From bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgery

Abstract Background An increase in self-harm emergencies after bariatric surgery have been documented, but understanding of the phenomenon is missing. Case presentation The following case report describes a 26-year-old woman with obesity, who initiated self-harm behaviour after bariatric surgery. Th...

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Main Authors: Louise Tækker, Bodil Just Christensen, Susanne Lunn
Format: Article
Language:English
Published: BMC 2018-10-01
Series:Journal of Eating Disorders
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40337-018-0213-3
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spelling doaj-3bba8bb45e82423e8a8374bcd47543712020-11-25T01:50:34ZengBMCJournal of Eating Disorders2050-29742018-10-01611510.1186/s40337-018-0213-3From bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgeryLouise Tækker0Bodil Just Christensen1Susanne Lunn2Department of Psychology, University of CopenhagenDepartment of Food and Ressource Economics, University of CopenhagenDepartment of Psychology, University of CopenhagenAbstract Background An increase in self-harm emergencies after bariatric surgery have been documented, but understanding of the phenomenon is missing. Case presentation The following case report describes a 26-year-old woman with obesity, who initiated self-harm behaviour after bariatric surgery. The patient reported that the self-harm was a substitute for binge eating, which was anatomically impeded after bariatric surgery. Pre-surgical psychosocial assessment revealed Anorexia Nervosa in youth, which had later migrated to Binge Eating Disorder. At the time of surgery, the patient was not fulfilling the diagnostic criteria for Binge Eating Disorder because of a low frequency of binges. The remaining binges occurred when experiencing negative affect. Conclusions Previous eating disorder pathology is an important consideration in pre-surgical assessments. For patients with affect-driven pre-surgical Binge Eating Disorder, therapeutic intervention before and after bariatric surgery could be indicated in order to secure the development of adaptive coping strategies. Furthermore, body weight as the only outcome measure for the success of surgery seems insufficient.http://link.springer.com/article/10.1186/s40337-018-0213-3CopingBariatric surgeryBinge eatingSelf-harmEating disorderEmotion regulation
collection DOAJ
language English
format Article
sources DOAJ
author Louise Tækker
Bodil Just Christensen
Susanne Lunn
spellingShingle Louise Tækker
Bodil Just Christensen
Susanne Lunn
From bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgery
Journal of Eating Disorders
Coping
Bariatric surgery
Binge eating
Self-harm
Eating disorder
Emotion regulation
author_facet Louise Tækker
Bodil Just Christensen
Susanne Lunn
author_sort Louise Tækker
title From bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgery
title_short From bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgery
title_full From bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgery
title_fullStr From bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgery
title_full_unstemmed From bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgery
title_sort from bingeing to cutting: the substitution of a mal-adaptive coping strategy after bariatric surgery
publisher BMC
series Journal of Eating Disorders
issn 2050-2974
publishDate 2018-10-01
description Abstract Background An increase in self-harm emergencies after bariatric surgery have been documented, but understanding of the phenomenon is missing. Case presentation The following case report describes a 26-year-old woman with obesity, who initiated self-harm behaviour after bariatric surgery. The patient reported that the self-harm was a substitute for binge eating, which was anatomically impeded after bariatric surgery. Pre-surgical psychosocial assessment revealed Anorexia Nervosa in youth, which had later migrated to Binge Eating Disorder. At the time of surgery, the patient was not fulfilling the diagnostic criteria for Binge Eating Disorder because of a low frequency of binges. The remaining binges occurred when experiencing negative affect. Conclusions Previous eating disorder pathology is an important consideration in pre-surgical assessments. For patients with affect-driven pre-surgical Binge Eating Disorder, therapeutic intervention before and after bariatric surgery could be indicated in order to secure the development of adaptive coping strategies. Furthermore, body weight as the only outcome measure for the success of surgery seems insufficient.
topic Coping
Bariatric surgery
Binge eating
Self-harm
Eating disorder
Emotion regulation
url http://link.springer.com/article/10.1186/s40337-018-0213-3
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