Depression, anxiety, and suicidal ideation in young adults 5 years after undergoing bariatric surgery as adolescents
(2021) In Eating and Weight Disorders 26(4). p.1211-1221- Abstract
Purpose: Metabolic and bariatric surgery (MBS) is increasingly used in adolescents. The aim was to explore symptoms of depression and anxiety in young adults over 5 years’ follow-up after undergoing MBS. Methods: Beck Depression Inventory-2 and the Beck Anxiety Inventory were used to assess symptoms of depression and anxiety in 62 patients 1, 2, and 5 years after having Roux-en-Y gastric bypass at 13–18 years of age. Mental health, eating-related problems, and weight outcomes were tested for association with suicidal ideation at the 5-year follow-up. Results: At the 5-year follow-up, the mean score for depression was 11.4 (± 12.4), indicating minimal symptoms of depression. The mean score for anxiety was 12.82 (± 11.50), indicating mild... (More)
Purpose: Metabolic and bariatric surgery (MBS) is increasingly used in adolescents. The aim was to explore symptoms of depression and anxiety in young adults over 5 years’ follow-up after undergoing MBS. Methods: Beck Depression Inventory-2 and the Beck Anxiety Inventory were used to assess symptoms of depression and anxiety in 62 patients 1, 2, and 5 years after having Roux-en-Y gastric bypass at 13–18 years of age. Mental health, eating-related problems, and weight outcomes were tested for association with suicidal ideation at the 5-year follow-up. Results: At the 5-year follow-up, the mean score for depression was 11.4 (± 12.4), indicating minimal symptoms of depression. The mean score for anxiety was 12.82 (± 11.50), indicating mild anxiety symptoms. Still, several participants reported moderate or severe symptoms of depression (26%) and anxiety (32%). Women reported more symptoms than men (P = 0.03 and 0.04). No significant changes were found in self-reported symptoms of depression and anxiety between the 1-year and the 5-year follow-up (P = 0.367 and 0.934). Suicidal ideation was reported by 16% at the 5-year follow-up. Participants reporting suicidal ideation had lost significantly less excess weight than participants without suicidal ideation (P = 0.009). Conclusion: Five years after adolescent MBS, a substantial minority still struggles with mental health issues, and women are more burdened than men. Our results indicate an association between less optimal weight loss and suicidal ideation 5 years after MBS. The findings emphasize the importance of offering long-term follow-up and mental health treatment several years after MBS. Level of evidence: Level III, cohort study. Clinical trial registration: The study is registered with ClinicalTrials.gov (NCT00289705). First posted February 10, 2006.
(Less)
- author
- Järvholm, Kajsa LU ; Olbers, Torsten ; Peltonen, Markku ; Marcus, Claude ; Flodmark, Carl Erik LU ; Gronowitz, Eva ; Dahlgren, Jovanna and Karlsson, Jan
- organization
- publishing date
- 2021-05-01
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adolescent, Anxiety, Bariatric surgery, Depression, Obesity, Suicidal ideation
- in
- Eating and Weight Disorders
- volume
- 26
- issue
- 4
- pages
- 11 pages
- publisher
- Kurtis
- external identifiers
-
- scopus:85092782138
- pmid:33079376
- ISSN
- 1124-4909
- DOI
- 10.1007/s40519-020-01024-0
- project
- Adolescent Morbid Obesity Surgery
- language
- English
- LU publication?
- yes
- id
- 182491e9-8c87-4ce2-9449-54dc11e997f8
- date added to LUP
- 2020-11-11 11:59:10
- date last changed
- 2024-04-17 18:32:35
@article{182491e9-8c87-4ce2-9449-54dc11e997f8,
abstract = {{<p>Purpose: Metabolic and bariatric surgery (MBS) is increasingly used in adolescents. The aim was to explore symptoms of depression and anxiety in young adults over 5 years’ follow-up after undergoing MBS. Methods: Beck Depression Inventory-2 and the Beck Anxiety Inventory were used to assess symptoms of depression and anxiety in 62 patients 1, 2, and 5 years after having Roux-en-Y gastric bypass at 13–18 years of age. Mental health, eating-related problems, and weight outcomes were tested for association with suicidal ideation at the 5-year follow-up. Results: At the 5-year follow-up, the mean score for depression was 11.4 (± 12.4), indicating minimal symptoms of depression. The mean score for anxiety was 12.82 (± 11.50), indicating mild anxiety symptoms. Still, several participants reported moderate or severe symptoms of depression (26%) and anxiety (32%). Women reported more symptoms than men (P = 0.03 and 0.04). No significant changes were found in self-reported symptoms of depression and anxiety between the 1-year and the 5-year follow-up (P = 0.367 and 0.934). Suicidal ideation was reported by 16% at the 5-year follow-up. Participants reporting suicidal ideation had lost significantly less excess weight than participants without suicidal ideation (P = 0.009). Conclusion: Five years after adolescent MBS, a substantial minority still struggles with mental health issues, and women are more burdened than men. Our results indicate an association between less optimal weight loss and suicidal ideation 5 years after MBS. The findings emphasize the importance of offering long-term follow-up and mental health treatment several years after MBS. Level of evidence: Level III, cohort study. Clinical trial registration: The study is registered with ClinicalTrials.gov (NCT00289705). First posted February 10, 2006.</p>}},
author = {{Järvholm, Kajsa and Olbers, Torsten and Peltonen, Markku and Marcus, Claude and Flodmark, Carl Erik and Gronowitz, Eva and Dahlgren, Jovanna and Karlsson, Jan}},
issn = {{1124-4909}},
keywords = {{Adolescent; Anxiety; Bariatric surgery; Depression; Obesity; Suicidal ideation}},
language = {{eng}},
month = {{05}},
number = {{4}},
pages = {{1211--1221}},
publisher = {{Kurtis}},
series = {{Eating and Weight Disorders}},
title = {{Depression, anxiety, and suicidal ideation in young adults 5 years after undergoing bariatric surgery as adolescents}},
url = {{http://dx.doi.org/10.1007/s40519-020-01024-0}},
doi = {{10.1007/s40519-020-01024-0}},
volume = {{26}},
year = {{2021}},
}