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Obesity Surgery
Published in: Obesity Surgery 7/2019

Open Access 01-07-2019 | Bariatric Surgery | Original Contributions

A Qualitative Analysis of Problematic and Non-problematic Alcohol Use After Bariatric Surgery

Authors: Danielle L. Reaves, Joanne M. Dickson, Jason C. G. Halford, Paul Christiansen, Charlotte A. Hardman

Published in: Obesity Surgery | Issue 7/2019

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Abstract

Objectives

Bariatric surgery is an effective weight loss tool, but an under-communicated side effect may include the increased risk for alcohol problems. Few studies have examined contributors towards alcohol problems following surgery using a qualitative approach. Therefore, the current study aimed to generate insight informed by participants with problematic alcohol use following bariatric surgery, in comparison with participants without.

Methods

Participants (14; females, n = 9; males, n = 5) completed semi-structured interviews using questions relating to alcohol use, relationship to food, support and surgical experiences. Thematic analysis was conducted to provide insight into the factors which influenced drinking behaviours that participants engaged in following bariatric surgery, and motivations for drinking or limiting alcohol.

Results

Five core themes were identified between both participants with and without problematic alcohol use: (1) drinking motivations, (2) self-image, (3) impact of restriction on eating behaviour, (4) support needs and (5) surgical preparedness. A sixth core theme (“resilience”) was identified specifically amongst participants without problematic alcohol use. Divergent experiences, cognitions and behaviours formed sub-themes within the five core themes and highlighted the differences between participants with and without problematic alcohol use within the core themes.

Conclusion

This study is the first to qualitatively assess themes relating to the development of problematic alcohol use after bariatric surgery while additionally using a comparison group without problematic alcohol use. The findings highlight key features which contribute to problematic alcohol use, as well as experiences and cognitions that may be helpful in preventing this phenomenon in bariatric populations.
Literature
1.
Picot J, Jones J, Colquitt J, et al. The clinical effectiveness and cost-effectiveness of bariatric (weight loss) surgery for obesity: a systematic review and economic evaluation. Health Technol Assess. 2009;13(41):1–190. 215-357, iii-ivCrossRefPubMed
2.
Buchwald H, Avidor Y, Braunwald E, et al. Bariatric surgery: a systematic review and meta-analysis. JAMA. 2004;292(14):1724–37.CrossRefPubMed
3.
Hardman C, Christiansen P. Psychological issues and alcohol misuse following bariatric surgery. Nat Rev Endocrinol. 2018;14(7):377–8.CrossRefPubMed
4.
Conason A, Teixeira J, Hsu C, et al. Substance use following bariatric weight loss surgery. JAMA Surg. 2013;148(2):145–50.CrossRefPubMed
5.
6.
Svensson P, Anveden Å, Romeo S, et al. Alcohol consumption and alcohol problems after bariatric surgery in the Swedish obese subjects study. Obesity. 2013;21(12):2444–51.CrossRefPubMed
7.
Hagedorn J, Encarnacion B, Brat G, et al. Does gastric bypass alter alcohol metabolism? Surg Obes Relat Dis. 2007;3(5):543–8.CrossRefPubMed
8.
Mechanick J, Youdim A, Jones D, et al. Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient—2013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery. Endocr Pract. 2013;19(2):337–72.CrossRefPubMedPubMedCentral
9.
Spadola C, Wagner E, Dillon F, et al. Alcohol and drug use among postoperative bariatric patients: a systematic review of the emerging research and its implications. Alcohol Clin Exp Res. 2015;39(9):1582–601.CrossRefPubMedPubMedCentral
10.
Lent M, Hayes S, Wood G, et al. Smoking and alcohol use in gastric bypass patients. Eat Behav. 2013;14(4):460–3.CrossRefPubMed
11.
12.
Burgess E, Turan B, Lokken K, et al. Profiling motives behind hedonic eating. Preliminary validation of the Palatable Eating Motives Scale. Appetite. 2014;72:66–72.CrossRefPubMed
13.
14.
Merrill J, Thomas S. Interactions between adaptive coping and drinking to cope in predicting naturalistic drinking and drinking following a lab-based psychosocial stressor. Addict Behav. 2013;38(3):1672–8.CrossRefPubMed
15.
Baines L, Jones A, Christiansen P. Hopelessness and alcohol use: the mediating role of drinking motives and outcome expectancies. Addict Behav Rep. 2016;4:65–9.CrossRefPubMedPubMedCentral
16.
Holahan C, Moos R, Holahan C, et al. Drinking to cope and alcohol use and abuse in unipolar depression: a 10-year model. J Abnorm Psychol. 2003;112(1):159–65.CrossRefPubMed
17.
Elfhag K, Morey L. Personality traits and eating behaviour in the obese: poor self-control in emotional and external eating but personality assets in restrained eating. Eat Behav. 2008;9(3):285–93.CrossRefPubMed
18.
Schneider K, Appelhans B, Whited M, et al. Trait anxiety, but not trait anger, predisposes obese individuals to emotional eating. Appetite. 2010;55(3):701–6.CrossRefPubMedPubMedCentral
19.
Coulman K, MacKichan F, Blazeby J, et al. Patient experiences of outcomes of bariatric surgery: a systematic review and qualitative synthesis. Obes Rev. 2017;18(5):547–59.CrossRefPubMedPubMedCentral
20.
Ivezaj V, Saules K, Wiedemann A. “I Didn’t See This Coming.”: Why are postbariatric patients in substance abuse treatment? Patients’ perceptions of etiology and future recommendations. Obes Surg. 2012;22(8):1308–14.CrossRefPubMed
21.
Yoder R, MacNeela P, Conway R, et al. How do individuals develop alcohol use disorder after bariatric surgery? A grounded theory exploration. Obes Surg. 2017;28(3):717–24.CrossRef
22.
Kubik J, Gill R, Laffin M, et al. The impact of bariatric surgery on psychological health. J Obes. 2013;2013:1–5.CrossRef
23.
Ivezaj V, Saules K, Schuh L. New-onset substance use disorder after gastric bypass surgery: rates and associated characteristics. Obes Surg. 2014;24(11):1975–80.CrossRefPubMed
24.
25.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
26.
27.
Steffen KJ, Engel SG, Wonderlich JA, et al. Alcohol and other addictive disorders following bariatric surgery: prevalence, risk factors and possible etiologies. Eur Eat Disord Rev. 2015;23(6):442–50.CrossRefPubMed
28.
Volkow ND, Wang GJ, Tomasi D, et al. Obesity and addiction: neurobiological overlaps. Obes Rev. 2013;14(1):2–18.CrossRefPubMed
29.
Scholtz S, Miras AD, Chhina N, et al. Obese patients after gastric bypass Surgery have lower brain-hedonic responses to food than after gastric banding. Gut. 2014;63(6):891–902.CrossRefPubMed
30.
31.
Burgmer R, Legenbauer T, Müller A, et al. Psychological outcome 4 years after restrictive bariatric surgery. Obes Surg. 2014;24(10):1670–8.CrossRefPubMed
32.
van Beek A, Emous M, Laville M, et al. Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management. Obes Rev. 2016;18(1):68–85.CrossRefPubMed
33.
Livhits M, Mercado C, Yermilov I, et al. Is social support associated with greater weight loss after bariatric surgery?: a systematic review. Obes Rev. 2011;12(2):142–8.CrossRefPubMed
34.
Strine T, Chapman D, Balluz L, et al. Health-related quality of life and health behaviours by social and emotional support. Soc Psychiatry Psychiatr Epidemiol. 2007;43(2):151–9.CrossRefPubMed
35.
Sarvey S. Psychosocial support after bariatric surgery: fostering resilience. Bariatric Nurs Surg Patient Care. 2009;4(4):323–4.CrossRef
36.
Garbett R, Mccormack B. The experience of practice development: an exploratory telephone interview study. J Clin Nurs. 2001;10(1):94–102.CrossRefPubMed
37.
Opdenakker R. Advantages and disadvantages of four interview techniques in qualitative research. Forum Qual Soc Res. 2006;7(4)
38.
Carr E, Worth A. The use of the telephone interview for research. NT Res. 2001;6(1):511–24.CrossRef
Metadata
Title
A Qualitative Analysis of Problematic and Non-problematic Alcohol Use After Bariatric Surgery
Authors
Danielle L. Reaves
Joanne M. Dickson
Jason C. G. Halford
Paul Christiansen
Charlotte A. Hardman
Publication date
01-07-2019
Publisher
Springer US
Published in
Obesity Surgery / Issue 7/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-03823-6

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