Tomasz Witaszek-Gabinet Leczenia Otyłości, ul. Józefińska 33/8, 30-529 Kraków, Poland.
MEDFIT Karolina Kłoda, ul. Narutowicza 13E/11, 70-240 Szczecin, Poland.
Nutrients. 2024 Jul 26;16(15):2438. doi: 10.3390/nu16152438.
Obesity impacts mental health greatly. Psychological factors may influence the effectiveness of its treatment. This study aimed to compare symptoms of generalised anxiety disorder and depression among adult women across different weight categories. The study sample comprised 1105 adult women. The computer-assisted web interview (CAWI) utilising the seven-item Generalised Anxiety Disorders Scale (GAD-7) and the nine-item Patient Health Questionnaire (PHQ-9) was used. Both GAD-7 and PHQ-9 scores correlated positively with BMI (r = 0.121, < 0.001 and r = 0.173, < 0.001, respectively) and negatively with age (r = -0.106, < 0.001 and r = -0.103, < 0.001, respectively). Patients undergoing treatment with semaglutide scored lower for both anxiety symptoms (8.71 ± 6.16, = 0.013) and depression symptoms (9.76 ± 6.37, = 0.013). Women who underwent bariatric surgery screened less frequently for anxiety (8.03 ± 6.27, = 0.002) but not for depression. An interdisciplinary approach involving mental health professionals within the therapeutic team can comprehensively address factors contributing to obesity development and treatment outcomes. Further investigation of semaglutide's use is needed due to the promising evidence suggesting a positive effect on decreasing the severity of depression and anxiety symptoms to assess the direct or indirect character of this influence.
肥胖症对心理健康有重大影响。心理因素可能会影响其治疗效果。本研究旨在比较不同体重类别的成年女性中广泛性焦虑症和抑郁症的症状。研究样本包括 1105 名成年女性。使用计算机辅助网络访谈(CAWI),利用七项广泛性焦虑障碍量表(GAD-7)和九项患者健康问卷(PHQ-9)进行评估。GAD-7 和 PHQ-9 评分均与 BMI 呈正相关(r = 0.121,<0.001 和 r = 0.173,<0.001),与年龄呈负相关(r = -0.106,<0.001 和 r = -0.103,<0.001)。接受司美格鲁肽治疗的患者,焦虑症状评分较低(8.71 ± 6.16, = 0.013),抑郁症状评分也较低(9.76 ± 6.37, = 0.013)。接受减重手术的女性焦虑症状筛查频率较低(8.03 ± 6.27, = 0.002),但抑郁症状筛查频率无差异。治疗团队中纳入心理健康专业人员的跨学科方法可以全面解决导致肥胖发展和治疗结果的因素。需要进一步研究司美格鲁肽的使用,因为有证据表明其对降低抑郁和焦虑症状的严重程度有积极影响,以评估这种影响的直接或间接性质。