Predictors and correlates of follow-up visit adherence among adolescents receiving laparoscopic adjustable gastric banding.
Predictors and correlates of follow-up visit adherence among adolescents receiving laparoscopic adjustable gastric banding.
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DOI：
10.1016/j.soard.2014.03.012
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发表时间：
2014-09
期刊：
影响因子：
--
通讯作者：
Devlin MJ
中科院分区：
文献类型：
--
作者：
Sysko R;Hildebrandt TB;Kaplan S;Brewer SK;Zitsman JL;Devlin MJ
在接受腹腔镜可调节胃束带术（LAGB）的青少年中，尚未检查依从性行为。此外，对接受减肥手术的青少年的研究没有考虑精神病理学对术后依从性的影响。本研究的目的是评估在接受LAGB的青少年样本中坚持术后访视的预测因素和相关因素。美国大学医学中心精神科。分析了手术后2年内外科工作人员的术后访视（n= 101例青少年）。增长混合模型研究了依从性的趋势。三级解决方案提供了对数据的最佳拟合。来自最终模型的类别的特征在于1类（61.6%）在LAGB后24个月内表现出高水平的依从性，2类（28.5%）显示依从性逐渐下降，3类（9.9%）依从性加速下降。较高水平的术前抑郁症状和更多的术前饮食失控事件降低了依从性的可能性。3级青少年的估计24个月体重指数显著高于1级或2级。在接受LAGB的青少年中确定了随访依从性的可变模式，这是由抑郁症状和饮食失控预测的。以随访依从性迅速下降为特征的轨迹也与体重减轻有关。
Adherence behaviors have not been examined among adolescents undergoing laparoscopic adjustable gastric banding (LAGB). In addition, studies of youth receiving bariatric surgery have not considered the influence of psychopathology on postoperative adherence. The purpose of this study was to evaluate predictors and correlates of adherence to post-surgery visits among a sample of adolescents undergoing LAGB. Psychiatry Department, University Medical Center, United States. Postoperative visits with surgical staff were analyzed over the two years following surgery (n= 101 adolescents). Growth mixture modeling examined trends in adherence. A three-class solution provided the best fit to the data. The classes from the final model were characterized by class 1 (61.6%) demonstrating high levels of adherence over the 24 months following LAGB, class 2 (28.5%) showing a more gradual decline in adherence, and class 3 (9.9%) with an accelerated decline in adherence. Higher levels of preoperative depressive symptoms and more preoperative episodes of loss of control over eating decreased the likelihood of adherence. Class 3 adolescents had significantly higher estimated 24-month body mass indices than Classes 1 or 2. Variable patterns of follow-up visit adherence were identified among adolescents receiving LAGB, which were predicted by depressive symptoms and loss of control over eating. The trajectory characterized by a rapid decline in adherence to follow-up visits was also associated with less weight loss.
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影响因子：
7.3
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