Two-year trends in psychological outcomes after gastric bypass in adolescents with severe XXXX .

@entity1 @entity308 @entity28 @entity676 @entity148
OBJECTIVE: This study aimed to evaluate changes in mental health over 2 years in adolescents undergoing gastric bypass. METHODS: Eighty-eight adolescents (65% @entity1 ) aged 13 to 18 years were assessed at baseline @entity676 years after surgery. Generic and @entity28 -specific questionnaires were used to evaluate outcomes in mental health, also in relation to age- and gender-specific norms. RESULTS: Symptoms of @entity148 (P   =   0.001), @entity308 (P   =   0.001), anger (P   =   0.001), and disruptive behavior (P   =   0.022) were significantly reduced at 2 years after surgery, as were @entity28 -related problems (P   <   0.001). Self-esteem (P   <   0.001), self-concept (P   <   0.001), and overall mood (P   =   0.025) improved significantly. Improvements were mainly observed during the first year after surgery. The second year was characterized by stabilization. Symptoms of @entity148 , @entity308 , anger, disruptive behavior, and self-concept were at normative levels after surgery. However, 19% of the adolescents had @entity308 in the clinical range. CONCLUSIONS: A substantial improvement in mental health in adolescents over the first 2 years after gastric bypass was found. Most adolescents had a level of mental health and self-concept similar to norms, but a marked subgroup showed substantial @entity308 2 years after surgery.
