Kajsa Järvholm1,2, Jan Karlsson3, Torsten Olbers4, Markku Peltonen5, Claude Marcus6, Jovanna Dahlgren7, Eva Gronowitz7, Per Johnsson2, Carl-Erik Flodmark1. 1. Childhood Obesity Unit, Skåne University Hospital, Malmö, Sweden. 2. Department of Psychology, Lund University, Lund, Sweden. 3. Centre for Health Care Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden. 4. Department of Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 5. National Institute for Health and Welfare, Helsinki, Finland. 6. Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden. 7. Department of Pediatrics, Sahlgrenska University Hospital, Gothenburg, Sweden.
Abstract
OBJECTIVE: This study aimed to evaluate changes in mental health over 2 years in adolescents undergoing gastric bypass. METHODS: Eighty-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. RESULTS: Symptoms 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. CONCLUSIONS: A 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.
OBJECTIVE: This study aimed to evaluate changes in mental health over 2 years in adolescents undergoing gastric bypass. METHODS: Eighty-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. RESULTS: Symptoms 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. CONCLUSIONS: A 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.
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