Depressive symptom severity as a predictor of attendance in the HOME behavioral weight loss trial

Shell, Aubrey L.; Hsueh, Loretta; Vrany, Elizabeth A.; Clark, Daniel O.; Keith, Ni Cole R.; Xu, Huiping; Stewart, Jesse C.

doi:10.1016/j.jpsychores.2020.109970

Cited by 7 publications

(5 citation statements)

References 40 publications

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“…Second, mothers with higher depressive symptoms were more likely to be in the low attendance class, regardless of their initial score on the measure of home safety problems. This finding is consistent with several other studies that reported depressive symptoms in relation to intervention attendance [ 5 – 7 ]. Although the mechanism underlying the association between depressive symptoms and attendance is unknown, there are several possibilities.…”

Section: Discussionsupporting

confidence: 93%

“…Few studies have used LCA to assess intervention attendance. The traditional analytic approach to attendance depends on the number of sessions attended, treating all sessions in a similar manner with no differentiation, and arbitrarily defining a cutoff for the number of sessions [ 7 ]. LCA is a person-centered, model-based approach.…”

Section: Discussionmentioning

confidence: 99%

“…Understanding factors related to parent attendance within safety prevention interventions is a critical step in maximizing intervention impacts and reducing unintentional injuries. Depressive symptoms have been related to low adherence to lifestyle interventions and treatment among adults or adolescents with overweight/obesity [ 5 – 7 ] and may be linked to low attendance in toddler safety promotion interventions. Mothers of young children, especially those in low-income households, are vulnerable to depressive symptoms [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Maternal depressive symptoms, attendance of sessions and reduction of home safety problems in a randomized toddler safety promotion intervention trial: A latent class analysis

Wang

Zhu²,

Hager

et al. 2022

PLoS ONE

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Objective Little is known about the association between maternal depressive symptoms and attendance at safety promotion interventions. This study used latent class analysis (LCA) to identify the profile of attendance within a toddler safety intervention and assessed its relation with maternal depressive symptoms at baseline and reduction of home safety problems over time, separately. Methods The analytic sample included 91 mothers of toddlers (mean maternal age 28.16 years) who were assigned to the safety promotion intervention group as part of a randomized trial and assessed at baseline, 6-month and 12-month follow-ups. Using LCA, we classified mothers into low and high attendance classes based on their attendance at 8 intervention sessions. We assessed maternal depressive symptoms with the Beck Depression Inventory (BDI) and home safety problems with a 9-item home safety problem observation. Results The mothers were classified into low attendance (45%) and high attendance classes (55%). The posterior probability of attending each session ranged from 0–0.29 for the low attendance class and 0.68–0.92 for the high attendance class. Each one unit increase of BDI sum score at baseline was associated with an 8% reduced odds of being in the high attendance class (aOR = 0.92, 95% CI: 0.86, 1.00, p = 0.037). The home safety problem score reduction was greater among high attendance class participants than low attendance class participants at the 6-month follow-up (b = -1.15, 95% CI:-2.09, -0.20, p = 0.018). Conclusion Maternal depressive symptoms were associated with the reduced probability of maternal attendance at toddler safety promotion sessions; high session attendance was related to greater reduction of toddler home safety problems. Identifying risk factors for maternal low attendance to interventions and developing strategies to promote attendance should lead to reductions in home safety problems and reductions in unintentional injuries among young children.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Maternal depressive symptoms, attendance of sessions and reduction of home safety problems in a randomized toddler safety promotion intervention trial: A latent class analysis

Wang

Zhu²,

Hager

et al. 2022

PLoS ONE

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“…Depression before bariatric surgery is associated with less weight loss after bariatric surgery [22 ▪ ]. Adults with obesity and elevated depression symptoms were found to be less likely to attend behavioral weight-loss sessions, less likely to achieve at least 5% weight loss, and had lower overall mean weight loss [23]. Ongoing assessment of depression after surgery is important.…”

Section: Psychosocial Perspectivementioning

confidence: 99%

Psychosocial considerations in the combined bariatric surgery and organ transplantation population: a review of the overlapping pathologies and outcomes

Fipps¹,

Sinha

Diwan

et al. 2022

Current Opinion in Organ Transplantation

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Purpose of reviewThis review highlights the salient data of the psychosocial concerns that influence outcomes of bariatric surgery and organ transplantation.Recent findingsBariatric surgery has emerged as an important intervention with data supporting substantial and sustained weight loss, enhanced quality of life, remission of obesity-related medical comorbidities, and improved long-term patient and graft survival in transplant patients. Depression, suicide, anxiety, posttraumatic stress disorder, alcohol use, adherence, and psychopharmacology considerations can influence outcomes of both these surgeries.SummaryObesity is increasingly prevalent among patients pursuing transplantation surgery, and it is often a factor in why a patient needs a transplant. However, obesity can be a barrier to receiving a transplant, with many centers implementing BMI criteria for surgery. Furthermore, obesity and obesity-related comorbidities after transplant can cause poor outcomes. In this context, many transplant centers have created programs that incorporate interventions (such as bariatric surgery) that target obesity in transplant candidates. A presurgery psychosocial assessment is an integral (and required) part of the process towards receiving a bariatric surgery and/or a transplantation surgery. When conducting a dual (bariatric and transplantation surgery) psychosocial assessment, it is prudent to understand the overlap and differentiation of specific psychosocial components that influence outcomes in these procedures.

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“…As many as two thirds of youth pursuing surgical weight loss reported preexisting mental health concerns (Björk et al, 2020). Child psychological concerns (e.g., poor attendance and difficulties adhering to the treatment regimen) have been associated with barriers to obesity treatment completion, supporting the need to assess psychological concerns for patients referred for pediatric obesity treatment (Raatz & Gross, 2021; Shell et al, 2020).…”

mentioning

confidence: 99%

Psychological predictors of family-based behavioral treatment response in a diverse sample of youth with obesity.

Fornander¹,

Bates²,

Hampl³

et al. 2022

Clinical Practice in Pediatric Psychology

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We thank the Health Forward Foundation (previously Healthcare Foundation of Greater Kansas City) and the Junior League of Kansas City for funding support. Children's Mercy Kansas City sponsored additional data collection and preliminary analysis. Portions of these findings were presented as a poster at the virtual Society of Pediatric Psychology Annual Conference. The authors declare no conflicts of interest.

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Depressive symptom severity as a predictor of attendance in the HOME behavioral weight loss trial

Abstract: Highlights Higher baseline depressive symptom severity associated with poorer attendance  Cognitive-affective and somatic clusters both contributed to these associations  Greater baseline depressive symptoms may inhibit behavioral weight loss outcomes

Cited by 7 publications

References 40 publications

Maternal depressive symptoms, attendance of sessions and reduction of home safety problems in a randomized toddler safety promotion intervention trial: A latent class analysis

Maternal depressive symptoms, attendance of sessions and reduction of home safety problems in a randomized toddler safety promotion intervention trial: A latent class analysis

Psychosocial considerations in the combined bariatric surgery and organ transplantation population: a review of the overlapping pathologies and outcomes

Psychological predictors of family-based behavioral treatment response in a diverse sample of youth with obesity.

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