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Two-year trends in psychological outcomes after gastric bypass in adolescents with severe obesity
Skane Univ Hosp, Childhood Obes Unit, Malmo, Sweden.;Lund Univ, Dept Psychol, Lund, Sweden..
Univ Orebro, Fac Med & Hlth, Ctr Hlth Care Sci, SE-70182 Orebro, Sweden..
Univ Gothenburg, Sahlgrenska Acad, Dept Surg, Gothenburg, Sweden..
Natl Inst Hlth & Welf, Helsinki, Finland..
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2015 (English)In: Obesity, ISSN 1930-7381, E-ISSN 1930-739X, Vol. 23, no 10, 1966-1972 p.Article in journal (Refereed) Published
Abstract [en]

ObjectiveThis study aimed to evaluate changes in mental health over 2 years in adolescents undergoing gastric bypass. MethodsEighty-eight adolescents (65% girls) aged 13 to 18 years were assessed at baseline and 1 and 2 years after surgery. Generic and obesity-specific questionnaires were used to evaluate outcomes in mental health, also in relation to age- and gender-specific norms. ResultsSymptoms of anxiety (P=0.001), depression (P=0.001), anger (P=0.001), and disruptive behavior (P=0.022) were significantly reduced at 2 years after surgery, as were obesity-related problems (P<0.001). Self-esteem (P<0.001), self-concept (P<0.001), and overall mood (P=0.025) improved significantly. Improvements were mainly observed during the first year after surgery. The second year was characterized by stabilization. Symptoms of anxiety, depression, anger, disruptive behavior, and self-concept were at normative levels after surgery. However, 19% of the adolescents had depressive symptoms in the clinical range. ConclusionsA substantial improvement in mental health in adolescents over the first 2 years after gastric bypass was found. Most adolescents had a level of mental health and self-concept similar to norms, but a marked subgroup showed substantial depressive symptoms 2 years after surgery.

Place, publisher, year, edition, pages
2015. Vol. 23, no 10, 1966-1972 p.
National Category
Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:oru:diva-56393DOI: 10.1002/oby.21188ISI: 000362201100007PubMedID: 26227556OAI: oai:DiVA.org:oru-56393DiVA: diva2:1082073
Available from: 2017-03-15 Created: 2017-03-15 Last updated: 2017-03-15Bibliographically approved

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