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Title: Exploring the experiences of women who go on to develop restrictive eating behaviours after bariatric surgery
Author: Watson, Charlotte
ISNI:       0000 0004 8499 7126
Awarding Body: Royal Holloway, University of London
Current Institution: Royal Holloway, University of London
Date of Award: 2017
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There is a growing body of research looking at the development of eating disorders after bariatric surgery. However, there has been limited focus on the increasing number of people who develop more restrictive eating disorder patterns after surgery. Distinguishing between eating disorder related thoughts and behaviours, and changes in eating patterns that are a consequence of the surgery is complex. Furthermore, their weight loss if viewed in isolation of their disordered eating, may be interpreted by others (including team members) as highly successful. The development of problematic eating behaviours is linked with complications after surgery and has a harmful impact on psychological wellbeing. This study focused on the experiences of women who met the criteria for restrictive eating behaviours following weight loss surgery and provides much needed information to understand this phenomenon further. A qualitative semi-structured interview was conducted with five participants. The data was analysed using Interpretative Phenomenological Analysis (IPA). Five superordinate themes emerged: 1.The past and how I feel about myself; 2.The impact of loose skin; 3.Thoughts about food and disordered eating patterns; 4.The role of relationships; and 5.Surgery is life changing. These captured the impact of past weight related experiences, intense fear of weight gain, negative cognitions about the self, the consequences of excess skin, changes in the way food was thought about, restrictive eating behaviours, professional and personal relationships, the impacts of surgery, and the importance of information. Individuals with problematic restrictive eating behaviours are increasingly presenting to bariatric surgery services. This, in part, led to the removal of specific weight criterion in the DSM-V criteria for Anorexia Nervosa. The findings of this study give voice to women who are experiencing these difficulties, shed light on possible early warning signs, and highlight important implications for clinical practice, including the importance of psychological follow-up following surgery.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: bariatric surgery ; weight loss surgery ; Obesity ; Anorexia nervosa ; restrictive eating disorders ; Eating Disorders ; Qualitative ; IPA ; interpretative phenomenological analysis