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Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review

OBJECTIVE: As long-term results of conservative treatment for obesity are discouraging, bariatric surgery is becoming a treatment option for extremely obese adolescents. However, mental and behavioral problems need to be respected when treating this vulnerable target group. METHODS: A detailed syste...

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Autores principales: Herget, Sabine, Rudolph, Almut, Hilbert, Anja, Blüher, Susann
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger GmbH 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644788/
https://www.ncbi.nlm.nih.gov/pubmed/25059420
http://dx.doi.org/10.1159/000365793
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author Herget, Sabine
Rudolph, Almut
Hilbert, Anja
Blüher, Susann
author_facet Herget, Sabine
Rudolph, Almut
Hilbert, Anja
Blüher, Susann
author_sort Herget, Sabine
collection PubMed
description OBJECTIVE: As long-term results of conservative treatment for obesity are discouraging, bariatric surgery is becoming a treatment option for extremely obese adolescents. However, mental and behavioral problems need to be respected when treating this vulnerable target group. METHODS: A detailed systematic literature review on pre- and post-operative depressive, anxiety and eating disorder symptoms of adolescent patients was performed in PsychINFO, PubMed and Medline electronic databases. RESULTS: Twelve studies met the inclusion criteria. Although strength of evidence was limited, results suggested that pre-operatively a third of adolescents suffered from moderate to severe depressive disorder symptoms and a quarter from anxiety disorder symptoms, while a substantial number showed eating disorder symptoms. Post-operatively, levels of depressive disorder symptoms significantly improved. Original articles on outcomes of eating and anxiety disorder symptoms after weight loss surgery were not found. CONCLUSIONS: Further attention is needed on consistent clinical assessment of mental health disturbances and their consecutive treatment in adolescents. Future research should also focus on psychological and psychosocial predictors of weight loss after bariatric surgery.
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spelling pubmed-56447882017-12-04 Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review Herget, Sabine Rudolph, Almut Hilbert, Anja Blüher, Susann Obes Facts Original Article OBJECTIVE: As long-term results of conservative treatment for obesity are discouraging, bariatric surgery is becoming a treatment option for extremely obese adolescents. However, mental and behavioral problems need to be respected when treating this vulnerable target group. METHODS: A detailed systematic literature review on pre- and post-operative depressive, anxiety and eating disorder symptoms of adolescent patients was performed in PsychINFO, PubMed and Medline electronic databases. RESULTS: Twelve studies met the inclusion criteria. Although strength of evidence was limited, results suggested that pre-operatively a third of adolescents suffered from moderate to severe depressive disorder symptoms and a quarter from anxiety disorder symptoms, while a substantial number showed eating disorder symptoms. Post-operatively, levels of depressive disorder symptoms significantly improved. Original articles on outcomes of eating and anxiety disorder symptoms after weight loss surgery were not found. CONCLUSIONS: Further attention is needed on consistent clinical assessment of mental health disturbances and their consecutive treatment in adolescents. Future research should also focus on psychological and psychosocial predictors of weight loss after bariatric surgery. S. Karger GmbH 2014-08 2014-07-24 /pmc/articles/PMC5644788/ /pubmed/25059420 http://dx.doi.org/10.1159/000365793 Text en Copyright © 2014 by S. Karger GmbH, Freiburg http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable tothe online version of the article only. Distribution permitted for non-commercial purposes only.
spellingShingle Original Article
Herget, Sabine
Rudolph, Almut
Hilbert, Anja
Blüher, Susann
Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review
title Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review
title_full Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review
title_fullStr Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review
title_full_unstemmed Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review
title_short Psychosocial Status and Mental Health in Adolescents before and after Bariatric Surgery: A Systematic Literature Review
title_sort psychosocial status and mental health in adolescents before and after bariatric surgery: a systematic literature review
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644788/
https://www.ncbi.nlm.nih.gov/pubmed/25059420
http://dx.doi.org/10.1159/000365793
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