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Cited by 49Eating Disorders and BehaviorsMindfulness and Compassion InterventionsNutrition, Health and Food Behavior

Which facets of mindfulness are related to problematic eating among patients seeking bariatric surgery?

Levin, Michael E., Dalrymple, Kristy, Himes, Susan, Zimmerman, Mark·2014·Eating Behaviors
DOI 10.1016/j.eatbeh.2014.03.012
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Abstract

There has been growing research indicating the potential positive benefits of mindfulness-based interventions for obesity, but few studies have examined the relationship of mindfulness processes to obesity-related behaviors, particularly among clinical populations such as bariatric surgery candidates. The current study examined the relationship of specific mindfulness facets to a variety of problematic eating behaviors assessed through diagnostic interviews in a clinical sample of 820 patients seeking bariatric surgery. Results indicated that greater mindfulness on specific facets, particularly acting with awareness, was related to less binge and emotional eating. Greater mindfulness was also related, though less consistently, to less habitual overeating and grazing. The observing facet was generally unrelated to problematic eating, but in a few cases being more observant related to having greater eating problems. The results of the study and future directions are discussed in relation to research on problematic eating in obesity and mindfulness-based interventions.

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  • Higher acting with awareness, describe, non-judgment, and non-reactive mindfulness, but not observe mindfulness, were associated with lower negative emotional eating in a pre-surgical bariatric population.

    “One study identified that higher acting with awareness mindfulness, describe mindfulness, non-judgment mindfulness, and non-reactive mindfulness, but not observe mindfulness, were associated with lower negative emotional eating in a pre-surgical bariatric population [29].”

    From Mindfulness facets differentially relate to self-reported negative and positive emotional eating types in treatment-seeking adults with overweight/obesity (2023) · cites this paper as [29]

  • High observing, when not balanced by other mindfulness facets such as nonjudgment or nonreactivity, can reflect hypervigilance and attentional biases that perpetuate disordered eating, for example, by increasing sensitivity to external eating cues.

    “High observing, when not balanced by other mindfulness facets such as nonjudgment or nonreactivity, can reflect hypervigilance and attentional biases that perpetuate disordered eating [11], for example, by increasing sensitivity to external eating cues [14].”

    From Four Facet Mindful Eating and Eating Disorder Risk: Mediation By Depression and Body Mass Index. (2026) · cites this paper as [14]

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Authors
Levin, M. E., Dalrymple, K., Himes, S., & Zimmerman, M.
Affiliations
  • Utah State University (US)
  • Brown University (US)
  • Rhode Island Hospital (US)
Corresponding author
Levin, Michael E.
ORCID
Venue
Eating Behaviors
Publisher
Elsevier BV
Published
2014-04
Volume
15
Issue
2
Pages
298-305
ISSN
1471-0153 (ISSN-L)
DOI
10.1016/j.eatbeh.2014.03.012
OpenAlex
W2016512233
Cited by
49
References
44
Citations by year
2026: 3 · 2025: 1 · 2024: 2 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 7 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 2
FWCI
4.72
Type
journal article
Language
en
Open access
closed
Locations
  • Eating Behaviors (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Commons - USU (Utah State University) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords
mindfulness, problematic eating, bariatric surgery candidates, obesity, binge eating, emotional eating, grazing, acting with awareness, observation, mindfulness-based interventions
MeSH terms
Adolescent, Adult, Aged, Feeding and Eating Disorders, Awareness, Bulimia, Eating, Emotions, Female, Humans, Interview, Psychological, Male, Middle Aged, Obesity, Patient Acceptance of Health Care, Bariatric Surgery, Young Adult, Mindfulness

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