University of Minnesota, MN, USA.
Health Psychol. 2010 May;29(3):293-8. doi: 10.1037/a0018645.
Both obesity and depression are prominent during adolescence, and it is possible that obesity is a trigger for adolescent depression. The purpose of this paper is to evaluate whether overweight or obese status contributes to the development of depression in adolescent girls.
Participants were 496 adolescent girls who completed interview based measures of depression and had their height and weight measured at four yearly assessments. Repeated measures logistic regressions with generalized estimating equations were used to evaluate whether overweight or obese status were associated with major depression or an increase in depressive symptoms the following year.
Major depression and depressive symptoms were evaluating using a modified version of the K-SADS interview. Overweight and obese status was determined by using standardized protocols to measure height and weight.
RESULTS showed that obese status, not overweight status, was associated with future depressive symptoms, but not major depression. This study demonstrated that obesity is a risk factor for depressive symptoms, but not for clinical depression.
As depressive symptoms are considered along the spectrum of depression with clinical depression at the high end, these results suggest that weight status could be considered a factor along the pathway of development of depression in some adolescent females.
肥胖和抑郁在青少年时期都很突出，而且肥胖可能是青少年抑郁的诱因。本文旨在评估超重或肥胖状态是否会导致少女抑郁。
参与者为 496 名完成抑郁访谈的青少年少女，并在四年的评估中测量了她们的身高和体重。使用广义估计方程的重复测量逻辑回归来评估超重或肥胖状态是否与第二年的重度抑郁症或抑郁症状增加有关。
使用 K-SADS 访谈的改良版本评估重度抑郁症和抑郁症状。超重和肥胖状态通过使用标准化的身高和体重测量方案来确定。
结果表明，肥胖状态，而不是超重状态，与未来的抑郁症状有关，但与重度抑郁症无关。这项研究表明，肥胖是抑郁症状的一个危险因素，但不是临床抑郁症的危险因素。
由于抑郁症状被认为是沿着抑郁症的谱系发展，而临床抑郁症处于较高端，这些结果表明，在某些青春期少女中，体重状况可能被认为是抑郁症发展过程中的一个因素。
