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    Food addiction and the outcome of bariatric surgery at 1-year: Prospective observational study
    (Elsevier Ireland Ltd, 2016) Sevincer, Guzin Mukaddes; Konuk, Numan; Bozkurt, Suleyman; Cokun, Halil
    Purposes: The objectives of the current study were to determine the prevalence of food addiction in bariatric surgery candidates and whether food addiction is associated with weight loss after bariatric surgery. Methods: This prospective observational study was performed on morbidly obese patients who had been found suitable for bariatric surgery. Follow-up was conducted at the 6 and 12 month post-surgery. The Yale Food Addiction Scale (YFAS) was used to determine food addiction. Results: One hundred seventy-eight patients were included. Pre-operative food addiction was found in 57.8% of patients. Food addiction prevalence decreased at the 6 and 12 month follow ups, to 72% and 13.7% respectively. There were no statistically differences between those with food addiction and those without addiction with regard to weight loss measured as percent of excess BMI at the 12 month follow-up. Conclusion: Food addiction as measured by the YFAS decreases significantly after bariatric surgery. The presence of food addiction before surgery was not associated with weight loss as measured EBL%. However, in view of the increase in BMI, 2 years after surgery longer follow up studies are warranted. (C) 2016 Elsevier Ireland Ltd. All rights reserved.
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    Night Eating Syndrome Frequency in University Students: Association with Impulsivity, Depression, and Anxiety
    (Kure Iletisim Grubu A S, 2016) Sevincer, Guzin Mukaddes; Ince, Ezgi; Taymur, Ibrahim; Konuk, Numan
    Objective:The aim of this study was to examine frequency of night eating syndrome and its correlates with depression, anxiety, impulsivity and problematic eating behaviors in a university sample from Turkey. Methods: Two hundred and ten students (99 men and 111 women) were included. All participants completed a sociodemographic form, Barratt Impulsiveness Scale (BIS), Beck Depression Inventory, Beck Anxiety Inventory, Night Eating Questionnaire (NEQ) and Eating Disorder Examination - Questionnaire (EDEQ). Body mass index (BMI) of the participants were measured. Results: We found 9.5% of the participants screened positive for NES. Overall scores for NEQ showed significant positive correlation with depression and anxiety symptoms as well as total score and sub-scores of BIS and EDE-Q. Predictive values of depression, anxiety and impulsivity were found to be higher than that of EDE-Q for NES. Conclusion: NES is prevalent in university students. Depression and anxiety symptoms might predict NES. Impulsivity might be of significance for NES psychopathology as well. Impulsivity is more likely to predict NES when compared to EDE-Q scores.
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    The prevalence and clinical features of the night eating syndrome in psychiatric out-patient population
    (W B Saunders Co-Elsevier Inc, 2015) Saracli, Ozge; Atasoy, Nuray; Akdemir, Asena; Guriz, Olga; Konuk, Numan; Sevincer, Guzin Mukaddes; Ankarali, Handan
    Objective: In this study we aimed to investigate the prevalance and clinical correlations of night eating syndrome (NES) in a sample of psychiatric outpatients. Method: Four hundred thirthy three consecutive psychiatric out-patients older than 18 years were evaluated in the outpatient clinics using clinical interview according to the DSM-IV with regard to psychiatric diagnosis. Participants were also screened for presence of NES utilizing both clinical interview and self report based on Night Eating Questionnaire (NEQ) instruments. Sociodemographic and clinical features such as age, gender, education level, socioeconomic level and body mass index (BMI) were also recorded. The Body Shape Questionnaire (BSQ) and the Symptom Checklist-90 Revised (SCL-90R) were administered. Results: Based on the proposed diagnostic criteria of the NES via utilizing clinical interview method, 97 (32 male, 65 female) of the sample met diagnostic criteria for NES. The point prevalence of NES was 22.4%. No statistically significant differences were found between the two groups in terms of age, gender, marital status, education and BMI. The patients with NES had higher NEQ, BSQ and SCL-90R subscale scores than patients without NES. Prevalance of depressive disorder, impulse control disorder, and nicotine dependency was higher among patients with NES. No differences were found with regard to the medication (antipsychotics, antidepressants and mood stabilizers). Conclusion: Night eating syndrome is prevalent among psychiatric outpatients and associated with depression, impulse control disorder, and nicotine dependency. Body dissatisfaction and higher symptom severity are also other risk factors for the development of NES. (C) 2014 Elsevier Inc. All rights reserved.
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    Sleep related eating disorder: Importance of prebariatric evaluation-A case report
    (Elsevier Sci Ltd, 2017) Sevincer, Guzin Mukaddes; Sayar, Gokben Hizli
    Sleep-related eating disorder (SRED) is a parasomnia characterised by recurrent episodes of eating after arousal from sleep, occurring in an unconscious and involuntary manner. It has been reported mainly in association with the use of psychotropic medications. This case report is of a patient diagnosed with a sleep-related eating disorder associated with amnesia in the postoperative period following bariatric surgery. Such eating episodes without awareness in postoperative period might have devastating results by disturbing compliance with suggested eating behaviours. Although it is a rare condition, SRED should be screened for among bariatric surgery candidates, and those affected should be directed for the appropriate treatment. Also whether SRED should be considered a contraindications to bariatric should be considered. (C) 2016 Asia Oceania Association for the Study of Obesity. Published by Elsevier Ltd. All rights reserved.