Who seeks bariatric surgery? Psychosocial functioning among adolescent candidates, other treatment-seeking adolescents with obesity and healthy controls.
Who seeks bariatric surgery? Psychosocial functioning among adolescent candidates, other treatment-seeking adolescents with obesity and healthy controls.
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DOI：
10.1111/cob.12211
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发表时间：
2017-12
期刊：
影响因子：
3.3
通讯作者：
Sysko R
中科院分区：
文献类型：
--
作者：
Call CC;Devlin MJ;Fennoy I;Zitsman JL;Walsh BT;Sysko R
寻求减肥手术的肥胖青少年的特征数据有限。现有数据表明，青少年手术候选人的体重指数（BMI）高于肥胖青少年，但关于心理社会功能的有限发现是混合的。本研究旨在比较青少年减肥手术候选人、门诊寻求医疗的肥胖青少年（接受生活方式改变）和体重正常的青少年的BMI和心理社会功能。所有青少年都完成了冲动性、延迟折扣、抑郁、焦虑、压力、饮食病理、家庭功能和生活质量的自我报告测量，并测量了他们的身高和体重。青少年外科候选人的BMI高于两个对照组。外科候选人没有不同的寻求医疗的青少年与肥胖的心理社会功能的任何措施，但这两组青少年肥胖报告更大的焦虑和饮食病理和较差的生活质量比正常体重的青少年。控制BMI后，各组之间的生活质量不再存在差异，这表明它与体重状况高度相关。与体重正常的同龄人相比，肥胖青少年可能会经历更大的焦虑，饮食病理学和生活质量障碍，无论他们是否正在寻求手术或门诊治疗。临床意义和未来的研究方向进行了讨论。
Limited data are available on the characteristics of adolescents with obesity who seek bariatric surgery. Existing data suggest that adolescent surgery candidates have a higher body mass index (BMI) than comparison adolescents with obesity, but the limited findings regarding psychosocial functioning are mixed. This study aimed to compare BMI and psychosocial functioning among adolescent bariatric surgery candidates, outpatient medical-treatment-seeking adolescents with obesity (receiving lifestyle modification), and adolescents in the normal-weight range. All adolescents completed self-report measures of impulsivity, delay discounting, depression, anxiety, stress, eating pathology, family functioning, and quality of life, and had their height and weight measured. Adolescent surgical candidates had higher BMIs than both comparison groups. Surgical candidates did not differ from medical-treatment-seeking adolescents with obesity on any measure of psychosocial functioning, but both groups of adolescents with obesity reported greater anxiety and eating pathology and poorer quality of life than normal-weight adolescents. Quality of life no longer differed across groups after controlling for BMI, suggesting that it is highly related to weight status. Adolescents with obesity may experience greater anxiety, eating pathology, and quality of life impairments than their peers in the normal-weight range regardless of whether they are seeking surgery or outpatient medical treatment. Clinical implications and directions for future research are discussed.