QUALITY OF LIFE IN ADOLESCENTS

这个子项目是许多研究子项目中利用 资源由NIH/NCRR资助的中心拨款提供。子项目和 调查员(PI)可能从NIH的另一个来源获得了主要资金， 并因此可以在其他清晰的条目中表示。列出的机构是 该中心不一定是调查人员的机构。 由于累积的医疗和心理社会后果，儿童肥胖症的流行日益严重，已成为国家卫生保健优先事项。超重程度也以惊人的速度增加，使极端肥胖青少年(体重指数40公斤/平方米)成为日益增长的人口，人们对此日益关注。对于青少年肥胖症，特别是极端肥胖症，缺乏经验支持的治疗方法。然而，在成人人群中，减肥手术已经成为极端肥胖的可行干预选择，现在外科减肥手术正在对青少年进行严格的评估。鉴于青春期通常以显著的情感、认知和人际关系发育为标志，这一发育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这一独特青年群体的心理社会功能的理解方面存在着严重的差距。这项初步研究的主要目的是证明拟议方法的可行性和实用性。这项研究将涉及实施一系列心理测量，评估极端肥胖青少年在减肥手术前后3、6、6个月的心理适应、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.