Proof of Concept for a Mindfulness-Informed Intervention for Eating Disorder Symptoms, Self-Efficacy, and Emotion Regulation Among Bariatric Surgery Candidates
Abstract
Up to 64% of patients seeking bariatric (weight-loss) surgery report eating disorder (ED) symptoms (addictive-like eating, binge eating, emotional eating, grazing) that can interfere with post-surgical weight loss. This prospective proof-of-concept study aimed to evaluate the impact of a pre-surgical mindfulness-informed intervention (MII) on ED symptoms and potential mechanisms-of-action to inform optimization of the intervention. Surgery-seeking adults attended four, 2-hour, MII sessions held weekly. Participants completed validated questionnaires assessing ED symptoms, eating self-efficacy, emotion regulation, and mindful eating pre-MII, post-MII, and at a 12-week follow-up. The MII consisted of mindfulness training, with cognitive, behavioral, and psychoeducational components. Fifty-six patients (M = 47.41 years old, 89.3% female) participated. Improvements in addictive-like eating, binge eating, emotional eating, and grazing were observed from pre- to post-MII. ED symptom treatment gains were either maintained or improved further at 12-week follow-up. Eating self-efficacy and emotion regulation improved from pre-MII to follow-up. Scores on the mindful eating questionnaire deteriorated from pre-MII to follow-up. In mediation analyses, there was a combined indirect effect of emotion regulation, eating self-efficacy, and mindful eating on grazing and binge eating, and an indirect effect of emotion regulation on emotional eating and addictive-like eating. Participation in the MII was associated with improvements in ED symptoms and some mechanisms-of-action, establishing proof-of-concept for the intervention. Future work to establish the MII’s efficacy in a randomized controlled trial is warranted.
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Mindfulness-based approaches have been used effectively for reducing problematic eating behaviors for individuals who have obesity and for bariatric surgery patients.
“Mindfulness-based approaches have been used effectively for reducing problematic eating behaviors for individuals who have obesity and for bariatric surgery patients (93–95).”
From Behavioral Interventions to Attenuate Driven Overeating and Weight Regain After Bariatric Surgery (2022) · cites this paper as [94]
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- Authors
- Felske, A. N., Williamson, T. M., Rash, J. A., Telfer, J. A., Toivonen, K. I., & Campbell, T.
- Affiliations
- University of Calgary (CA)
- Memorial University of Newfoundland (CA)
- Alberta Health Services (CA)
- Corresponding author
- Campbell, Tavis
- Venue
- Behavioral Medicine
- Publisher
- Informa UK Limited
- Published
- 2020-10-14
- Volume
- 48
- Issue
- 3
- Pages
- 216-229
- ISSN
- 0896-4289 (ISSN-L)
- 1940-4026
- OpenAlex
- W3093266942
- Cited by
- 20
- References
- 90
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 5 · 2023: 1 · 2022: 5 · 2021: 1
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- 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-based interventions, eating disorder symptoms, bariatric surgery candidates, binge eating, emotional eating, grazing, dietary self-efficacy, emotion regulation, mindful eating, weight loss
- MeSH terms
- Proof of Concept Study, Emotional Regulation, Adult, Bulimia, Female, Humans, Male, Middle Aged, Prospective Studies, Self Efficacy, Bariatric Surgery, Binge-Eating Disorder, Mindfulness
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