QUALITY OF LIFE IN ADOLESCENTS

本子项目是利用由NIH/NCRR资助的中心赠款提供的资源的众多研究子项目之一。子项目和研究者（PI）可能已经从另一个NIH来源获得了主要资金，因此可以在其他CRISP条目中表示。列出的机构是中心的，不一定是研究者的机构。由于在整个生命周期中累积的医疗和心理社会后果，儿科肥胖的流行日益严重，已成为国家卫生保健的优先事项。超重的程度也以惊人的速度增加，使得青少年极度肥胖（体重指数40公斤/平方米）成为越来越多的人群，引起越来越多的关注。针对青少年肥胖，特别是极度肥胖，缺乏经验支持的治疗方法。然而，在成年人中，减肥手术已经成为治疗极度肥胖的一种可行的干预选择，现在手术减肥程序正在对青少年进行严格评估。鉴于青春期通常以显著的情感、认知和人际关系成长为标志，这一发展期的流动性可能会给青少年外科患者带来独特的挑战。然而，在我们对追求这种积极减肥模式的独特青年群体的心理社会功能的理解上存在一个关键的差距。这项试点研究的主要目的是记录拟议方法的可行性和实用性。该研究将包括一系列心理测量的管理，评估极端肥胖青少年在减肥手术前和手术后3个月、6个月的心理调整、与食物的关系和生活质量，从而提供关于减肥手术对这些心理和生活质量因素的短期结果的初步数据。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. The rising epidemic of pediatric obesity has become a national health care priority due to the cumulative medical and psychosocial consequences across the lifespan. The degree of overweight has also increased at an alarming rate making the adolescent with extreme obesity (BMI 40 kg/m2) a growing population for which there is increasing concern. Empirically supported treatments for adolescent obesity and, in particular, extreme obesity are lacking. However, in adult populations, bariatric surgery has become a viable intervention option for extreme obesity and now surgical weight loss procedures are being critically evaluated for adolescents. Given adolescence is often marked by significant emotional, cognitive, and interpersonal growth, the fluidity of this developmental period may present unique challenges for the adolescent surgical patient. However, there is a critical gap in our understanding of the psychosocial functioning of this unique youth population pursuing this aggressive mode of weight reduction. The primary aims of this pilot study are to document the feasibility and utility of the proposed methods. The study will involve the administration of a battery of psychological measures assessing psychological adjustment, relationship to food, and quality of life in adolescents with extreme obesity pre- and post-bariatric surgery at 3-, 6-, months and thus provide preliminary data about the short-term outcomes of bariatric surgery on these psychological and quality of life factors.