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Psychopathology and Adolescent Bariatric Surgery: A Topical Review to Support Psychologists in Assessment and Treatment Considerations

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Abstract

The rising rates of severe obesity among adolescents in the United States indicate a dire need for more intensive weight management strategies. While current evidence suggests that bariatric surgery is a safe and efficacious intervention for adolescents, the linkages with psychopathology before and after surgery are not well understood. Psychologists are an integral part of the interdisciplinary surgery team and play an important role in preparing youth for bariatric surgery as well as supporting adolescents post-surgery. The present manuscript reviews the literature on psychopathology in the context of adolescent bariatric surgery, discusses consideration of psychopathology as a contraindication for surgery, and provides recommendations on how psychologist members of the bariatric surgery team may balance attention to motivation and adherence to medical recommendations with assessment and treatment of psychopathology. Finally, the importance of continued research to confirm clinical consensus regarding decision-making and expansion of psychological resources within adolescent bariatric surgery programs are discussed.

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Authors and Affiliations

  1. Department of Pediatrics, University of Tennessee Health Science Center, 50 N. Dunlap Street, Room 452R, Memphis, TN, 38103, USA

    E. Thomaseo Burton

  2. Children’s Foundation Research Institute, Le Bonheur Children’s Hospital, Memphis, TN, USA

    E. Thomaseo Burton

  3. Center for Translational Research, Children’s National Health System, Washington, DC, USA

    Eleanor R. Mackey

  4. Department of Psychiatry and Behavioral Science, The George Washington University School of Medicine, Washington, DC, USA

    Eleanor R. Mackey

  5. Institute on Development and Disability, Oregon Health & Science University, Portland, OR, USA

    Kimberly Reynolds

  6. Helen DeVos Children’s Hospital, Grand Rapids, MI, USA

    Adelle Cadieux

  7. Michigan State University, East Lansing, MI, USA

    Adelle Cadieux

  8. Department of Pediatrics, C.S. Mott Children’s Hospital, Michigan Medicine, Ann Arbor, MI, USA

    Bethany J. Gaffka

  9. Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, VA, USA

    Laura A. Shaffer

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  1. E. Thomaseo Burton
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  2. Eleanor R. Mackey
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  3. Kimberly Reynolds
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  4. Adelle Cadieux
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  5. Bethany J. Gaffka
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  6. Laura A. Shaffer
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Correspondence to E. Thomaseo Burton.

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E. Thomaseo Burton, Eleanor R. Mackey, Kimberly Reynolds, Adelle Cadieux, Bethany J. Gaffka and Laura A. Shaffer have no conflicts of interest to disclose.

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Burton, E.T., Mackey, E.R., Reynolds, K. et al. Psychopathology and Adolescent Bariatric Surgery: A Topical Review to Support Psychologists in Assessment and Treatment Considerations. J Clin Psychol Med Settings 27, 235–246 (2020). https://doi.org/10.1007/s10880-020-09717-5

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