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Characteristics of adolescents with poor mental health after bariatric surgery

Järvholm, Kajsa LU ; Karlsson, Jan; Olbers, Torsten; Peltonen, Markku; Marcus, Claude; Dahlgren, Jovanna; Gronowitz, Eva; Johnsson, Per LU and Flodmark, Carl-Erik LU (2016) In Surgery for Obesity and Related Diseases
Abstract

BACKGROUND: About 20% of adolescents experience substantial mental health problems after bariatric surgery.

OBJECTIVES: The aim of this study was to explore differences between adolescents with poor mental health (PMH) 2 years after surgery and those with average/good mental health.

SETTING: Three university hospitals in Sweden.

METHODS: Mental health and health-related quality of life were assessed in 82 of 88 adolescents (mean age: 16.8 yr, 67% female) at baseline and 1 and 2 years after laparoscopic gastric bypass. Possible associations among mental health, weight, and biochemical outcomes were explored.

RESULTS: Two years after surgery 16 (20%) adolescents were identified as having PMH. More symptoms of... (More)

BACKGROUND: About 20% of adolescents experience substantial mental health problems after bariatric surgery.

OBJECTIVES: The aim of this study was to explore differences between adolescents with poor mental health (PMH) 2 years after surgery and those with average/good mental health.

SETTING: Three university hospitals in Sweden.

METHODS: Mental health and health-related quality of life were assessed in 82 of 88 adolescents (mean age: 16.8 yr, 67% female) at baseline and 1 and 2 years after laparoscopic gastric bypass. Possible associations among mental health, weight, and biochemical outcomes were explored.

RESULTS: Two years after surgery 16 (20%) adolescents were identified as having PMH. More symptoms of anxiety and depression and worse mental health at baseline significantly predicted PMH 2 years later. The decline in mental health for the PMH group happened mainly during the second year after surgery. Suicidal ideation was reported in 14% of the total sample 2 years postsurgery and was more frequent in the PMH group. Weight outcomes between groups were comparable at all time points, and physical health was equally improved 2 years after surgery.

CONCLUSIONS: Although adolescents with PMH after surgery lose as much weight and have similar improvements in physical health compared with other adolescents, special attention should be given to adolescents who report mental health problems at baseline and follow-up, especially during the second year after gastric bypass. The high prevalence of suicidal ideation in adolescents 2 years after bariatric surgery is another indication that longer follow-up is necessary.

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publication status
published
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in
Surgery for Obesity and Related Diseases
publisher
Elsevier
external identifiers
  • scopus:84964226740
  • wos:000378365000027
ISSN
1550-7289
DOI
10.1016/j.soard.2016.02.001
language
English
LU publication?
yes
id
ecc3976a-9034-4be5-9066-ff3511bc3015
date added to LUP
2016-05-03 14:15:49
date last changed
2017-01-01 08:24:30
@article{ecc3976a-9034-4be5-9066-ff3511bc3015,
  abstract     = {<p>BACKGROUND: About 20% of adolescents experience substantial mental health problems after bariatric surgery.</p><p>OBJECTIVES: The aim of this study was to explore differences between adolescents with poor mental health (PMH) 2 years after surgery and those with average/good mental health.</p><p>SETTING: Three university hospitals in Sweden.</p><p>METHODS: Mental health and health-related quality of life were assessed in 82 of 88 adolescents (mean age: 16.8 yr, 67% female) at baseline and 1 and 2 years after laparoscopic gastric bypass. Possible associations among mental health, weight, and biochemical outcomes were explored.</p><p>RESULTS: Two years after surgery 16 (20%) adolescents were identified as having PMH. More symptoms of anxiety and depression and worse mental health at baseline significantly predicted PMH 2 years later. The decline in mental health for the PMH group happened mainly during the second year after surgery. Suicidal ideation was reported in 14% of the total sample 2 years postsurgery and was more frequent in the PMH group. Weight outcomes between groups were comparable at all time points, and physical health was equally improved 2 years after surgery.</p><p>CONCLUSIONS: Although adolescents with PMH after surgery lose as much weight and have similar improvements in physical health compared with other adolescents, special attention should be given to adolescents who report mental health problems at baseline and follow-up, especially during the second year after gastric bypass. The high prevalence of suicidal ideation in adolescents 2 years after bariatric surgery is another indication that longer follow-up is necessary.</p>},
  author       = {Järvholm, Kajsa and Karlsson, Jan and Olbers, Torsten and Peltonen, Markku and Marcus, Claude and Dahlgren, Jovanna and Gronowitz, Eva and Johnsson, Per and Flodmark, Carl-Erik},
  issn         = {1550-7289},
  language     = {eng},
  month        = {02},
  publisher    = {Elsevier},
  series       = {Surgery for Obesity and Related Diseases},
  title        = {Characteristics of adolescents with poor mental health after bariatric surgery},
  url          = {http://dx.doi.org/10.1016/j.soard.2016.02.001},
  year         = {2016},
}