Obesity

The psychopathological profile of candidates for metabolic bariatric surgery: a transdiagnostic and network approach

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

Approximately one-third of the individuals presenting for MBS exhibit elevated, transdiagnostic psychopathology with complex connections between symptoms. Notably, BMI was not associated with the severity of symptoms. The symptom network analysis highlights that 'eating concerns' serve as a crucial bridge linking eating disorder symptoms and symptoms of emotional disorders. Future research should focus on the transdiagnostic nature of psychopathology associated with obesity and investigate its potential impact on treatment outcomes, such as weight loss and quality of life.

Study context

Population
Candidates for metabolic bariatric surgery (MBS) from the Dutch Obesity Clinic who completed 16 questionnaires
Participants
222 candidates
Exposure
High vs low psychopathology profile clusters
Outcome
Psychopathological profile clusters
Methodological detailscluster analysis, network analysis
  • Cluster analysis
  • Network analysis

Main finding

As reported in the abstract

Observational data: associations, not effects.

Original publication

The psychopathological profile of candidates for metabolic bariatric surgery: a transdiagnostic and network approach. Int J Obes (Lond). Published 4 February 2026. doi:10.1038/s41366-026-02023-4

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