Binge eating disorder and bariatric surgery: A qualitative exploration

Binge eating disorder (BED) is a complex condition that is characterized by compulsive overeating with the absence of compensatory behaviors. Due to the high caloric consumption associated with the disorder, there is a high prevalence of obesity within a BED population. Current treatment options have been found effective in reducing binging behavior but have not provided significant weight loss. The lack of effective weight loss options for individuals with BED makes bariatric surgery an important option; however, there has been little emphasis on how individuals with BED respond to the surgical intervention.;This dissertation explored the experience of ten individuals who met criteria for BED prior to having a bariatric procedure and had the procedure 1--10 years prior to participation in the study. The researcher conducted semi- structured interviews with each of the participants and analyzed the interviews for emergent themes.;The most salient themes endorsed by participants fell into the categories of preconditions to binge eating, pain, support, experience after the procedure, and advice for others. The preconditions of low self-esteem and self-criticism, sexual abuse, and focus on weight in family of origin, all emerged as significant. Participants described a lack of consistent nurturance and empathy within their families of origin, an environment which fosters insecure attachment styles that are often carried into adulthood. Insecure attachment styles can be seen as an underpinning of many of the themes which emerged. Pain emerged as an important role in the results of the study with the themes of chronic pain, pain pills, and the minimization of psychological and emotional pain. Although participants' experience with the surgical procedure varied, participants discussed support as an important theme; support was discussed in the context of familial support as well as support groups and therapy. Participants reported that therapy and/ or support groups either were beneficial to their treatment or would have been beneficial. Regardless of personal feelings of whether or not the surgery was a success participants offered similar advice to others to carefully assess whether or not to have the surgery.