Update on eating disorders and disordered eating behaviors in metabolic bariatric surgery patients.

IF 7.5 2区 医学 Q1 PSYCHIATRY Current Opinion in Psychiatry Pub Date : 2024-11-01 Epub Date: 2024-08-16 DOI:10.1097/YCO.0000000000000962
Eva Conceição, James E Mitchell, David B Sarwer
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Abstract

Purpose of review: Recent literature suggests a potential causal link between metabolic bariatric surgery (MBS) and an increased risk of eating disorders. However, the available literature offers unclear results regarding the definition of eating problems among MBS patients, their potential impact on weight outcomes, and the efficacy of adjunctive treatment.

Recent findings: Although eating disorders may be rare phenomena after surgery, disordered eating behaviors are more common and tend to be more consistently associated with suboptimal weight loss. There also appear to be clear problems when using Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) criteria to assess eating disorders among MBS patients, particularly for restrictive eating, binge-eating episodes, and the core psychopathology of eating disorders. Finally, preoperative interventions appear to offer effects limited to the presurgery period, and the evidence for the efficacy of postoperative interventions remains limited. Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) offer promising benefits for weight loss and the treatment of binge-eating problems, but their potential risks must be carefully managed.

Summary: Recognizing the diverse presentations of these problems among individuals undergoing MBS is crucial. Clinical attention should focus on intensive specialized care during the postoperative period for those who develop eating-related problems.

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代谢性减肥手术患者饮食失调和饮食行为紊乱的最新情况。
综述目的:最近的文献表明,代谢减肥手术(MBS)与饮食失调风险增加之间存在潜在的因果关系。然而,现有文献对代谢性减肥手术患者饮食问题的定义、饮食问题对体重结果的潜在影响以及辅助治疗的疗效等方面的研究结果并不明确:最近的研究结果:虽然饮食失调可能是手术后的罕见现象,但饮食失调行为却更为常见,而且往往与不理想的体重减轻更有关联。使用《精神疾病诊断与统计手册》第 5 版(DSM-5)标准评估 MBS 患者的饮食失调似乎也存在明显问题,尤其是限制性进食、暴饮暴食发作和饮食失调的核心精神病理学。最后,术前干预的效果似乎仅限于术前阶段,术后干预的疗效证据仍然有限。胰高血糖素样肽-1 受体激动剂(GLP-1 RAs)在减肥和治疗暴食问题方面具有良好的疗效,但必须谨慎控制其潜在风险:总结:认识到接受 MBS 治疗的患者在这些问题上的不同表现至关重要。临床上应重点关注那些出现进食相关问题的患者在术后期间的强化专业护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current Opinion in Psychiatry
Current Opinion in Psychiatry 医学-精神病学
CiteScore
12.20
自引率
1.40%
发文量
76
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Psychiatry is an easy-to-digest bimonthly journal covering the most interesting and important advances in the field of psychiatry. Eight sections on mental health disorders including schizophrenia, neurodevelopmental disorders and eating disorders, are presented alongside five area-specific sections, offering an expert evaluation on the most exciting developments in the field.
期刊最新文献
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