Distress Tolerance and Psychological Comorbidity in Patients Seeking Bariatric Surgery
Abstract
Introduction/purpose Distress intolerance is characterized by a low threshold for negative emotional experiences and lack of emotion regulation and has been shown to predict various health outcomes. As such, the primary aim of this study was to determine the association between distress tolerance and psychological variables (eating behaviors, mood, substance use, trauma history), completion of bariatric surgery, and post-bariatric surgery weight loss outcomes and follow up with a provider.Materials and methods Two hundred forty-eight patients (75 % female, 89 % Caucasian) underwent a multidisciplinary evaluation for bariatric surgery and were assessed for psychiatric disorders via semi-structured clinical interview and psychometric questionnaires.Results Low distress tolerance was associated with symptoms of depression (p ≤ 0.001), anxiety (p ≤ 0.001), disordered eating behaviors (p ≤ 0.001), substance abuse (p ≤ 0.001), a history of being the victim of childhood sexual abuse (p ≤ 0.001), and with high BMI (p < .05). Patients endorsing higher levels of distress tolerance were more likely to undergo bariatric surgery (p < .01). Distress tolerance was not related to 2-year post-surgical weight loss outcomes or follow up with a provider.Conclusion The ability to tolerate negative affect may be a variable that differentiates which patients undergo bariatric surgery rather than early postoperative outcomes.
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Emotion-based eating is associated with emotion dysregulation, poor emotion regulation skills, low distress tolerance, dietary restraint, loss of control of eating, poor awareness of hunger/fullness signals, body image dissatisfaction, internalized shame, and low self-compassion.
“In addition to depression, emotion-based eating is associated with many other factors, including emotion dysregulation, poor emotion regulation skills, low distress tolerance, dietary restraint, loss of control of eating, poor awareness of hunger/fullness signals, body image dissatisfaction, internalized shame, and low self-compassion (24–29).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [29]
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- Authors
- Koball, A. M., Himes, S. M., Sim, L., Clark, M. M., Collazo-Clavell, M. L., Mundi, M., Kellogg, T., Graszer, K., & Grothe, K. B.
- Affiliations
- Gundersen Health System (US)
- Lahey Hospital and Medical Center (US)
- Mayo Clinic (US)
- Corresponding author
- Grothe, Karen B.
- Venue
- Obesity Surgery
- Published
- 2015-10-13
- Volume
- 26
- Issue
- 7
- Pages
- 1559-1564
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- OpenAlex
- W1961695602
- Cited by
- 29
- References
- 42
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 4
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Obesity Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- distress tolerance, bariatric surgery
- MeSH terms
- Emotional Adjustment, Adaptation, Psychological, Adult, Mental Disorders, Emotions, Female, Humans, Male, Middle Aged, Obesity, Postoperative Period, Surveys and Questionnaires, Weight Loss, Comorbidity, Bariatric Surgery
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