An examination of psychological risk factors for the development of substance abuse among post-bariatric surgery patients

Bariatric surgery is a clinically effective tool that commonly results in sustained weight loss changes for the majority of patients. While bariatric surgery is generally associated with a number of positive health outcomes post-operatively, some popular media outlets and clinical anecdotes have presented concerns about the notion of “addiction transfer” and substance abuse post-bariatric surgery. There is a lack of research, however, in this area. The present study examined the rate of substance abuse in a broad sample of postbariatric surgery patients and examined potential risk factors for the development of substance abuse post-surgery. It was hypothesized that documented risk factors for substance abuse, more generally, would also predict substance abuse among this population. In addition, it was hypothesized that a number of theoretically-driven variables would predict substance abuse among this sample more specifically. For instance, it was hypothesized that those who had high food addiction scores pre-surgery would be more likely to meet criteria for substance abuse post-surgery, thereby supporting the addiction transfer theory. Participants completed a web-based survey assessing retrospective accounts of pre-surgical substance use, eating pathology, family history, and traumatic history, post-surgical substance use, life stressors, and body image, and global trait-like measures such as emotion dysregulation, impulsivity, sensation-seeking, and coping skills. Findings revealed that a subgroup of individuals met criteria for substance abuse post-bariatric surgery; however, the majority of those who met substance abuse criteria post-surgery did not have a history of substance abuse. Family history of substance abuse, poor coping skills, and major life stressors were related to substance abuse post-bariatric surgery, particularly for the new-onset substance abuse group. Contrary to expectations, however, the theory of addiction transfer was not supported. Findings highlight future directions for pre-bariatric assessments and the need for improved follow-up care among post-bariatric surgery patients. Future longitudinal studies with larger sample sizes are needed to better understand both psychological and physiological risk factors for substance abuse development post-bariatric surgery

Challenges of Real Estate Appraisers in Kosovo

Kosovo is a new country with a goal to integrate quickly into the large family of EU countries. To achieve this, old work practices are changing, and new practices are also being applied in different fields of human activity. Real estate property plays an important role in the process of economic development and is considered as sacred. To be treated this way, the property must be evaluated correctly. Following the examples of EU countries, the Kosovo institutions have organized training, testing and licensing of the first domestic real estate appraisers. The basic data to perform this profession are scarce, incomplete or even misleading. Currently, only banks require real estate appraisal of properties. The property left as a mortgage loan should be valued by licensed professionals. In the future it is expected that the appraisal of real estate property will be mandatory for every real estate transaction between parties. This paper seeks to highlight the challenges faced by real estate appraisers in their day-to-day work in Kosovo\u27s conditions

Food for thought: An examination of the relationship between binge eating and psychological variables in a diverse college-student population

Binge eating is associated with a host of adverse outcomes, but little is known about sex and racial differences among those who binge eat. The present study examined sex and racial group differences in binge eating within a college-student population. It was hypothesized that White women would endorse higher rates of binge eating than the other groups, and that predictors of binge eating would differ across groups. Participants completed a web-based survey assessing depression, anxiety, body image, weight history, physical activity, smoking, and body mass index. Findings highlight sex and racial differences in the predictors of binge eating, with depression a common predictor across groups. Results suggest that approaches to preventing BE among college students should focus on depression and overweight preoccupation among White students and Black women. These findings may help in the development of tailored treatment approaches, which could be evaluated in future research

High‐frequency binge eating predicts weight gain among veterans receiving behavioral weight loss treatments

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/109764/1/oby20931.pd

Obesity and addiction: can a complication of surgery help us understand the connection?

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/137403/1/obr12542_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/137403/2/obr12542.pd

Food addiction and preoperative weight loss achievement in patients seeking bariatric surgery

IntroductionEvidence suggests that food addiction (FA) is prevalent among individuals with obesity seeking bariatric surgery (BS), but there is no evidence about whether FA is a predictor of weight loss (WL). We aimed to analyse the prevalence of FA in patients with obesity seeking BS and to examine whether FA could predict WL following dietary intervention before surgery.MethodThe study included 110 patients with obesity who underwent a dietetic intervention. Assessment included endocrinological variables, a semistructured interview to rule out mental disorders, and Yale Food Addiction Scale version 2.0 (YFAS 2.0).ResultsIn our sample, the prevalence of FA was 26.4%. Those who met YFAS 2.0 criteria showed less WL after dietetic intervention and regain weight during dietary intervention.ConclusionsFA appears to be prevalent in obesity. Our findings confirmed a lower WL throughout dietary intervention before surgery in patients who fulfilled baseline criteria for FA. Future interventions should include multidisciplinary intervention to maximize WL before and after BS.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146573/1/erv2649.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146573/2/erv2649_am.pd

Is food addiction a predictor of treatment outcome among patients with eating disorder?

ObjectivesThe study aimed to examine whether food addiction (FA) was associated with greater severity in both binge eating disorders (BED) and bulimia nervosa and, therefore, to determine if FA was predictive of treatment outcome.MethodSeventy-one adult patients with bulimia nervosa and BED (42 and 29, respectively) participated in the study. FA was assessed by means of the Yale Food Addiction Scale.ResultsThe results confirmed a high prevalence of FA in patients with binge disorders (around 87%) and also its association with a greater severity of the disorder (i.e., related to an increased eating psychopathology and greater frequency of binge eating episodes). Although FA did not appear as a predictor of treatment outcome in general terms, when the diagnostic subtypes were considered separately, FA was associated with poor prognosis in the BED group. In this vein, FA appeared as a mediator in the relationship between ED severity and treatment outcome.DiscussionsOur findings suggest that FA may act as an indicator of ED severity, and it would be a predictor of treatment outcome in BED but not in BN.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/152018/1/erv2705.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/152018/2/erv2705_am.pd

Costs and outcomes of increasing access to bariatric surgery for obesity: cohort study and cost-effectiveness analysis using electronic health records

Background: Bariatric surgery is known to be an effective treatment for extreme obesity but access to these procedures is currently limited. Objective: This study aimed to evaluate the costs and outcomes of increasing access to bariatric surgery for severe and morbid obesity. Design and methods: Primary care electronic health records from the UK Clinical Practice Research: Datalink were analysed for 3045 participants who received bariatric surgery and 247,537 general population controls. The cost-effectiveness of bariatric surgery was evaluated in severe and morbid obesity through a probabilistic Markov model populated with empirical data from electronic health records. Results: In participants who did not undergo bariatric surgery, the probability of participants with morbid obesity attaining normal body weight was 1 in 1290 annually for men and 1 in 677 for women. Costs of health-care utilisation increased with body mass index category but obesity-related physical and psychological comorbidities were the main drivers of health-care costs. In a cohort of 3045 adult obese patients with first bariatric surgery procedures between 2002 and 2014, bariatric surgery procedure rates were greatest among those aged 35–54 years, with a peak of 37 procedures per 100,000 population per year in women and 10 per 100,000 per year in men. During 7 years of follow-up, the incidence of diabetes diagnosis was 28.2 [95% confidence interval (CI) 24.4 to 32.7] per 1000 person-years in controls and 5.7 (95% CI 4.2 to 7.8) per 1000 person-years in bariatric surgery patients (adjusted hazard ratio was 0.20, 95% CI 0.13 to 0.30; p<0.0001). In 826 obese participants with type 2 diabetes mellitus who received bariatric surgery, the relative rate of diabetes remission, compared with controls, was 5.97 (95% CI 4.86 to 7.33; p<0.001). There was a slight reduction in depression in the first 3 years following bariatric surgery that was not maintained. Incremental lifetime costs associated with bariatric surgery were £15,258 (95% CI £15,184 to £15,330), including costs associated with bariatric surgical procedures of £9164 per participant. Incremental quality-adjusted life-years (QALYs) were 2.142 (95% CI 2.031 to 2.256) per participant. The estimated cost per QALY gained was £7129 (95% CI £6775 to £7506). Estimates were similar across gender, age and deprivation subgroups. Limitations: Intervention effects were derived from a randomised trial with generally short follow-up and non-randomised studies of longer duration. Conclusions: Bariatric surgery is associated with increased immediate and long-term health-care costs but these are exceeded by expected health benefits to obese individuals with reduced onset of new diabetes, remission of existing diabetes and lower mortality. Diverse obese individuals have clear capacity to benefit from bariatric surgery at acceptable cost. Future work: Future research should evaluate longer-term outcomes of currently used procedures, and ways of delivering these more efficiently and safely

Industrial Archeology in the City of Gjirokastra seen from a structural perspective

In the practice of developed countries, adequate norms are used for the development of human activities in different branches of the economy. The development of construction as an important branch of economic activity of a state is very important. Norms in construction are used to: schedule the required time needed to complete the work, define required resources (materials, manpower and equipment), reward workers according to their effort and results, control-monitor construction phase and price analysis. This paper aims to find the degree of use of these norms for price analysis during the preparation of tenders in Kosovo and its effect on financial status of construction companies