Department of Applied Human Sciences, College of Health and Human Sciences, Kansas State University, 1324 Lovers Ln, Manhattan, KS, 66506, USA.
Department of Human Sciences, College of Education and Human Ecology, The Ohio State University, 1787 Neil Ave., Columbus, OH, 43210, USA.
Obes Surg. 2024 Jul;34(7):2744-2750. doi: 10.1007/s11695-024-07301-6. Epub 2024 May 25.
There is little research on adolescent bariatric surgery and mental health (depression, anxiety, etc.) with racial/ethnic minority adolescents. The objective of this study is to determine associations between adolescents' preoperative reports of depression, anxiety, and self-esteem and caregiver's' reports of the caregiver-adolescent relationship and interpersonal relationships with adolescents' BMI and differences based on race/ethnicity.
Adolescents (ages 12-21) who underwent metabolic and bariatric surgery from June 2020 to November 2022 had their responses to specific items on the BASC-3 (anxiety, depression, and self-esteem) analyzed for associations with their body mass index (BMI) and with caregiver responses to the BASC-3 for adolescents' interpersonal skills and relationship with caregiver. Demographic differences on the BASC-3 were assessed. Pearson's correlations, independent t-tests, and ANOVA were used.
Caregivers who had higher t-scores for relationship with their adolescents had adolescents who had lower depression t-scores, lower anxiety t-scores, and higher self-esteem t-scores. Parents who had higher t-scores for their adolescents' interpersonal relations had adolescents who had lower depression t-scores, lower anxiety t-scores, and higher self-esteem t-scores. White adolescents had higher depression t-scores than Black and Hispanic adolescents. Black and Hispanic adolescents had higher self-esteem t-scores compared to White adolescents.
Some of the findings within the study regarding adolescents' race and ethnicity and mental health are not consistent with prior research, affirming the need for additional research of these sub-populations.
针对少数族裔青少年的青少年减重手术和心理健康（抑郁、焦虑等）研究甚少。本研究旨在确定青少年术前报告的抑郁、焦虑和自尊与照顾者报告的照顾者-青少年关系以及与青少年的人际关系与青少年 BMI 的关联，以及基于种族/族裔的差异。
2020 年 6 月至 2022 年 11 月期间接受代谢和减重手术的青少年（12-21 岁），对其 BASC-3（焦虑、抑郁和自尊）中特定项目的反应进行分析，以评估其与身体质量指数（BMI）的关联，以及与照顾者对 BASC-3 中青少年人际交往能力和与照顾者关系的回应的关联。评估了 BASC-3 上的人口统计学差异。使用 Pearson 相关系数、独立 t 检验和方差分析。
与青少年关系的 T 评分较高的照顾者的青少年抑郁 T 评分较低、焦虑 T 评分较低、自尊 T 评分较高。与青少年人际关系的 T 评分较高的父母的青少年抑郁 T 评分较低、焦虑 T 评分较低、自尊 T 评分较高。与黑人和西班牙裔青少年相比，白人青少年的抑郁 T 评分较高。与白人青少年相比，黑人和西班牙裔青少年的自尊 T 评分较高。
该研究中关于青少年种族和族裔以及心理健康的一些发现与先前的研究不一致，这证实了需要对这些亚人群进行更多的研究。
