Symptoms of bipolar disorder are associated with lower bariatric surgery completion rates and higher food addiction

Allison A. Holgerson, Matthew M. Clark, Mark A. Frye, Todd A. Kellogg, Manpreet S. Mundi, Marin D Veldic, Karen Grothe

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Bipolar disorder (BP) is highly comorbid with obesity, however, little is known about how BP might be associated with bariatric surgery outcomes. Methods: In this retrospective clinical cohort study, 1034 patients completed a psychological evaluation, and screening positive for possible BP was defined as a score ≥7 and moderate disability on the Mood Disorders Questionnaire. Food addiction (FA), subthreshold binge eating disorder (BED), and illegal drug use were also assessed using standardized questionnaires. Results: The 54 (5.2%) patients screening positive for BP were less likely to have bariatric surgery compared to 980 (94.8%) patients who screened negative for BP (5 patients or 9.3% vs 273 patients, or 27.9%). Patients with possible BP also had significantly higher prevalence of FA (37% vs 13.2%), subthreshold BED (29.6% vs 8.3%) and illegal drug use (7.4% vs 2.1%). Conclusions: In this retrospective clinical cohort study, patients who screened positive for BP had a higher prevalence of food addiction, subthreshold binge eating disorder and recent illegal drug use. They also demonstrated lower completion rates for having bariatric surgery. Clearly, more needs to be learned about how to help patients with symptoms of bipolar disorder manage their obesity and behavioral challenges.

Original languageEnglish (US)
Article number101462
JournalEating Behaviors
Volume40
DOIs
StatePublished - Jan 2021

Keywords

  • Bariatric surgery
  • Bipolar disorder
  • Food addiction
  • Substance abuse

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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