Psychological Symptoms Among Adolescents Enrolled in a Bariatric Surgery Program



Status:Completed
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:12 - 18
Updated:8/25/2018
Start Date:January 2010
End Date:January 5, 2017

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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.

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.

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

Exclusion Criteria:

- DSM-IV Diagnosis of Mild, Moderate, or Severe Mental Retardation (e.g., IQ < 70)

CONTROL GROUP (normal-weight adolescents)

Inclusion Criteria:

- body mass index between 25th and 85th percentile for sex

- between the ages of 14 and 18

- adolescents speak English

- parents speak English

Exclusion Criteria:

- DSM-IV Diagnosis of Mild, Moderate, or Severe Mental Retardation (e.g., IQ < 70)
We found this trial at
1
site
1051 Riverside Dr
New York, New York 10032
646-774-5000
New York State Psychiatric Institute The New York State Psychiatric Institute (NYSPI), established in 1895,...
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mi
from
New York, NY
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