(5), 670–680. https://doi.org/10.1177/1359105315573439.CrossRefPubMed

Dalrymple, K. L., Galione, J., Hrabosky, J., Chelminski, I., Young, D., O'Brien, E., & Zimmerman, M. (2011). Diagnosing social anxiety disorder in the presence of obesity: implications for a proposed change in DSM-5. Depression and Anxiety, 28(5), 377–382. https://doi.org/10.1002/da.20794.CrossRefPubMed

Dalrymple, K., Martinez, J., Tepe, E., Young, D., Chelminski, I., Morgan, T., & Zimmerman, M. (2013). A clinically useful social anxiety disorder outcome scale. Comprehensive Psychiatry, 54(7), 758–765. https://doi.org/10.1016/j.comppsych.2013.02.006.CrossRefPubMedPubMedCentral

Dalrymple, K. L., Walsh, E., Rosenstein, L., Chelminski, I., & Zimmerman, M. (2017). Modification of the medical exclusion criterion in DSM-5 social anxiety disorder: comorbid obesity as an example. Journal of Affective Disorders, 210, 230–236. https://doi.org/10.1016/j.jad.2016.12.055.CrossRefPubMed

de Zwaan, M., Enderle, J., Wagner, S., Muhlhans, B., Ditzen, B., Gefeller, O., et al. (2011). Anxiety and depression in bariatric surgery patients: a prospective, follow-up study using structured clinical interviews. Journal of Affective Disorders, 133(1–2), 61–68. https://doi.org/10.1016/j.jad.2011.03.025.CrossRefPubMed

Desrosiers, A., Klemanski, D. H., & Nolen-Hoeksema, S. (2013). Mapping mindfulness facets onto dimensions of anxiety and depression. Behavior Therapy, 44(3), 373–384. https://doi.org/10.1016/j.beth.2013.02.001.CrossRefPubMedPubMedCentral

Evers, C., Marijn Stok, F., & de Ridder, D. T. (2010). Feeding your feelings: emotion regulation strategies and emotional eating. Personality and Social Psychology Bulletin, 36(6), 792–804. https://doi.org/10.1177/0146167210371383.CrossRefPubMed

First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1996). Structured clinical interview for DSM-IV axis I disorders. New York: Biometrics Research Department.

Fisher, N. R., Mead, B. R., Lattimore, P., & Malinowski, P. (2017). Dispositional mindfulness and reward motivated eating: the role of emotion regulation and mental habit. Appetite, 118, 41–48. https://doi.org/10.1016/j.appet.2017.07.019.CrossRefPubMed

Freudenthaler, L., Turba, J. D., & Tran, U. S. (2017). Emotion regulation mediates the associations of mindfulness on symptoms of depression and anxiety in the general population. Mindfulness (N Y), 8(5), 1339–1344. https://doi.org/10.1007/s12671-017-0709-y.CrossRef

Gianini, L. M., White, M. A., & Masheb, R. M. (2013). Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eating Behaviors, 14(3), 309–313. https://doi.org/10.1016/j.eatbeh.2013.05.008.CrossRefPubMedPubMedCentral

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26, 41–54.CrossRef

Herpertz, S., Kielmann, R., Wolf, A. M., Langkafel, M., Senf, W., & Hebebrand, J. (2003). Does obesity surgery improve psychosocial functioning? A systematic review. International Journal of Obesity and Related Metabolic Disorders, 27(11), 1300–1314. https://doi.org/10.1038/sj.ijo.0802410.CrossRefPubMed

Iancu, I., Bodner, E., & Ben-Zion, I. Z. (2015). Self esteem, dependency, self-efficacy and self-criticism in social anxiety disorder. Comprehensive Psychiatry, 58, 165–171. https://doi.org/10.1016/j.comppsych.2014.11.018.CrossRefPubMed

Joormann, J., & Gotlib, I. H. (2010). Emotion regulation in depression: relation to cognitive inhibition. Cognition and Emotion, 24(2), 281–298. https://doi.org/10.1080/02699930903407948.CrossRefPubMed

Kalarchian, M. A., Marcus, M. D., Levine, M. D., Courcoulas, A. P., Pilkonis, P. A., Ringham, R. M., et al. (2007). Psychiatric disorders among bariatric surgery candidates: relationship to obesity and functional health status. American Journal of Psychiatry, 164(2), 328–334; quiz 374. https://doi.org/10.1176/ajp.2007.164.2.328.CrossRefPubMed

Karlsson, J., Taft, C., Ryden, A., Sjostrom, L., & Sullivan, M. (2007). Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. International Journal of Obesity (Lond), 31(8), 1248–1261. https://doi.org/10.1038/sj.ijo.0803573.CrossRef

Kerin, J. L., Webb, H. J., & Zimmer-Gembeck, M. J. (2018). Resisting the temptation of food: regulating overeating and associations with emotion regulation, mindfulness, and eating pathology. Australian Journal of Psychology. https://doi.org/10.1111/ajpy.12169 CrossRef

Larsen, J. K., van Strien, T., Eisinga, R., & Engels, R. C. (2006). Gender differences in the association between alexithymia and emotional eating in obese individuals. Journal of Psychosomatic Research, 60(3), 237–243. https://doi.org/10.1016/j.jpsychores.2005.07.006.CrossRefPubMed

Lattimore, P., Fisher, N., & Malinowski, P. (2011). A cross-sectional investigation of trait disinhibition and its association with mindfulness and impulsivity. Appetite, 56(2), 241–248. https://doi.org/10.1016/j.appet.2010.12.007.CrossRefPubMed

Levin, M. E., Dalrymple, K., Himes, S., & Zimmerman, M. (2014). Which facets of mindfulness are related to problematic eating among patients seeking bariatric surgery? Eating Behaviors, 15(2), 298–305. https://doi.org/10.1016/j.eatbeh.2014.03.012.CrossRefPubMed

Levin, M. E., Haeger, J., & Smith, G. S. (2017). Examining the role of implicit emotional judgments in social anxiety and experiential avoidance. Journal of Psychopathology and Behavioral Assessment, 39, 264–278.CrossRef

Levinson, C. A., & Rodebaugh, T. L. (2011). Validation of the social appearance anxiety scale: factor, convergent, and divergent validity. Assessment, 18(3), 350–356. https://doi.org/10.1177/1073191111404808.CrossRefPubMed

Lier, H. O., Biringer, E., Stubhaug, B., & Tangen, T. (2013). Prevalence of psychiatric disorders before and 1 year after bariatric surgery: the role of shame in maintenance of psychiatric disorders in patients undergoing bariatric surgery. Nordic Journal of Psychiatry, 67(2), 89–96. https://doi.org/10.3109/08039488.2012.684703.CrossRefPubMed

Loxton, N. J., & Dawe, S. (2006). Reward and punishment sensitivity in dysfunctional eating and hazardous drinking women: associations with family risk. Appetite, 47(3), 361–371. https://doi.org/10.1016/j.appet.2006.05.014.CrossRefPubMed

Loxton, N. J., & Tipman, R. J. (2017). Reward sensitivity and food addiction in women. Appetite, 115, 28–35. https://doi.org/10.1016/j.appet.2016.10.022.CrossRefPubMed

Mather, A. A., Cox, B. J., Enns, M. W., & Sareen, J. (2008). Associations between body weight and personality disorders in a nationally representative sample. Psychosomatic Medicine, 70(9), 1012–1019. https://doi.org/10.1097/PSY.0b013e318189a930.CrossRefPubMed

Mathus-Vliegen, E. M. (2007). Long-term health and psychosocial outcomes from surgically induced weight loss: results obtained in patients not attending protocolled follow-up visits. International Journal of Obesity (Lond), 31(2), 299–307. https://doi.org/10.1038/sj.ijo.0803404.CrossRef

Mauri, M., Rucci, P., Calderone, A., Santini, F., Oppo, A., Romano, A., et al. (2008). Axis I and II disorders and quality of life in bariatric surgery candidates. Journal of Clinical Psychiatry, 69(2), 295–301.CrossRefPubMed

McLean, C. P., Miller, N. A., & Hope, D. A. (2007). Mediating social anxiety and disordered eating: the role of expressive suppression. Eating Disorders, 15(1), 41–54. https://doi.org/10.1080/10640260601044485.CrossRefPubMed

Michel, N. M., Rowa, K., Young, L., & McCabe, R. E. (2016). Emotional distress tolerance across anxiety disorders. Journal of Anxiety Disorders, 40, 94–103. https://doi.org/10.1016/j.janxdis.2016.04.009.CrossRefPubMed

Miller-Matero, L. R., Armstrong, R., McCulloch, K., Hyde-Nolan, M., Eshelman, A., & Genaw, J. (2014). To eat or not to eat; is that really the question? An evaluation of problematic eating behaviors and mental health among bariatric surgery candidates. Eating and Weight Disorders, 19(3), 377–382. https://doi.org/10.1007/s40519-014-0118-3.CrossRefPubMed

Muhlhans, B., Horbach, T., & de Zwaan, M. (2009). Psychiatric disorders in bariatric surgery candidates: a review of the literature and results of a German prebariatric surgery sample. General Hospital Psychiatry, 31(5), 414–421. https://doi.org/10.1016/j.genhosppsych.2009.05.004.CrossRefPubMed

National Institute of Health. (1998). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults—the evidence report. National Institutes of Health. Obesity Research, 6(Suppl 2), 51S–209S.

Ostrovsky, N. W., Swencionis, C., Wylie-Rosett, J., & Isasi, C. R. (2013). Social anxiety and disordered overeating: an association among overweight and obese individuals. Eating Behaviors, 14(2), 145–148. https://doi.org/10.1016/j.eatbeh.2013.01.009.CrossRefPubMed

Ouwens, M. A., Schiffer, A. A., Visser, L. I., Raeijmaekers, N. J., & Nyklicek, I. (2015). Mindfulness and eating behaviour styles in morbidly obese males and females. Appetite, 87, 62–67. https://doi.org/10.1016/j.appet.2014.11.030.CrossRefPubMed

Petry, N. M., Barry, D., Pietrzak, R. H., & Wagner, J. A. (2008). Overweight and obesity are associated with psychiatric disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Psychosomatic Medicine, 70(3), 288–297. https://doi.org/10.1097/PSY.0b013e3181651651.CrossRefPubMed

Pidgeon, A., Lacota, K., & Champion, J. (2013). The moderating effects of mindfulness on psychological distress and emotional eating behaviour. Australian Psychologist, 48, 262–269.CrossRef

Rawana, J. S., McPhie, M. L., & Hassibi, B. (2016). Eating- and weight-related factors associated with depressive symptoms in emerging adulthood. Eating Behaviors, 22, 101–108. https://doi.org/10.1016/j.eatbeh.2016.04.002.CrossRefPubMed

Reslan, S., Saules, K. K., Greenwald, M. K., & Schuh, L. M. (2014). Substance misuse following Roux-en-Y gastric bypass surgery. Substance Use and Misuse, 49(4), 405–417. https://doi.org/10.3109/10826084.2013.841249.CrossRefPubMed

Ritter, V., Ertel, C., Beil, K., Steffens, M. C., & Stangier, U. (2013). In the presence of social threat: implicit and explicit self-esteem in social anxiety disorder. Cognitive Therapy Research, 37, 1101–1109.CrossRef

Sala, M., & Levinson, C. A. (2017). A longitudinal study on the association between facets of mindfulness and disinhibited eating. Mindfulness, 8(4), 893–902.CrossRef

Sarwer, D. B., Fabricatore, A. N., Eisenberg, M. H., Sywulak, L. A., & Wadden, T. A. (2008). Self-reported stigmatization among candidates for bariatric surgery. Obesity (Silver Spring), 16(Suppl 2), S75–S79. https://doi.org/10.1038/oby.2008.450.CrossRef

Sarwer, D. B., Dilks, R. J., & West-Smith, L. (2011). Dietary intake and eating behavior after bariatric surgery: threats to weight loss maintenance and strategies for success. Surgery Obesity and Related Disorders, 7(5), 644–651. https://doi.org/10.1016/j.soard.2011.06.016.CrossRef

Sevincer, G. M., Konuk, N., Ipekcioglu, D., Crosby, R. D., Cao, L., Coskun, H., & Mitchell, J. E. (2017). Association between depression and eating behaviors among bariatric surgery candidates in a Turkish sample. Eating and Weight Disorders, 22(1), 117–123. https://doi.org/10.1007/s40519-016-0296-2.CrossRefPubMed

Sloan, E., Hall, K., Moulding, R., Bryce, S., Mildred, H., & Staiger, P. K. (2017). Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: a systematic review. Clinical Psychology Review, 57, 141–163. https://doi.org/10.1016/j.cpr.2017.09.002.CrossRefPubMed

Stapleton, P., & Whitehead, M. (2014). Dysfunctional eating in an Australian community sample: the role of emotion regulation, impulsivity, and reward and punishment sensitivity. Australian Psychologist, 49, 358–368.CrossRef

Tak, S. R., Hendrieckx, C., Nefs, G., Nyklicek, I., Speight, J., & Pouwer, F. (2015). The association between types of eating behaviour and dispositional mindfulness in adults with diabetes. Results from Diabetes MILES. The Netherlands. Appetite, 87, 288–295. https://doi.org/10.1016/j.appet.2015.01.006.CrossRefPubMed

Taube-Schiff, M., Van Exan, J., Tanaka, R., Wnuk, S., Hawa, R., & Sockalingam, S. (2015). Attachment style and emotional eating in bariatric surgery candidates: the mediating role of difficulties in emotion regulation. Eating Behaviors, 18, 36–40. https://doi.org/10.1016/j.eatbeh.2015.03.011.CrossRefPubMed

van Strien, T., Konttinen, H., Homberg, J. R., Engels, R. C., & Winkens, L. H. (2016). Emotional eating as a mediator between depression and weight gain. Appetite, 100, 216–224. https://doi.org/10.1016/j.appet.2016.02.034.CrossRefPubMed

Wedin, S., Madan, A., Correll, J., Crowley, N., Malcolm, R., Karl Byrne, T., & Borckardt, J. J. (2014). Emotional eating, marital status and history of physical abuse predict 2-year weight loss in weight loss surgery patients. Eating Behaviors, 15(4), 619–624. https://doi.org/10.1016/j.eatbeh.2014.08.019.CrossRefPubMed

Weineland, S., Arvidsson, D., Kakoulidis, T. P., & Dahl, J. (2012). Acceptance and commitment therapy for bariatric surgery patients, a pilot RCT. Obesity Research and Clinical Practice, 6(1), e1–e90. https://doi.org/10.1016/j.orcp.2011.04.004.CrossRefPubMed

White, M. A., Kalarchian, M. A., Masheb, R. M., Marcus, M. D., & Grilo, C. M. (2010). Loss of control over eating predicts outcomes in bariatric surgery patients: a prospective, 24-month follow-up study. Journal of Clinical Psychiatry, 71(2), 175–184. https://doi.org/10.4088/JCP.08m04328blu.CrossRefPubMed

Zijlstra, H., van Middendorp, H., Devaere, L., Larsen, J. K., van Ramshorst, B., & Geenen, R. (2012). Emotion processing and regulation in women with morbid obesity who apply for bariatric surgery. Psychological Health, 27(12), 1375–1387. https://doi.org/10.1080/08870446.2011.600761.CrossRef

Zimmerman, M., Francione-Witt, C., Chelminski, I., Young, D., Boerescu, D., Attiullah, N., et al. (2007). Presurgical psychiatric evaluations of candidates for bariatric surgery, part 1: reliability and reasons for and frequency of exclusion. Journal of Clinical Psychiatry, 68(10), 1557–1562.CrossRefPubMed

Zimmerman, M., Chelminski, I., McGlinchey, J. B., & Posternak, M. A. (2008). A clinically useful depression outcome scale. Comprehensive Psychiatry, 49(2), 131–140. https://doi.org/10.1016/j.comppsych.2007.10.006.CrossRefPubMed

Titel: The Interaction Between Mindfulness, Emotion Regulation, and Social Anxiety and Its Association with Emotional Eating in Bariatric Surgery Candidates
Auteurs: Kristy L. Dalrymple
Heather Clark
Iwona Chelminski
Mark Zimmerman
Publicatiedatum: 05-03-2018
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 6/2018
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-018-0921-4

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 6/2018

Sati, Memory, and Wisdom. Response to Ven. Anālayo’s “Mindfulness Constructs in Early Buddhism and Theravāda: Another Contribution to the Memory Debate”

Proprioception—the Felt Sense of the Body

Dealings with Distractions: At-home Meditation Practice

Correction to: Trait Self-Compassion Reflects Emotional Flexibility Through an Association with High Vagally Mediated Heart Rate Variability

Paradoxes of Mindfulness

The Effects of an Online Mindfulness Intervention on Perceived Stress, Depression and Anxiety in a Non-clinical Sample: A Randomised Waitlist Control Trial