Evidence map›Paper›PMID 33079376›Full record

ArticleEating and weight disorders : EWD2021

Depression, anxiety, and suicidal ideation in young adults 5 years after undergoing bariatric surgery as adolescents.

Kajsa Järvholm, Torsten Olbers, Markku Peltonen, Claude Marcus, Carl-Erik Flodmark, Eva Gronowitz, Jovanna Dahlgren, Jan Karlsson

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00289705 (Surgical Intervention With Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity in Adolescence - a Matched Control Study), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00289705 phase3unknown statusnot on this map

Surgical Intervention With Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity in Adolescence - a Matched Control Study

TypeinterventionalSponsorGöteborg UniversityRan2006 to 2018Enrolled80ConditionsObesity, Diabetes, HypertensionArmsSurgery
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. The Incidence of Suicide Following Metabolic and Bariatric Surgery: A Prognosis Systematic Review and Meta-Analysis of Longitudinal Studies.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Psychosocial outcomes after adolescent metabolic and bariatric surgery: a narrative review of the literature.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 2 countries.

Kajsa JärvholmChildhood Obesity Unit, Skåne University Hospital, Malmö, Sweden. kajsa.jarvholm@gu.se.ORCID http://orcid.org/0000-0002-0779-4910
Torsten OlbersDepartment of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.ORCID http://orcid.org/0000-0002-7218-3390
Markku PeltonenNational Institute for Health and Welfare, Helsinki, Finland.ORCID http://orcid.org/0000-0002-3767-4223
Claude MarcusDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-0890-2650
Carl-Erik FlodmarkDepartment of Clinical Sciences in Malmö, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0001-9705-4766
Eva GronowitzDepartment of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-2311-3484
Jovanna DahlgrenDepartment of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.ORCID http://orcid.org/0000-0002-9637-3439
Jan KarlssonUniversity Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID http://orcid.org/0000-0002-2559-5456
Finnish Institute for Health and Welfare · FIKarolinska Institutet · SELinköping University · SELund University · SEÖrebro University · SESahlgrenska University Hospital · SESkåne University Hospital · SEUniversity of Gothenburg · SE

Funding

Västra Götalandsregionen VGFOUREG-307531Vetenskapsrådet 521-2012-319VINNOVA 2013-01339
6 · The paper itself

Abstract

purposeMetabolic and bariatric surgery (MBS) is increasingly used in adolescents. The aim was to explore symptoms of depression and anxiety in young adults over 5 years' follow-up after undergoing MBS.

methodsBeck Depression Inventory-2 and the Beck Anxiety Inventory were used to assess symptoms of depression and anxiety in 62 patients 1, 2, and 5 years after having Roux-en-Y gastric bypass at 13-18 years of age. Mental health, eating-related problems, and weight outcomes were tested for association with suicidal ideation at the 5-year follow-up.

resultsAt the 5-year follow-up, the mean score for depression was 11.4 (± 12.4), indicating minimal symptoms of depression. The mean score for anxiety was 12.82 (± 11.50), indicating mild anxiety symptoms. Still, several participants reported moderate or severe symptoms of depression (26%) and anxiety (32%). Women reported more symptoms than men (P = 0.03 and 0.04). No significant changes were found in self-reported symptoms of depression and anxiety between the 1-year and the 5-year follow-up (P = 0.367 and 0.934). Suicidal ideation was reported by 16% at the 5-year follow-up. Participants reporting suicidal ideation had lost significantly less excess weight than participants without suicidal ideation (P = 0.009).

conclusionFive years after adolescent MBS, a substantial minority still struggles with mental health issues, and women are more burdened than men. Our results indicate an association between less optimal weight loss and suicidal ideation 5 years after MBS. The findings emphasize the importance of offering long-term follow-up and mental health treatment several years after MBS. LEVEL OF EVIDENCE: Level III, cohort study. CLINICAL

trial registrationThe study is registered with ClinicalTrials.gov (NCT00289705). First posted February 10, 2006.

Indexed as

Bariatric SurgerySuicidal IdeationAdolescentAnxietyCohort StudiesDepressionFemaleHumansMaleYoung AdultAdolescentAnxietyBariatric surgeryDepressionObesitySuicidal ideation

Identifiers

PMID33079376
PMCPMC8062317
OpenAlexW3093371170

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.