Bodily sensations and bariatric surgery: Links between interoceptive sensibility, intuitive and disordered eating behaviour in obesity and obesity surgery.

BARIATRIC surgery; SENSES; WEIGHT loss; RISK assessment; STATISTICAL correlation; BULIMIA; SURGERY; PATIENTS; SATISFACTION; PROMPTS (Psychology); QUESTIONNAIRES; REGULATION of body weight; EMOTIONS; DESCRIPTIVE statistics; HUNGER; SELF-control; EATING disorders; STATE-Trait Anxiety Inventory; ATTENTION; FOOD habits; RESEARCH; TRUST; MORBID obesity; HEALTH promotion; PSYCHOLOGICAL tests; COMPARATIVE studies; INTUITIVE eating; COMORBIDITY; COGNITION

Objective: This study evaluated interoceptive sensibility, intuitive and disordered eating among bariatric candidates, operated individuals and individuals with obesity seeking non‐surgical treatment. Method: We recruited 57 individuals with obesity seeking nonsurgical weight‐loss (IOB), 84 bariatric candidates (Pre) and 22 individuals post‐bariatric surgery (Post) who responded to questionnaires: Multidimensional Assessment of Interoceptive Awareness, Intuitive Eating Scale‐2 (IES‐2), Dutch Eating Behaviour Questionnaire, Binge Eating Scale, State‐Trait Anxiety Inventory, Beck's Depression Inventory. Results: Overall, the Post group manifested higher scores on 'Body‐Listening' (F = 4.95, p = 0.01), 'Emotional Awareness' (F = 8.83, p < 0.001) and 'Trusting' (F = 6.71, p = 0.002) interoceptive dimensions, on the IES‐2 total score (F = 5.48, p = 0.007) and 'Reliance on hunger and satiety cues' (F = 31.3, p < 0.001) when age was controlled. The IOB group presented higher scores on emotional (F = 3.23, p = 0.047) and binge eating (F = 5.99, p = 0.004). Among operated individuals, intuitive eating mediated the relationship between interoceptive sensibility dimensions and binge eating: 'Attention regulation' (54%) 'Self‐regulation' (75.1%), 'Body listening' (94.09%) and 'Trusting' (84.9%). Conclusions: Our results suggest the therapeutic potential of interoceptive sensibility and intuitive eating in obesity management in/beyond the bariatric context. Highlights: Few studies address interoceptive sensibility, disordered and intuitive eating in relation to obesity management in and beyond the bariatric context.The present study assessed and demonstrated group differences and interrelations between interoceptive sensibility dimensions, disordered and intuitive eating among bariatric candidates, operated individuals and individuals with obesity seeking nonsurgical weight loss.Interoceptive sensibility and intuitive eating appear to be promising psychotherapeutic targets in disordered eating and weight management in obesity and obesity surgery. [ABSTRACT FROM AUTHOR]

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