Kajsa Järvholm1, Jan Karlsson2, Torsten Olbers3, Markku Peltonen4, Claude Marcus5, Jovanna Dahlgren6, Eva Gronowitz7, Per Johnsson8, Carl-Erik Flodmark9. 1. Childhood Obesity Unit, Skåne University Hospital, Malmö, Sweden; Department of Psychology, Lund University, Lund, Sweden. Electronic address: kajsa.jarvholm@psy.lu.se. 2. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden. 3. Department of Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. 4. National Institute for Health and Welfare, Helsinki, Finland. 5. Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden. 6. Department of Pediatrics, Sahlgrenska University Hospital, Gothenburg, Sweden. 7. Department of Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Pediatrics, Sahlgrenska University Hospital, Gothenburg, Sweden. 8. Department of Psychology, Lund University, Lund, Sweden. 9. Childhood Obesity Unit, Skåne University Hospital, Malmö, Sweden.
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 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.
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.
Authors: Meg H Zeller; Jennifer Reiter-Purtill; Todd M Jenkins; Katherine M Kidwell; Heather E Bensman; James E Mitchell; Anita P Courcoulas; Thomas H Inge; Sanita L Ley; Kathryn H Gordon; Eileen A Chaves; Gia A Washington; Heather M Austin; Dana L Rofey Journal: Surg Obes Relat Dis Date: 2019-12-24 Impact factor: 4.734
Authors: Meg H Zeller; Emma C Pendery; Jennifer Reiter-Purtill; Sanita L Hunsaker; Todd M Jenkins; Michael A Helmrath; Thomas H Inge Journal: Surg Obes Relat Dis Date: 2017-03-22 Impact factor: 4.734
Authors: Sanita L Hunsaker; Beth H Garland; Dana Rofey; Jennifer Reiter-Purtill; James Mitchell; Anita Courcoulas; Todd M Jenkins; Meg H Zeller Journal: J Adolesc Health Date: 2018-04-30 Impact factor: 5.012
Authors: Janey S A Pratt; Allen Browne; Nancy T Browne; Matias Bruzoni; Megan Cohen; Ashish Desai; Thomas Inge; Bradley C Linden; Samer G Mattar; Marc Michalsky; David Podkameni; Kirk W Reichard; Fatima Cody Stanford; Meg H Zeller; Jeffrey Zitsman Journal: Surg Obes Relat Dis Date: 2018-03-23 Impact factor: 4.734
Authors: Jennifer Reiter-Purtill; Sanita Ley; Katherine M Kidwell; Carmen Mikhail; Heather Austin; Eileen Chaves; Dana L Rofey; Todd M Jenkins; Thomas H Inge; Meg H Zeller Journal: Int J Obes (Lond) Date: 2019-06-17 Impact factor: 5.095
Authors: Lieke Wirken; Henriët van Middendorp; Christina W Hooghof; Jan-Stephan Sanders; Ruth Dam; Karlijn A M I van der Pant; Judith Wierdsma; Hiske Wellink; Philip Ulrichts; Andries J Hoitsma; Luuk B Hilbrands; Andrea W Evers Journal: BMJ Open Date: 2022-03-02 Impact factor: 2.692