Psychological Symptoms Among Adolescents Enrolled in a Bariatric Surgery Program

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT01079377

Enrollment

150

Registered

2010-03-03

Start date

2010-01-31

Completion date

2017-01-05

Last updated

2018-08-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity

Keywords

Adolescents, Bariatric Surgery, Psychological Symptoms, Cognitive Behavioral Therapy, Telemedicine, Longitudinal

Brief summary

This study will examine the interaction of psychological factors and serious overweight to determine if particular patterns of psychological symptoms are helpful in predicting outcomes of weight loss surgery. Patients from the Center of Adolescent Bariatric Surgery (CABS) program at the Morgan Stanley Children's Hospital of New York Presbyterian will be asked to participate in a longitudinal prospective study of psychopathology among severely obese adolescents. Additionally, the psychological symptoms of this group will be compared to other treatment-seeking obese adolescents. The investigators hypothesize that: 1. Adolescents receiving bariatric surgery will demonstrate significant reductions in body weight, eating pathology, and other symptoms after receiving bariatric surgery. 2. Adolescents enrolled in the bariatric surgery program will report more psychological problems than other treatment-seeking obese adolescents.

Detailed description

With increasing rates of overweight and obesity among children and adolescents in the United States, there is an urgent need for effective weight loss treatments for younger patients. Recently, bariatric surgery has been considered as a treatment for seriously overweight adolescents because of the potential for substantial decreases in weight and subsequent improvements in physical health. This study will examine the interaction of psychological factors and serious overweight to determine if particular patterns of psychological symptoms (psychological phenotypes) are helpful in predicting outcomes of bariatric surgery. Patients from the Center for Adolescent Bariatric Surgery (CABS) program at the Morgan Stanley Children's Hospital of New York Presbyterian will be asked to participate in a longitudinal prospective study of psychopathology among severely obese adolescents. The final aim of this project is to compare psychological symptoms between obese adolescents seeking bariatric surgery, other treatment-seeking obese adolescents, and normal-weight comparison adolescents. We will evaluate the effect of psychiatric symptoms on adherence to postsurgery follow-up appointments and weight loss. This research will be broadly applicable to the study of interactions between psychological factors and compliance with treatment for youth with chronic health conditions.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

12 Years to 18 Years

Healthy volunteers

Inclusion criteria

Longitudinal assessments: Inclusion Criteria: * enrolled in the Center for Adolescent Bariatric Surgery (CABS) at the Morgan Stanley Children's Hospital of New York Presbyterian * entered the CABS program between the ages of 12 and 17, between the ages of 12 and 18 when entering the study * adolescents speak English * parents speak English or Spanish

Exclusion criteria

* DSM-IV Diagnosis of Mild, Moderate, or Severe Mental Retardation (e.g., IQ \< 70) CONTROL GROUP (obese treatment-seeking adolescents) Inclusion Criteria: * enrolled in the Maxcor Program for Overweight Education and Reduction (POWER) Program * Between the ages of 14 and 18 * adolescents speak English * parents speak English or Spanish

Design outcomes

Primary

Measure	Time frame	Description
Psychological Symptoms	8 assessment points: (1) baseline pre-surgery, (2) 2 weeks pre-surgery, (3) 3 months post-surgery, (4) 6 months post-surgery, (5) 9 months post-surgery, (6) 12 months post-surgery, (7) 18 months post-surgery, (8) 24 months post-surgery	The measures of psychological symptoms at each time point will include: 1. Eating and Activity Measures 2. Depressive Symptom Measures 3. Impulsivity Measures 4. Measures of other relevant factors, including body mass index, family functioning, and quality of life.

Secondary

Measure	Time frame	Description
Treatment Compliance	8 assessment points: (1) Baseline pre-surgery, (2) 2 weeks pre-surgery, (3) 3 months post-surgery, (4) 6 months post-surgery, (5) 9 months post-surgery, (6) 12 months post-surgery, (7) 18 months post-surgery, (8) 12 months post-surgery	Clinician rated measures of compliance and adherence to treatment recommendations.

Countries

United States

Outcome results