Chen Eunice Y, Bocchieri-Ricciardi Lindsey E, Munoz Daniel, Fischer Sarah, Katterman Shawn, Roehrig Megan, Dymek-Valentine Maureen, Alverdy John C, Le Grange Daniel
Department of Psychiatry, University of Chicago, Chicago, IL 60637, USA.
Obes Surg. 2007 May;17(5):669-71. doi: 10.1007/s11695-007-9112-4.
Greater depressed mood in Class III obese surgery-seeking clients may be due to weight-related stigma, weight-related physical disability (e.g. mobility) or the presence of binge-eating (BE).
60 Class III obese surgery-seeking adults were administered the Beck Depression Inventory (BDI), weight-related physical disability (IWQOL-PF) and another weight-related stigma (IWQOL-PD), and assessed for BE (SCID-1 or Questionnaire of Eating and Weight Patterns) before surgery.
In a hierarchical regression analysis, BMI, gender, and age of obesity onset did not account for a significant portion of the variance in BDI scores in the first step. The second step of the model was statistically significant (F(3,53)=8.469, P<0.000), accounting for 33.6% of the variance in BDI scores. IWQOL-PD scores were the only significant predictor of BDI scores (b=0.518, P=0.001), and this independently contributed to 32.6% of the variance in BDI scores.
This suggests that depressed mood seen in Class III obese surgery-seeking individuals may be most related to weight-related stigma rather than BE status, or weight-related physical disability.
寻求肥胖症三级手术的患者中，抑郁情绪较重可能是由于与体重相关的耻辱感、与体重相关的身体残疾（如行动能力）或暴饮暴食的存在。
对60名寻求肥胖症三级手术的成年人进行贝克抑郁量表（BDI）、与体重相关的身体残疾（IWQOL-PF）和另一种与体重相关的耻辱感（IWQOL-PD）评估，并在手术前通过精神疾病诊断与统计手册第五版（SCID-1）或饮食与体重模式问卷评估暴饮暴食情况。
在分层回归分析中，第一步，体重指数、性别和肥胖发病年龄在BDI评分的方差中所占比例不显著。模型的第二步具有统计学意义（F(3,53)=8.469，P<0.000），占BDI评分方差的33.6%。IWQOL-PD评分是BDI评分的唯一显著预测因素（b=0.518，P=0.001），且这一因素独立解释了BDI评分方差的32.6%。
这表明，寻求肥胖症三级手术的个体中出现的抑郁情绪可能与体重相关的耻辱感最为相关，而非暴饮暴食状况或与体重相关的身体残疾。
