title: A multisite view of psychosocial risks in patients presenting for bariatric surgery.
abstract: OBJECTIVE
  The psychosocial health of adolescents with severe obesity (BMI ≥ 120% for age and gender) has only recently been the focus of empirical work.
  
  
  METHODS
  This multisite study-an ancillary to a prospective longitudinal observational study documenting health in adolescents having weight loss surgery (WLS)-presents preoperative/baseline data from 141 WLS adolescents and 83 nonsurgical comparisons (NSComps). Self-report data from adolescent and caregiver dyads characterize adolescent psychopathology and potential correlates.
  
  
  RESULTS
  One in three adolescents reported internalizing symptoms, and one in five endorsed externalizing symptoms in the clinical range. Generalized linear model analysis demonstrated that increased risk of psychopathology for adolescents with severe obesity was associated with family dysfunction, eating pathology, family composition, and seeking behavioral intervention (versus WLS), whereas better quality of life (QOL) was associated with lower psychopathology.
  
  
  CONCLUSIONS
  While psychopathology rates are comparable to national samples, there is a subgroup of youth who present for behavioral weight loss services and are at greater risk for psychopathology relative to national adolescent base rates. Adolescents who achieve candidacy for WLS may be a highly selective population of youth with severe obesity and may have lower base rates of psychopathology compared to NSComps.
authors.affiliation: University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
authors.forename: Dana L
authors.initials: DL
authors.lastname: Rofey
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: Meg H
authors.initials: MH
authors.lastname: Zeller
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: Cassie
authors.initials: C
authors.lastname: Brode
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Reiter-Purtill
authors.affiliation: Texas Children's Hospital, Houston, Texas, USA.
authors.forename: Carmen
authors.initials: C
authors.lastname: Mikhail
authors.affiliation: Texas Children's Hospital, Houston, Texas, USA.
authors.forename: Gia
authors.initials: G
authors.lastname: Washington
authors.affiliation: Nationwide Children's Hospital, Columbus, Ohio, USA.
authors.forename: Amy E
authors.initials: AE
authors.lastname: Baughcum
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: James
authors.initials: J
authors.lastname: Peugh
authors.affiliation: Children's Hospital of Alabama, Birmingham, Alabama, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Austin
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
authors.forename: Todd M
authors.initials: TM
authors.lastname: Jenkins
authors.affiliation: University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
authors.forename: Anita P
authors.initials: AP
authors.lastname: Courcoulas
mesh_terms: D000293:Adolescent; D050110:Bariatric Surgery; D001835:Body Weight; D005260:Female; D006801:Humans; D008297:Male; D009767:Obesity, Morbid / Q000523:psychology* / Q000601:surgery*; D063766:Pediatric Obesity / Q000523:psychology* / Q000601:surgery*; D011446:Prospective Studies; D011788:Quality of Life / Q000523:psychology*; D057566:Self Report; D014481:United States