Abouzed Mohamed, Elsherbiny Ashraf M, Kamel Ahmed, Salama Basem, Elag Khaled A, Abou Elzahab Nasr F, Abdelkader Hamada Rashad, Altuhayni Abdullah Saleh
Department of Psychiatry, Cairo Faculty of Medicine, Al-Azhar University, Saudi Arabia.
Department of Community Medicine, Faculty of Medicine, Al-Azhar University, Egypt and Northern Border University, Saudi Arabia.
Int J Prev Med. 2022 Oct 11;13:136. doi: 10.4103/ijpvm.ijpvm_102_21. eCollection 2022.
Obesity is a chronic medical illness with a higher risk of physical and mental cascade. People who seek obesity treatment were reported to have some psychiatric disorders affecting their disease and selection of management.
This study aims to estimate the prevalence of depressive and anxiety disorders in obese patients seeking obesity management and explore the relationship between common psychiatric disorders (depression and anxiety disorders) and selection of the type of obesity management (surgical or non-surgical).
Patients were recruited from Alazhar Universityhospitals, Egypt, and the total number completing the study was 1115 patients. All subjects underwent psychiatric interview through Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders (SCID-5 for DSM-5) for diagnosis of psychiatric disorders and completed two questionnaires, Hamilton Rating Scale for Depression (HRSD) and Hamilton Rating Scale for Anxiety (HRSA).
The prevalences of depressive and anxiety disorders were 29.23% and 25.56%, respectively, in all subjects. The most prevalent diagnoses were dysthymic disorder (20.7%), general anxiety disorder (16.95%), major depressive disorder (13.04%), and social phobia (12.4%). Our sample was divided into two groups (surgical and non-surgical). Dysthymia was more common in the surgical group (21.4% versus 19.8% = 0.560), whereas major depressive disorder was more common in the non-surgical group (7.4% versus 5.4 = 0.593); also, the non-surgical group was more likely to have "anxiety disorders" (29.23% versus 22.4%, = 0.840), but severity of anxiety was higher in the surgical group according to HRSA score with a highly significant difference.
A high prevalence of depression and anxiety disorders was found among patients who sought obesity treatment. Severity of anxiety was higher in the surgical group according to HRSA score with a highly significant difference, which may affect selection of treatment, so psychiatric evaluation and management are needed before and after obesity management to improve the outcome.
肥胖是一种慢性疾病，存在更高的身心连锁反应风险。据报道，寻求肥胖治疗的人患有一些精神障碍，这些障碍会影响他们的疾病及治疗方式的选择。
本研究旨在评估寻求肥胖管理的肥胖患者中抑郁和焦虑障碍的患病率，并探讨常见精神障碍（抑郁和焦虑障碍）与肥胖管理类型（手术或非手术）选择之间的关系。
患者从埃及爱资哈尔大学医院招募，完成研究共有1115例患者。所有受试者均通过《精神疾病诊断与统计手册》（DSM-5的SCID-5）进行精神科访谈以诊断精神障碍，并完成两份问卷，即汉密尔顿抑郁量表（HRSD）和汉密尔顿焦虑量表（HRSA）。
在所有受试者中，抑郁和焦虑障碍的患病率分别为29.23%和25.56%。最常见的诊断为恶劣心境障碍（20.7%）、广泛性焦虑障碍（16.95%）、重度抑郁症（13.04%）和社交恐惧症（12.4%）。我们的样本分为两组（手术组和非手术组）。恶劣心境在手术组中更常见（21.4%对19.8%，P = 0.560），而重度抑郁症在非手术组中更常见（7.4%对5.4%，P = 0.593）；此外，非手术组更易患“焦虑障碍”（29.23%对22.4%，P = 0.840），但根据HRSA评分，手术组的焦虑严重程度更高，差异具有高度显著性。
在寻求肥胖治疗的患者中发现抑郁和焦虑障碍的患病率较高。根据HRSA评分，手术组的焦虑严重程度更高，差异具有高度显著性，这可能会影响治疗选择，因此在肥胖管理前后需要进行精神科评估和管理，以改善治疗效果。
