Attachment Style in Bariatric Surgery Care: A Case Study

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Improving Patient Treatment with Attachment Theory

Abstract

In this chapter, we will summarize an approach to using attachment-informed care in the Toronto Western Hospital (TWH) Bariatric Surgery Program as an illustrative case example of how attachment style can be integrated into the clinical care of patients in medical settings. We begin with an overview of the impact of attachment style on obesity and bariatric surgery care, followed by details on the integration and application of attachment theory on bariatric surgery patients.

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References

  • Allison KC, Stunkard AJ (2005) Obesity and eating disorders. Psychiatr Clin North Am 28:55–67

    Article  PubMed  Google Scholar 

  • Allison KC, Wadden TA, Sarver DB, Fabricatore AN, Crerand CE, Gibbons LM, Stack RM, Stunkard AJ, Williams NN (2006) Night eating syndrome and binge eating disorder among persons seeking bariatric surgery: prevalence and related features. Obesity 14:77S–82S

    Article  PubMed  Google Scholar 

  • Bartholomew K, Horowitz LM (1991) Attachment styles among young adults: a test of a four-category model. J Pers Soc Psychol 61:226–244

    Article  CAS  PubMed  Google Scholar 

  • Cassin SE, Sockalingam S, Wnuk S, Strimas R, Royal S, Hawa R, Parikh SV (2013) Cognitive behavioral therapy for bariatric surgery patients: preliminary evidence for feasibility, acceptability, and effectiveness. Cognitive and Behavioral Practice 20:529–543

    Article  Google Scholar 

  • Ciechanowski P, Russo J, Katon W, Von Korff M, Ludman E, Lin E, Simon G, Bush T (2004) Influence of patient attachment style on self-care and outcomes in diabetes. Psychosom Med 66:720–728

    Article  PubMed  Google Scholar 

  • D’Argenio A, Mazzi C, Pecchioli L, Di Lorenzo G, Siracusano A, Troisi A (2009) Early trauma and adult obesity: is psychological dysfunction the mediating mechanism? Physiol Behav 98:543–546

    Article  PubMed  Google Scholar 

  • De Zwann M, Mitchell JE, Howell LM, Monson N, Swan-Kreimeier L, Crasby RD, SEIM HC (2003) Characteristics of morbidly obese patients before gastric bypass surgery. Compr Psychiatry 44:428–434

    Article  Google Scholar 

  • Garb J, Welch G, Zagarins S, Kuhn J, Romanelli J (2009) Bariatric surgery for the treatment of morbid obesity: a meta-analysis of weight loss outcomes for laparoscopic adjustable gastric banding and laparoscopic gastric bypass. Obes Surg 19:1447–1455

    Article  PubMed  Google Scholar 

  • Gratz KL, Roemer L (2004) Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess 26:41–54

    Article  Google Scholar 

  • Kalarchian MA, Marcus MD, Wilson GT, Labouvie EW, Broulin RE, Lamarca LB (2002) Binge eating among gastric bypass patients at long-term follow-up. Obes Surg 12:270–275

    Article  PubMed  Google Scholar 

  • Kalarchian MA, Marcus MD, Levine MD, Courcoulas AP, Pilkonis PA, Ringham RM, Soulakova JN, Weissfeld LA, Roffey DL (2007) Psychiatric disorder among bariatric surgery candidates: relationship to obesity and functional health status. Am J Psychiatry 164:328–334

    Article  PubMed  Google Scholar 

  • Karlsson J, Sjostrom L, Sullivan M (1998) Swedish obese subjects (SOS): an intervention study of obesity: two-year follow-up of health-related quality of life (HRQL) and eating behavior after gastric surgery for severe obesity. Int J Obes Relat Metab Disord 22:113–126

    Article  CAS  PubMed  Google Scholar 

  • Karlsson J, Taft C, Ryden A, Sjostrom L, Sullivan M (2007) Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study. Int J Obes 31:1248–1261

    Article  CAS  Google Scholar 

  • King WC, Chen JY, Mitchell JE, Kalarchian MA, Stefeen KJ, Engel SG, Courcoulas AP, Pories WJ, Yanovski SZ (2012) Prevalence of alcohol use disorders before and after bariatric surgery. JAMA 307:2516–2525

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606–613

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Kroenke K, Spitzer RL, Williams JBW, Lowe B (2010) The patient health questionnaire somatic, anxiety and depressive symptom scales: a systematic review. Gen Hosp Psychiatry 32

    Google Scholar 

  • Leon AC, Olfson M, Portera L, Farber L, Sheehan DV (1997) Assessing psychiatric impairment in primary care with the Sheehan disability scale. Int J Psychiatry Med 27:93–105

    Article  CAS  PubMed  Google Scholar 

  • Lo C, Walsh A, Mikulincer M, Gagliese L, Zimmerman C, Rodin G (2009) Measuring attachment security in patients with advanced cancer: psychometric properties of a modified and brief experiences in close relationships scale. Psychooncology 18:490–499

    Article  PubMed  Google Scholar 

  • Merrell J, Ashton K, Windover A, Heinberg L (2012) Psychological risk may influence drop-out prior to bariatric surgery. Surg Obes Relat Dis 8:463–469

    Article  PubMed  Google Scholar 

  • Mitchell JE, Selzer F, Kalarchian MA, Devlin MJ, Strain GW, Elder KA, Marcus MD, Wonderlich S, Christian NJ, Yanovski SZ (2012) Psychopathology before surgery in the longitudinal assessment of bariatric surgery-3 (LABS-3) psychosocial study. Surg Obes Relat Dis 8:533–541

    Article  PubMed Central  PubMed  Google Scholar 

  • Omalu BI, Cho P, Shakir AM, Agumadu UH, Rozin L, Kuller LH, Wecht CH (2005) Suicides following bariatric surgery for the treatment of obesity. Surg Obes Relat Dis 1:447–449

    Article  PubMed  Google Scholar 

  • Pawlow LA, O’Neil PM, White MA, Byrne TK (2005) Findings and outcomes of psychological evaluations of gastric bypass applicants. Surg Obes Relat Dis 1:523–527; discussion 528–529

    Article  PubMed  Google Scholar 

  • Pitzul KB, Jackson T, Crawford S, Kwong JC, Sockalingam S, Hawa R, Urbach D, Okrainec A (2014) Understanding disposition after referral for bariatric surgery: when and why patients referred do not undergo surgery. Obes Surg 24:134–140

    Article  PubMed  Google Scholar 

  • Shakory S, van Exan J, Mills JS, Sockalingam S, Keating L, Taube-Schiff M (2015) Binge eating in bariatric surgery candidates: the role of insecure attachment and emotion regulation. Appetite 91:69–75

    Google Scholar 

  • Sockalingam S, Hawa R, Wnuk S, Strimas R, Kennedy S (2011a) Weight loss following roux-en-y gastric bypass surgery: a systematic review of psychosocial predictors. Curr Psych Rev 7:226–233

    Article  Google Scholar 

  • Sockalingam S, Wnuk S, Strimas R, Hawa R, Okrainec A (2011b) The association between attachment avoidance and quality of life in bariatric surgery candidates. Obes Facts 4:456–460

    Article  PubMed  Google Scholar 

  • Sockalingam S, Cassin S, Crawford SA, Pitzul K, Khan A, Hawa R, Jackson T, Okrainec A (2013a) Psychiatric predictors of surgery non-completion following suitability assessment for bariatric surgery. Obes Surg 23:205–211

    Article  CAS  PubMed  Google Scholar 

  • Sockalingam S, Cassin S, Hawa R, Khan A, Wnuk S, Jackson T, Okrainec A (2013b) Predictors of post-bariatric surgery appointment attendance: the role of relationship style. Obes Surg 23:2026–2032

    Article  PubMed  Google Scholar 

  • Strimas R, Dionne MM, Cassin SE, Wnuk S, Taube-Schiff M, Sockalingam S (2014) Psychopathology in severely obese women from a Canadian bariatric setting. Ethnicity and Inequalities in Health and Social Care 7:3–3

    Article  Google Scholar 

  • Tasca GA, Balfour L (2014) P Attachment and eating disorders: a review of current research. Int J Eat Disord 47:710–717

    Article  PubMed  Google Scholar 

  • Trombini E, Baldaro B, Bertaccini R, Mattei C, Montebarocci O, Rossi N (2003) Maternal attitudes and attachment styles in mothers of obese children. Percept Mot Skills 97:613–620

    Article  PubMed  Google Scholar 

  • Wadden TA, Sarver DB, Fabricatore AN, Jones L, Stack R, Williams NS (2007) Psychosocial and behavioural status of patients undergoing bariatric surgery: what to expect before and after surgery. Med Clin North Am 91:451–469

    Article  PubMed  Google Scholar 

  • Wei M, Russell DW, Mallinckrodt B, Vogel DL (2007) The experiences in close relationship scale (ECR)-short form: reliability, validity, and factor structure. J Pers Assess 88:187–204

    Article  PubMed  Google Scholar 

  • White MA, Kalarchian MA, Masheb RM, Marcus MD, Grilo CM (2010) Loss of control over eating predicts outcomes in bariatric surgery patients: a prospective, 24-month follow-up study. J Clin Psychiatry 71:175–184

    Article  PubMed Central  PubMed  Google Scholar 

  • Wilkinson LL, Rowe AC, Bishop RJ, Brunstrom JM (2010) Attachment anxiety, disinhibited eating, and body mass index in adulthood. Int J Obes 34:1442–1445

    Article  CAS  Google Scholar 

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Correspondence to Sanjeev Sockalingam MD, MHPE, FRCPC .

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Sockalingam, S., Hawa, R. (2016). Attachment Style in Bariatric Surgery Care: A Case Study. In: Hunter, J., Maunder, R. (eds) Improving Patient Treatment with Attachment Theory. Springer, Cham. https://doi.org/10.1007/978-3-319-23300-0_10

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  • DOI: https://doi.org/10.1007/978-3-319-23300-0_10

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-23299-7

  • Online ISBN: 978-3-319-23300-0

  • eBook Packages: MedicineMedicine (R0)

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