Mental health of adolescents after bariatric surgery: A textual analysis
Abstract
Mental health after bariatric surgery during adolescence has been little explored. This
is a sensitive period in terms of self-image on which bariatric surgery could have negative effects because of the rapid and significant changes in morphology it induces.
Previous studies have explored mental effects using questionnaires and only related
to psychopathological disorders. The objective of our study was to complement these
studies by exploring, via in-depth interviews, the adolescents' views on changes after
bariatric surgery at psychological as well as socio-emotional levels. Fourteen adolescents with obesity were recruited in a French hospital 6–43 months after surgery.
They participated in one-on-one interviews lasting an average of 45 minutes. A lexical
analysis (using ALCESTE software©) of their speech highlighted the most positive
effects, particularly in terms of social relationships, physical activities, self-esteem
and reduced stigma, along with less positive effects in terms of eating behaviour and
skin. In terms of clinical implications, this study confirmed the value of bariatric
surgery for adolescents at psychological and social levels and its contribution to their
mental health. However, it also highlighted the importance of pre- and post-operative
support