von Zimmermann Claudia, Brückner Lena, Mühle Christiane, Weinland Christian, Kornhuber Johannes, Lenz Bernd
Department of Psychiatry and Psychotherapy, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Department of Addictive Behavior and Addiction Medicine, Central Institute of Mental Health (CIMH), Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Front Psychiatry. 2022 Jul 19;13:794351. doi: 10.3389/fpsyt.2022.794351. eCollection 2022.
Major depressive disorder (MDD) is a main reason for suicide, and serum lipids are involved in both affective disorders and related suicidal behavior. Moreover, masculine depression has been suggested as a subtype of depression with an increased risk for suicide. Here, we studied the relationship between body measures, serum lipids, suicidal thoughts, and masculine depression.
Depressed patients (44% women) were divided by a sex-separated median-split into a group of 81 "patients with masculine depression" (mean age ± standard error: 36.4 ± 1.6 years) and a group of 82 "patients with non-masculine depression" (age 45.7 ± 1.6 years) according to the Male Depression Risk Scale. We compared body measures, serum lipid levels, and past suicidal ideation between these groups and explored differences between these groups and 176 healthy controls (51% women; age 37.2 ± 1.0 years).
Patients with masculine depression did not significantly differ from patients with non-masculine depression in any of the body measures, lipid markers, or suicidal thoughts. Compared to healthy controls, both patient groups showed significantly higher body fat (B = 0.041 and B = 0.050), lower high-density lipoprotein (HDL) cholesterol (B = -0.045 and -0.044), and a higher risk for suicidal thoughts (B = 3.927 and 2.663) than healthy controls. Suicidal thoughts were significantly associated with lower low-density lipoprotein (LDL)/HDL ratios (B = -0.455) in patients with depression and with higher LDL cholesterol levels (B = 0.020) in healthy controls subjects.
Correlational study design and focus on in-patients.
In the studied cohort, masculine depression was not significantly associated with the analyzed parameters of body measures, serum lipids, or suicidal thoughts in in-patients with depression.
重度抑郁症(MDD)是自杀的主要原因,血清脂质与情感障碍及相关自杀行为均有关联。此外,男性抑郁症被认为是抑郁症的一种亚型,自杀风险增加。在此,我们研究了身体指标、血清脂质、自杀念头与男性抑郁症之间的关系。
根据男性抑郁风险量表,将抑郁症患者(44%为女性)按性别分开,以中位数为界分为一组81名“男性抑郁症患者”(平均年龄±标准误:36.4±1.6岁)和一组82名“非男性抑郁症患者”(年龄45.7±1.6岁)。我们比较了这两组之间的身体指标、血清脂质水平和既往自杀意念,并探讨了这两组与176名健康对照者(51%为女性;年龄37.2±1.0岁)之间的差异。
男性抑郁症患者在任何身体指标、脂质标志物或自杀念头方面与非男性抑郁症患者均无显著差异。与健康对照者相比,两组患者的体脂均显著更高(B = 0.041和B = 0.050),高密度脂蛋白(HDL)胆固醇更低(B = -0.045和-0.044),且自杀念头风险高于健康对照者(B = 3.927和2.663)。在抑郁症患者中,自杀念头与较低的低密度脂蛋白(LDL)/HDL比值显著相关(B = -0.455),而在健康对照者中与较高的LDL胆固醇水平相关(B = 0.020)。
相关性研究设计且聚焦于住院患者。
在所研究的队列中,男性抑郁症与抑郁症住院患者的身体指标、血清脂质或自杀念头的分析参数无显著关联。