Advertisement

Binge eating in patients pursuing bariatric surgery: understanding relationships with food insecurity and adverse childhood experiences

Published:November 11, 2022DOI:https://doi.org/10.1016/j.soard.2022.11.003

      Highlights

      • Childhood experiences of abuse/neglect were positively related to binge eating
      • Childhood experiences of household dysfunction were not related to binge eating
      • Food insecurity moderated association between childhood experiences and binge eating

      Abstract

      Background

      Positive relationships exist between adult food insecurity and binge eating, and between adverse childhood experiences and binge eating. However, the nature of these relationships remains to be determined.

      Objectives

      The current study sought to examine the association between binge eating and childhood abuse and/or neglect and household dysfunction and to explore whether the strength of the relationship between adverse childhood experiences and binge eating differs across levels of food insecurity in patients seeking bariatric surgery.

      Setting

      University Hospital in the Appalachian region of United States.

      Methods

      A total of 366 adults seeking bariatric surgery completed validated questionnaires as a component of a routine psychological evaluation prior to surgery.

      Results

      Only childhood experiences of abuse and/or neglect were positively related to adult binge eating, r(363) = .13, P = .011. Food insecurity moderated the relationship between adverse childhood experiences and binge eating, F(4, 358) = 242.98, P < .001, such that the relationship was stronger for individuals who endorsed the presence of both food insecurity and adverse childhood experiences (M = 15.90; standard deviation [SD] = 8.38), relative to individuals who endorsed the absence of both food insecurity and adverse childhood experiences (M = 11.19; SD = 7.91; Tukey P = .005; d = .58).

      Conclusions

      Food insecurity strengthens the relationship between adverse childhood experiences and adult binge eating. Results suggest that healthcare providers should include assessments of both adverse childhood experiences and food insecurity to identify patients who may be at risk for disordered eating prior to surgery, as these individuals may require additional interventions to address binge eating and related factors.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Surgery for Obesity and Related Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cella S.
        • Fei L.
        • D’Amico R.
        • Giardiello C.
        • Allaria A.
        • Cotrufo P.
        Binge eating disorder and related features in bariatric surgery candidates.
        Open Med. 2019; 14: 407-415
        • American Psychiatric Association
        Diagnostic and statistical manual of mental disorders. 5th ed. 2013
        • Ágh T.
        • Kovács G.
        • Pawaskar M.
        • Supina D.
        • Inotai A.
        • Vokó Z.
        Epidemiology, health-related quality of life and economic burden of binge eating disorder: a systematic literature review.
        Eat Weight Disord. 2015; 20: 1-12
        • Mustelin L.
        • Bulik C.M.
        • Kaprio J.
        • Keski-Rahkonen A.
        Prevalence and correlates of binge eating disorder related features in the community.
        Appetite. 2017; 109: 165-171
        • Watson H.J.
        • Jangmo A.
        • Smith T.
        • et al.
        A register-based case-control study of health care utilization and costs in binge-eating disorder.
        J Psychosom Res. 2018; 108: 47-53
        • Lapidoth J.
        • Ghaderi A.
        • Norring C.
        Binge eating in surgical weight-loss treatments. Long-term associations with weight loss, health related quality of life (HRQL), and psychopathology.
        Eat Weight Disord. 2011; 16: e263-e269
        • Coffino J.A.
        • Grilo C.M.
        • Udo T.
        Childhood food neglect and adverse experiences associated with DSM-5 eating disorders in US National Sample.
        J Psychiatr Res. 2020; 127: 75-79
        • Quilliot D.
        • Brunaud L.
        • Mathieu J.
        • et al.
        Links between traumatic experiences in childhood or early adulthood and lifetime binge eating disorder.
        Psychiatry Res. 2019; 27: 134-141
        • Williamson D.F.
        • Thompson T.J.
        • Anda R.F.
        • Dietz W.H.
        • Felitti V.
        Body weight and obesity in adults and self-reported abuse in childhood.
        Int J Obes. 2002; 26: 1075-1082
        • Holgerson A.A.
        • Clark M.M.
        • Ames G.E.
        • et al.
        Association of adverse childhood experiences and food addiction to bariatric surgery completion and weight loss outcome.
        Obes Surg. 2018; 28: 3386-3392
        • Guillaume S.
        • Jaussent I.
        • Maimoun L.
        • et al.
        Associations between adverse childhood experiences and clinical characteristics of eating disorders.
        Scientific Rep. 2016; 6: 357-361
        • Atzl V.M.
        • Narayan A.J.
        • Rivera L.M.
        • Lieberman A.F.
        Adverse childhood experiences and prenatal mental health: type of ACEs and age of maltreatment onset.
        J Fam Psychol. 2019; 33: 304-314
        • Negriff S.
        ACEs are not equal: Examining the relative impact of household dysfunction versus childhood maltreatment on mental health in adolescence.
        Soc Sci Med. 2020; 245: 112696
        • Coleman-Jensen A.
        • Nord M.
        • Andrews M.
        • Carlson S.
        Household food security in the United States, 2012 security in the United States.
        Econ Res Rep. 2012; 141: 37
        • Zickgraf H.F.
        • Stefano E.
        • Price J.
        • Veldheer S.
        • Rogers A.
        • Rigby A.
        The relationship between food insecurity and binge and night eating symptoms in prebariatric surgery patients is mediated by depressive symptoms.
        Surg Obes Relat Dis. 2019; 15: 1374-1379
        • Christensen K.A.
        • Forbush K.T.
        • Richson B.N.
        • et al.
        Food insecurity associated with elevated eating disorder symptoms, impairment, and eating disorder diagnoses in an American University student sample before and during the beginning of the COVID-19 pandemic.
        Int J Eat Disord. 2021; 54: 1213-1223
        • Cheung V.
        • Aylward L.
        • Tabone L.
        • Szoka N.
        • Abunnaja S.
        • Cox S.
        Hunger mediates the relationship between food insecurity and binge eating among bariatric surgery candidates.
        Surg Obes Relat Dis. 2020; 18: 530-537
        • Dhurandhar Emily J.
        “The food-insecurity obesity paradox: a resource scarcity hypothesis”.
        Physiol Behav. 2016; 162: 88-92
        • Testa A.
        • Jackson D.B.
        Adverse childhood experiences and food insecurity in adulthood: evidence from the national longitudinal study of adolescent to adult health.
        J Adolesc Health. 2020; 67: 218-224
        • Felitti V.J.
        • Anda R.F.
        • Nordenberg D.
        • et al.
        Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the Adverse Childhood Experiences (ACE) Study.
        Am J Prev Med. 1998; 14: 245-258
        • Schilling E.A.
        • Aseltine R.H.
        • Gore S.
        Adverse childhood experiences and mental health in young adults: a longitudinal survey.
        BMC Public Health. 2007; 7: 30
        • Gormally J.I.M.
        • Black S.
        • Daston S.
        • Rardin D.
        The assessment of binge eating severity among obese persons.
        Addict Behav. 1982; 7: 47-55
        • Duarte C.
        • Pinto-Gouveia J.
        • Ferreira C.
        Expanding binge eating assessment: validity and screening value of the binge eating scale in women from the general population.
        Eat Behav. 2015; 18: 41-47
        • Ashton K.
        • Drerup M.
        • Windover A.
        • Heinberg L.
        Brief, four-session group CBT reduces binge eating behaviors among bariatric surgery candidates.
        Surg Obes Relat Dis. 2009; 5: 257-262
        • Hawkins R.C.
        • Fremouw W.J.
        • Clement P.F.
        Binge-purge syndrome.
        Springer Pub. Co, 1984
        • Haedt-Matt A.A.
        • Keel P.K.
        Affect regulation and purging: an ecological momentary assessment study in purging disorder.
        J Abnorm Psychol. 2015; 124: 399
        • Rudenstine S.
        • Espinosa A.
        • McGee A.B.
        • Routhier E.
        Adverse childhood events, adult distress, and the role of emotion regulation.
        Traumatology. 2019; 25: 124
      1. Aylward, L., Konsor, M., & Cox, S. Binge eating before and after bariatric surgery. Current Obesity Reports; in press.

        • Hernandez D.C.
        • Reesor L.M.
        • Murillo R.
        Food insecurity and adult overweight/obesity: gender and race/ethnic disparities.
        Appetite. 2017; 117: 373-378
        • Broussard N.H.
        What explains gender differences in food insecurity?.
        Food Policy. 2019; 83: 180-194