Scholars@Duke
Kelli E. Friedman

Kelli E. Friedman

Associate Professor in Psychiatry and Behavioral Sciences
Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology
kelli.friedman@duke.edu
407 Crutfield Street, Durham, NC 27704
407 Crutfield Street, Durham, NC 27704

Selected Publications

Psychological Issues in the Bariatric Surgery Patient

Chapter · January 1, 2024 Few other medical treatments are as intricately intertwined with psychological and behavioral factors as weight loss surgery (WLS).1 In WLS, successful outcomes are not purely related to the surgical procedures themselves; optimal long-term surg ... Full text Cite

Technical Feasibility, Outcomes, and Patient Satisfaction After Needlescopic and Laparoscopic Bariatric Surgery: a Randomized Study.

Journal Article Obes Surg · November 2021 BACKGROUND: Needlescopic instruments create a 3-mm incision and may result in less pain and superior cosmesis. There is limited understanding of the effectiveness of needlescopic instruments in patients with a body mass index (BMI) > 35 kg/m2. We report pe ... Full text Link to item Cite

Sexual and Gender Minority Bariatric Patients: An Unseen Population

Journal Article Bariatric Surgical Practice and Patient Care · March 1, 2021 Background: This article has two aims: review current literature addressing sexual and gender minority (SGM) bariatric patients and describe a pilot study identifying sexual minority (SM) bariatric patients at an academic medical center. Methods: The liter ... Full text Cite

Scars Matter: The Importance of Incision Decisions in Bariatric Patients.

Journal Article Obes Surg · April 2020 This study aims to determine if cosmetic outcomes play an important role for patients undergoing bariatric surgery, when considering a surgical approach. A video-animation describing open, conventional laparoscopic, and reduced incision magnetic assisted s ... Full text Link to item Cite

White Paper AGA: An Episode-of-Care Framework for the Management of Obesity-Moving Toward High Value, High Quality Care: A Report From the American Gastroenterological Association Institute Obesity Episode of Care and Bundle Initiative Work Group.

Journal Article Clin Gastroenterol Hepatol · May 2017 The American Gastroenterological Association acknowledges the need for gastroenterologists to participate in and provide value-based care for both cognitive and procedural conditions. Episodes of care are designed to engage specialists in the movement towa ... Full text Link to item Cite

Bariatric surgery in patients with bipolar spectrum disorders: Selection factors, postoperative visit attendance, and weight outcomes.

Journal Article Surg Obes Relat Dis · April 2017 BACKGROUND: As many as 3% of bariatric surgery candidates are diagnosed with a bipolar spectrum disorder. OBJECTIVES: 1) To describe differences between patients with bipolar spectrum disorders who are approved and not approved for surgery by the mental he ... Full text Link to item Cite

Getting Off on the Right Foot: The Many Roles of the Psychosocial Evaluation in the Bariatric Surgery Practice.

Journal Article Eur Eat Disord Rev · November 2015 A thorough and specialized pre-operative psychosocial assessment is an important part of a comprehensive bariatric treatment protocol. Over time, the presurgical psychosocial evaluation has evolved from a cut-and-dried process of recommending whether a pat ... Full text Link to item Cite

Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients.

Journal Article Surg Obes Relat Dis · 2013 BACKGROUND: Multidisciplinary care after bariatric surgery is important for long-term safety and optimal weight loss, yet many patients do not attend follow-up appointments. We sought to identify demographic, psychosocial, and weight-related variables that ... Full text Link to item Cite

The utility of the Beck Depression Inventory in a bariatric surgery population.

Journal Article Obes Surg · April 2010 BACKGROUND: The Beck Depression Inventory (BDI) is commonly used in bariatric surgery psychological assessments. However, several items may be measuring physical consequences of obesity (e.g., sleep disturbance, chronic pain, or sexual dysfunction) rather ... Full text Link to item Cite

Clinical Q&A

Journal Article Bariatric Nursing and Surgical Patient Care · September 2009 Full text Cite

Recent experiences of weight-based stigmatization in a weight loss surgery population: psychological and behavioral correlates.

Journal Article Obesity (Silver Spring) · November 2008 OBJECTIVE: This study evaluated the association between experiences of weight-based stigmatization (e.g., job discrimination, inappropriate comments from physicians) within the past month, psychological functioning, and binge eating among a sample of indiv ... Full text Link to item Cite

The impact of weight loss surgery on romantic relationships

Journal Article Bariatric Nursing and Surgical Patient Care · June 1, 2008 Weight loss surgery (WLS) patients can encounter diverse relationship issues as they consider, undergo, and live with bariatric surgery. This article explores ways in which WLS affects romantic relationships before and after surgery, as well as provides su ... Full text Cite

Clinical Q&A

Journal Article Bariatric Nursing and Surgical Patient Care · June 1, 2008 Full text Cite

Weight-based stigmatization, psychological distress, & binge eating behavior among obese treatment-seeking adults.

Journal Article Eat Behav · April 2008 OBJECTIVE: To evaluate the associations between weight-based stigmatization, psychological distress, and binge eating behavior in a treatment-seeking obese sample. METHODS: Ninety-three obese adults completed three questionnaires: 1) Stigmatizing Situation ... Full text Link to item Cite

Counseling is mandatory for WLS success

Journal Article Bariatric Nursing and Surgical Patient Care · March 1, 2008 Full text Cite

Weight stigmatization and bias

Journal Article Bariatric Nursing and Surgical Patient Care · March 1, 2008 Full text Cite

Clinical Q & A

Journal Article Bariatric Nursing and Surgical Patient Care · June 2007 Full text Cite

What body image changes typically occur after weight loss?

Journal Article BARIATRIC NURSING AND SURGICAL PATIENT CARE · June 1, 2007 Link to item Cite

Changes in depressive symptoms and glycemic control in diabetes mellitus.

Journal Article Psychosom Med · April 2007 OBJECTIVE: To investigate if changes in depressive symptoms would be associated with changes in glycemic control over a 12-month period in patients with Type 1 and Type 2 diabetes. METHODS: Ninety (Type 1 diabetes, n = 28; Type 2 diabetes, n = 62) patients ... Full text Link to item Cite

Psychological correlates of obese patients seeking surgical or residential behavioral weight loss treatment.

Journal Article Surg Obes Relat Dis · 2007 BACKGROUND: The purpose of this study was to gain a better understanding of the psychological factors related to obese individuals self-selecting for either a residential cognitive-behavioral-based program or surgical treatment program for weight loss. MET ... Full text Link to item Cite

Who is adherent with preoperative psychological treatment recommendations among weight loss surgery candidates?

Journal Article Surg Obes Relat Dis · 2007 BACKGROUND: Adherence to treatment regimens is critical for success with weight loss surgery. Weight loss surgery patients commonly undergo a psychological evaluation before surgery. When indicated, patients are provided with preoperative behavioral recomm ... Full text Link to item Cite

Clinical Q & A

Journal Article Bariatric Nursing and Surgical Patient Care · December 2006 Full text Cite

Weight stigmatization and ideological beliefs: relation to psychological functioning in obese adults.

Journal Article Obes Res · May 2005 OBJECTIVE: This study evaluated the relation among weight-based stigmatization, ideological beliefs about weight, and psychological functioning in an obese, treatment-seeking sample. RESEARCH METHODS AND PROCEDURE: Ninety-three obese, treatment-seeking adu ... Full text Link to item Cite

Changing eating behavior: a preliminary study to consider broader measures of weight control treatment success.

Journal Article Eat Behav · 2002 This study evaluated changes in the self-reported eating behaviors (snacking, binge eating, portion sizes, and meal skipping) of 52 obese adults (33 women and 19 men) attending a residential weight loss facility on two consecutive occasions. For each of th ... Full text Link to item Cite

Body image partially mediates the relationship between obesity and psychological distress.

Journal Article Obes Res · January 2002 OBJECTIVE: Body image is considered as a potential mediator of the relationship between obesity and psychological distress. RESEARCH METHODS AND PROCEDURES: One hundred ten men and women in a residential weight control facility completed the Multidimension ... Full text Link to item Cite

The mediating effect of eating self-efficacy on the relationship between emotional arousal and overeating in the treatment-seeking obese.

Journal Article Eat Behav · 2001 In this study, we tested the proposition that the emotion-based eating of obese individuals is mediated by the effects of emotional arousal tendencies on brittle dieting self-restraint. Our indices of emotion-aroused eating, overeating, and brittle restrai ... Full text Link to item Cite

The gender specificity of emotional, situational, and behavioral indicators of binge eating in a diet-seeking obese population.

Journal Article Int J Eat Disord · September 1999 OBJECTIVE: This study investigated the unique gender correlates of binge eating severity in a diet-seeking population. METHOD: This sample consisted of 288 self-admitted patients enrolled in a residential weight loss program between 1996 and 1997. Subjects ... Full text Link to item Cite

The comorbidity of depression and eating dysregulation processes in a diet-seeking obese population: a matter of gender specificity.

Journal Article Int J Eat Disord · January 1998 OBJECTIVE: To explore gender differences in depression vulnerability among an obese, treatment-seeking population and to discern those components of eating-related phenomena that discriminate the depression-comorbid obese from their noncomorbid counterpart ... Full text Link to item Cite