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Obesity Surgery
Published in: Obesity Surgery 7/2016

01-07-2016 | Original Contributions

Distress Tolerance and Psychological Comorbidity in Patients Seeking Bariatric Surgery

Authors: Afton M. Koball, Susan M. Himes, Leslie Sim, Matthew M. Clark, Maria L. Collazo-Clavell, Manpreet Mundi, Todd Kellogg, Karen Graszer, Karen B. Grothe

Published in: Obesity Surgery | Issue 7/2016

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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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Metadata
Title
Distress Tolerance and Psychological Comorbidity in Patients Seeking Bariatric Surgery
Authors
Afton M. Koball
Susan M. Himes
Leslie Sim
Matthew M. Clark
Maria L. Collazo-Clavell
Manpreet Mundi
Todd Kellogg
Karen Graszer
Karen B. Grothe
Publication date
01-07-2016
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2016
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-015-1926-x

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