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Trajectories of Psychopathology and Dysregulation 2-4 Years following Adolescent Bariatric Surgery. | LitMetric

AI Article Synopsis

  • - This study looked at how mental health and weight changes in adolescents with obesity over four years after bariatric surgery compared to those who didn't have surgery, focusing on psychological issues during a maintenance phase.
  • - Researchers found that, over time, the surgical group showed significantly fewer high internalizing symptoms (like anxiety and depression) compared to the nonsurgical group, but those who were more dysregulated also had worse mental health outcomes and less weight loss.
  • - The findings suggest that while bariatric surgery can improve mental health, those with greater internalizing symptoms after surgery lose less weight, highlighting the importance of ongoing mental health support for these adolescents.

Article Abstract

Objective: This study examined psychopathology and weight over 4 years following bariatric surgery in adolescents with obesity, as compared to a nonsurgical group. The role of psychological dysregulation in relation to psychopathology in the 2-4 year "maintenance phase" following surgery was also examined.

Methods: Adolescent participants (122 surgical and 70 nonsurgical) completed height/weight and psychopathology assessments annually for 4 years, with dysregulation assessed at Year 2. Analyses examined the association of "High" and "Low" psychopathology with weight over time using logistic regression. Mediation analyses in the surgical group examined indirect effects of dysregulation on percent weight loss through Year 4 psychopathology.

Results: There were lower odds of "High" internalizing symptoms in the surgical group versus the nonsurgical group from baseline (presurgery) to Year 4 (OR = .39; p < .001; 42.3% "High" internalizing in surgical; 66.7% in nonsurgical) and during the 2-4 year maintenance phase (OR = .35, p < .05; 35.1% "High" internalizing in surgical; 60.8% in nonsurgical). There was a significant mediation effect in the surgical group: higher dysregulation was associated with greater Year 4 internalizing symptoms (β = .41, p < .001) which in turn was associated with less Year 4 percent weight loss (β = -.27, p < .05).

Conclusions: While the surgical group was less likely to experience internalizing symptoms, internalizing psychopathology was related to less percent weight loss in this group. Internalizing symptoms mediated the relationship between dysregulation and percent weight loss in the surgical group. Postoperative mental health follow-up is needed for adolescents into young adulthood.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10199728PMC
http://dx.doi.org/10.1093/jpepsy/jsad009DOI Listing

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