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抑郁症中的体重变化。

Weight change in depression.

作者信息

Weissenburger J, Rush A J, Giles D E, Stunkard A J

出版信息

Psychiatry Res. 1986 Apr;17(4):275-83. doi: 10.1016/0165-1781(86)90075-2.

Abstract

This report describes the weight changes of 109 outpatients during the course of a depressive illness and relates these changes to several potential predictors: age, gender, diagnosis, and scores on the Hamilton Rating Scale for Depression (HRSD), the Beck Depression Inventory, and the three factors on the Eating Questionnaire. Weight changes ranged from -33 to +50 pounds, with 40% of the patients reporting weight gain, 30% weight loss, and 30% no change in weight. Weight loss occurred more rapidly than did weight gain. The disinhibition factor of the Eating Questionnaire was significantly correlated with weight change during depression and, on a stepwise discriminant function analysis, differentiated weight-gaining from weight-losing patients at a high level of statistical significance. Severity of depression also differentiated weight-gaining from weight-losing patients in the discriminant function analysis, but only on the HRSD and at a level of more modest statistical significance.

摘要

本报告描述了109名门诊患者在抑郁症病程中的体重变化,并将这些变化与几个潜在预测因素相关联:年龄、性别、诊断,以及汉密尔顿抑郁量表(HRSD)、贝克抑郁量表和饮食问卷中的三个因素的得分。体重变化范围为-33至+50磅,40%的患者报告体重增加,30%体重减轻,30%体重无变化。体重减轻比体重增加发生得更快。饮食问卷的去抑制因素与抑郁症期间的体重变化显著相关,在逐步判别函数分析中,在高度统计学显著性水平上区分了体重增加和体重减轻的患者。在判别函数分析中,抑郁严重程度也区分了体重增加和体重减轻的患者,但仅在HRSD上,且统计学显著性水平较低。

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