Curran J L, Datto G
Department of Pediatrics, Nemours/A.I. DuPont Hospital for Children, Wilmington, DE, USA; Department of Pediatrics, Thomas Jefferson University, Philadelphia, PA, USA.
Clin Obes. 2014 Jun;4(3):165-71. doi: 10.1111/cob.12055. Epub 2014 Apr 23.
The purpose of the present study was to determine whether functional communication and parent-adolescent relations prospectively predict anxiety and depression symptoms among severely obese adolescents seeking bariatric surgery. Participants included 30 adolescents and their primary caregivers, who presented for enrolment in a study assessing the safety and efficacy of the laparoscopic adjustable gastric band. Adolescents and their caregivers completed questionnaires assessing anxiety and depression symptoms, functional communication, and parent-adolescent relations at baseline and immediately prior to having bariatric surgery. Regression analyses revealed that poorer parent reported functional communication at baseline predicted increases in adolescent reported anxiety and depression symptoms immediately prior to surgery (on average 8.8 months later), above and beyond baseline symptoms. Anxiety and depression symptoms did not predict functional communication over time. Parent-adolescent relations, as reported by the adolescent, were concurrently associated with adolescent reported depression symptoms at baseline, and were concurrently associated with adolescent reported anxiety and depression symptoms, as well as parent reported depression symptoms, immediately prior to surgery. Functional communication may be an important prospective risk factor for the development of anxiety and depression symptoms among severely obese adolescents seeking bariatric surgery, whereas adolescent report of the parent-adolescent relationship appears to be concurrently related to anxiety and depression symptoms. Future research should examine whether specifically targeting communication skills and family relationships within psychological treatment would improve psychosocial functioning among severely obese adolescents.
本研究的目的是确定功能沟通和亲子关系是否能前瞻性地预测寻求减肥手术的严重肥胖青少年的焦虑和抑郁症状。研究参与者包括30名青少年及其主要照顾者，他们前来参加一项评估腹腔镜可调节胃束带安全性和有效性的研究。青少年及其照顾者在基线时以及即将进行减肥手术前完成了评估焦虑和抑郁症状、功能沟通以及亲子关系的问卷。回归分析显示，家长报告的基线时较差的功能沟通预示着青少年报告的手术前（平均8.8个月后）焦虑和抑郁症状增加，超出了基线症状。随着时间推移，焦虑和抑郁症状并不能预测功能沟通情况。青少年报告的亲子关系在基线时与青少年报告的抑郁症状同时相关，在即将手术前与青少年报告的焦虑和抑郁症状以及家长报告的抑郁症状同时相关。功能沟通可能是寻求减肥手术的严重肥胖青少年出现焦虑和抑郁症状的一个重要前瞻性风险因素，而青少年对亲子关系的报告似乎与焦虑和抑郁症状同时相关。未来的研究应探讨在心理治疗中专门针对沟通技巧和家庭关系是否会改善严重肥胖青少年的心理社会功能。
