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[初级保健中的肥胖与抑郁——INTERACT研究结果]

[Obesity and Depression in Primary Care - Results from the INTERACT Study].

作者信息

Schwenke Maria, Löbner Margrit, Riedel-Heller Steffi, Luppa Melanie

机构信息

Institut für Sozialmedizin, Arbeitsmedizin und Public Health (ISAP), Medizinische Fakultät, Universität Leipzig.

Universitätsmedizin Leipzig, IFB AdipositasErkrankungen.

出版信息

Psychiatr Prax. 2020 Oct;47(7):388-391. doi: 10.1055/a-1144-7035. Epub 2020 Apr 8.

Abstract

OBJECTIVE

Comorbid mental conditions affect course and outcome of somatic disorders negatively. Therefore, we aimed to determine the prevalence of depressive disorders in primary care patients with obesity.

METHODS

131 primary care patients with obesity who participated in the baseline assessment of the INTERACT study were regularly interviewed with PHQ-9. The prevalence of depression in obesity was determined.

RESULTS

29 % of patients with obesity had a Major Depression, further 31 % showed subclinical depressive symptoms. The prevalence of depression is highest in patients with obesity level III.

CONCLUSION

Obesity is highly associated with comorbid depression and challenges treatment in primary care.

摘要

目的

共病精神状况会对躯体疾病的病程和结局产生负面影响。因此,我们旨在确定肥胖的初级保健患者中抑郁症的患病率。

方法

对参与INTERACT研究基线评估的131名肥胖初级保健患者定期进行PHQ-9访谈,以确定肥胖患者中抑郁症的患病率。

结果

29%的肥胖患者患有重度抑郁症,另有31%表现出亚临床抑郁症状。肥胖III级患者的抑郁症患病率最高。

结论

肥胖与共病抑郁症高度相关,给初级保健中的治疗带来挑战。

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