Original articleChanges in depressive symptoms among adolescent bariatric candidates from preoperative psychological evaluation to immediately before surgery
Section snippets
Methods
The present study used retrospective chart review and data from a prospective, controlled, longitudinal study of 30 adolescents undergoing Roux-en-Y gastric bypass (RYGB) surgery at a large Midwestern pediatric hospital and 25 nonoperative extremely obese adolescents (BMI ≥40 kg/m2) who had sought behavioral weight management. The larger study included assessment of adolescent psychosocial functioning [17] over time, from preoperatively/baseline to the 6- and 12-month follow-up visits. For the
Results
The sample characteristics are listed in Table 1. The bariatric participants and comparators were primarily female. The bariatric candidates were more likely to be white non-Hispanic than were the comparators [chi-square (1, N = 55) = 9.33, P = .01]. The bariatric group also had significantly greater BMI than did the comparators group at time 1 [t(54) = 7.77, P < .01] and time 2 [t(54) = 8.16, P < .01]. No significant difference was seen in the BMI change scores between the 2 groups [t(54) =
Discussion
With the published adolescent bariatric surgery data in its infancy, investigators and clinicians alike have studied the adult data for direction. The present study sought to replicate the work of Fabricatore et al. [14] in an adolescent sample. Additionally, our research design included a comparison group of adolescents with extreme obesity who were not candidates for bariatric surgery to provide an age- and context-relevant contrast over time.
Our initial findings demonstrated little change in
Conclusion
These results reinforce the position that the adult bariatric literature does not necessarily generalize to the adolescent bariatric population. They further suggest that impression management might not be a significant concern in the assessment of adolescent bariatric candidates. Future research should examine whether preoperative changes in psychological functioning predict the postoperative outcomes.
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