Bariatric patient's psychological profile: a description. Childhood Obesity, Attachment and Satisfaction with their Couple Relationship
DOI:
https://doi.org/10.5944/ap.17.2.27437Keywords:
bariatric surgery, childhood obesity, attachment style, gender, diagnostic orientation, couple relationship satisfactionAbstract
Obesity has reached epidemic proportions in recent years, being the third cause of death in developed countries. Although bariatric surgery seems to be the most effective method, a significant percentage of patients have suboptimal results. As a preventive measure, patients are previously evaluated to determine if they are suitable for surgery. The present study examines if the story of childhood obesity, the attachment and the satisfaction in the romantic relationship, are related with the diagnosis orientation. The sample was composed by 411 patients with morbid obesity, candidates for bariatric surgery, from the Hospital Virgen del Rocío in Seville. The data were obtained through sociodemographic and clinical templates, the Adult Attachment Questionnaire (Melero and Cantero, 2008) and a escale of the relationship satisfaction. The study concluded that the unsuitable subjects had in a larger proportion a story of childhood obesity, have an insecure attachment style and a lower level of satisfaction in their relationship, being more notable in the case of women. Therefore, it is necessary to continue investigating the psychological variables related to obesity in order to address these aspects in the preoperative phase through psychological treatments, to ensure a greater effectiveness in the fight against the obesity
Downloads
References
Andolfi, C. y Fisichella, P. (2018). Epidemiology of Obesity and Associated Comorbidities. Journal Of Laparoendoscopic & Advanced Surgical Techniques, 28(8), 919–924. https://doi.org/10.1089/lap.2018.0380
Altan-Atalay, A. (2019). Interpersonal emotion regulation: Associations with Attachment and Reinforcement Sensitivity. Personality And Individual Differences, 139, 290–294. https://doi.org/10.1016/j.paid.2018.11.032
Apovian, C. M. (2016). Obesity: definition, comorbidities, causes, and burden. Am J Manag Care, 22(7 Suppl), s176–85.
Beeney, J., Stepp, S., Hallquist, M., Ringwald, W. R., Wright, A. G. C., Lazarus, S., Scott, L. N., Mattia, A. A., Ayars, H. E., Gebreselassie, S. H. y Pilkonis, P. A. (2019). Attachment Styles, Social Behavior, and Personality Functioning in Romantic Relationships. Personality Disorders: Theory, Research, And Treatment, 10(3), 275–285. https://doi.org/10.1037/per0000317
Booth-LaForce, C. y Roisman, G. I. (2019). Stability and Change in Attachment Security. En R. A. Thompson, J. A. Simpson y L. J. Berlin, Attachment (1ª ed., pp. 154–159). The Guilford Press.
Bowlby, J. (1982). Attachment and Loss: Retrospect and Prospect. American Journal Of Orthopsychiatry, 52(4), 664–678. https://doi.org/10.1111/j.19390025.1982.tb01456.x
Burrows, T., Skinner, J., Joyner, M., Palmieri, J., Vaughan, K. y Gearhardt, A. (2017). Food addiction in Children: Associations with Obesity, Parental Food Addiction and Feeding Practices. Eating Behaviors, 26, 114–120. https://doi.org/10.1016/j.eatbeh.2017.02.004
Carr, K. A. y Epstein, L. H. (2020). Choice is Relative: Reinforcing Value of Food and Activity in Obesity Treatment. American Psychologist, 75, 139–151. https://doi.org/10.1037/amp0000521
Davis, R., Plaisance, E. y Allison, D. (2017). Complementary Hypotheses on Contributors to the Obesity Epidemic. Obesity, 26(1), 17–21. https://doi.org/10.1002/oby.22071
De Luca, M., Angrisani, L., Himpens, J., Busetto, L., Scopinaro, N., Weiner, R., Sartori, A., Stier, C., Lakdawala, M., Bhasker, A. G., Buchwald, H., Dixon, J., Chiappetta, S., Kolberg, H.-C., Frühbeck, G., Sarwer, D. B., Suter, M., Soricelli, E., Blüher, M., Vilallonga, R…. y Shikora, S. (2016). Indications for Surgery for Obesity and Weight-Related Diseases: Position Statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Obesity Surgery, 26(8), 1659–1696. https://doi.org/10.1007/s11695-016-2271-4
Faienza, M., Wang, D., Frühbeck, G., Garruti, G. y Portincasa, P. (2016). The Dangerous Link between Childhood and Adulthood Predictors of Obesity and Metabolic Syndrome. Internal And Emergency Medicine, 11(2), 175–182. https://doi.org/10.1007/s11739-015-1382-6thene
Feeney, J. y Karantzas, G. (2017). Couple Conflict: Insights from an Attachment Perspective. Current Opinion In Psychology, 13, 60–64. https://doi.org/10.1016/j.copsyc.2016.04.017
Fitzpatrick, S., Wischenka, D., Appelhans, B., Pbert, L., Wang, M., Wilson, D. y Pagoto, S. (2016). An Evidence-based Guide for Obesity Treatment in Primary Care. The American Journal Of Medicine, 129(1), 115.e1–115.e7. https://doi.org/10.1016/j.amjmed.2015.07.015
Funk, L., Jolles, S. y Voils, C. (2016). Obesity as a disease: has the AMA resolution had an impact on how physicians view obesity? Surgery For Obesity And Related Diseases, 12(7), 1431–1435. https://doi.org/10.1016/j.soard.2016.05.009
Ghaferi, A. y Varban, O. (2018). Setting Appropriate Expectations After Bariatric Surgery. JAMA, 320(15), 1543. https://doi.org/10.1001/jama.2018.1424
Giampaoli, S. y Vannucchi, S. (2016). Obesità e diabete, un problema mondiale. Cosa dicono i dati [Obesity and diabetes, a global problem: what does recent data tell us?]. Igiene e sanita pubblica, 72(6), 561–570.
Gökdağ, C. (2021). How does Interpersonal Emotion Regulation Explain Psychological Distress? The Roles of Attachment Style and Social Support. Personality And Individual Differences, 176(1), Artículo 110763. https://doi.org/10.1016/j.paid.2021.110763
Griauzde, D., Ibrahim, A., Fisher, N., Stricklen, A., Ross, R. y Ghaferi, A. (2018). Understanding the Psychosocial Impact of Weight Loss Following Bariatric Surgery: A Qualitative Study. BMC Obesity, 5(38), 1–9. https://doi.org/10.1186/s40608-018-0215-3
Herle, M., Fildes, A. y Llewellyn, C. (2018). Emotional Eating is Learned not Inherited in Children, Regardless of Obesity Risk. Pediatric Obesity, 13(10), 628–631. https://doi.org/10.1111/ijpo.12428
Jaacks, L., Vandevijvere, S., Pan, A., McGowan, C., Wallace, C. y Imamura, F. (2019). The Obesity Transition: Stages of the Global Epidemic. The Lancet Diabetes & Endocrinology, 7(3), 231–240. https://doi.org/10.1016/s2213-8587(19)30026-9
Jackson, S. (2016). Obesity, Weight Stigma and Discrimination. Journal Of Obesity & Eating Disorders, 2(1). https://doi.org/10.21767/2471-8203.100016
Jura, M., y Kozak, L. (2016). Obesity and Related Consequences to Ageing. AGE, 38(1). https://doi.org/10.1007/s11357-016-9884-3
Kong, K., Eiden, R. y Paluch, R. (2019). Early Nonfood Parent‐Infant Interactions and Development of Obesity in a High‐Risk, Diverse Sample. Obesity, 27(11), 1754–1760. https://doi.org/10.1002/oby.22649
Marino, M. (2018). How often should we Expect to be Wrong? Statistical Power, P values, and the Expected Prevalence of False Discoveries. Biochemical Pharmacology, 151, 226–233. https://doi.org/10.1016/j.bcp.2017.12.011
Mazer, L., Azagury, D. y Morton, J. (2017). Quality of Life After Bariatric Surgery. Current Obesity Reports, 6(2), 204–210. https://doi.org/10.1007/s13679-017-0266-7
Melero, R. y Cantero, M. (2008). Los estilos afectivos en la población española: un cuestionario de evaluación del apego adulto [Affective styles in a Spanish Sample: A Questionnaire for the Assessment of Adult Attachment]. Clínica Y Salud, 9(1), 83–100.
Min, J., Zhao, Y., Slivka, L. y Wang, Y. (2017). Double burden of Diseases Worldwide: Coexistence of Undernutrition and Overnutrition-Related Non-Communicable Chronic Diseases. Obesity Reviews, 19(1), 49–61. https://doi.org/10.1111/obr.12605
Moris, D., Guerron, A. y Sudan, R. (2018). Long-term Durability of Outcomes After Bariatric Surgery: Thinking Outside the Box. Surgery For Obesity And Related Diseases, 14(2), 247. https://doi.org/10.1016/j.soard.2017.10.011
La Razón. (21 de noviembre de 2019). La obesidad aumenta un 20% el gasto sanitario per cápita. Recuperado de https://www.larazon.es/salud/20191120/dcpo4bsyire2hewyf3ucr3ikoy.html
Panteliou, E., y Miras, A. (2017). What is the Role of Bariatric Surgery in the Management of Obesity? Climacteric, 20(2), 97–102. https://doi.org/10.1080/13697137.2017.1262638
Puhl, R. M., Himmelstein, M. S., y Pearl, R. L. (2020). Weight Stigma as a Psychosocial Contributor to Obesity. American Psychologist, 75, 274–289. https://doi.org/10.1037/amp0000538
Lewczuk, K., Kobylińska, D., Marchlewska, M., Krysztofiak, M., Glica, A., y Moiseeva, V. (2018). Adult Attachment and Health Symptoms: The Mediating Role of Emotion Regulation Difficulties. Current Psychology, 40, 1720–1733. https://doi.org/10.1007/s12144-018-0097-z
Robert, M., Pelascini, E. y Pasquer, A. (2019). Técnicas de derivaciones (bypass) gástricas por obesidad [Gastric Bypass Techniques for Obesity]. EMC - Técnicas Quirúrgicas - Aparato Digestivo, 35(4), 1–18. https://doi.org/10.1016/s1282-9129(19)42984-x.com
Saltzman, J., Fiese, B., Bost, K. y McBride, B. (2017). Development of Appetite Self-Regulation: Integrating Perspectives From Attachment and Family Systems Theory. Child Development Perspectives, 12(1), 51–57. https://doi.org/10.1111/cdep.12254
Sarwer, D. B. y Heinberg, L. J. (2020). A Review of the Psychosocial Aspects of Clinically Severe Obesity and Bariatric Surgery. American Psychologist, 75, 252–264. https://doi.org/10.1037/amp0000550
Shekar, M. y Popkin, B. (Eds.). (2020). Obesity: Health and Economic Consequences of an Impending Global Challenge. World Bank Publications.
Simpson, J., y Rholes, W. (2017). Adult Attachment, Stress, and Romantic Relationships. Current Opinion In Psychology, 13, 19–24. https://doi.org/10.1016/j.copsyc.2016.04.006
Small, L. y Aplasca, A. (2016). Child Obesity and Mental Health. Child And Adolescent Psychiatric Clinics Of North America, 25(2), 269–282. https://doi.org/10.1016/j.chc.2015.11.008
Sogg, S., Lauretti, J. y West-Smith, L. (2016). Recommendations for the Presurgical Psychosocial Evaluation of Bariatric Surgery Patients. Surgery For Obesity And Related Diseases, 12(4), 731–749. https://doi.org/10.1016/j.soard.2016.02.008
Stevens, J. (2017). Obesity as a Disease: Why Ignore the Numbers? Obesity, 25(9), 1467–1467. https://doi.org/10.1002/oby.21923
Tsai, A. (2019). Integrating Obesity Treatment Into Routine Primary Care. Annals Of Internal Medicine, 171(11), 847. https://doi.org/10.7326/m19-2988
Upadhyay, J., Farr, O., Perakakis, N., Ghaly, W., y Mantzoros, C. (2018). Obesity as a Disease. The Medical clinics of North America, 102(1), 13–33. https://doi.org/10.1016/j.mcna.2017.08.004
Wadden, T., y Bray, G. (2018). Handbook of Obesity Treatment (2ª ed., pp. 345–347). The Guilford Press.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Faculty of Psychology. Applied Psychology Service (UNED)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Accion Psicologica is published under Creative Commons Attribution-Non Commercial (CC BY-NC). The opinions and contents of the articles published in Acción Psicológica are responsibility of the authors and do not compromise the scientific and political opinion of the journal. Authors are also responsible for providing copies of the raw data, ratings, and, in general, relevant experimental material to interested readers.
