Depressive symptoms, eating psychopathology, and physical activity in obese breast cancer survivors.
Depressive symptoms, eating psychopathology, and physical activity in obese breast cancer survivors.
复制标题
肥胖乳腺癌幸存者的抑郁症状、饮食精神病理学和体力活动。
DOI：
10.1002/pon.974
复制
发表时间：
2006
期刊：
影响因子：
3.6
通讯作者：
Wilfley,DeniseE
中科院分区：
文献类型：
--
作者：
Yeter,Karen;Rock,CherylL;Pakiz,Bilge;Bardwell,WayneA;Nichols,JeanneF;Wilfley,DeniseE
抑郁等心理社会问题是乳腺癌及其治疗的长期后遗症，在相当少数的患者中存在。在一般人群和患者人群中，肥胖和体力活动等生活方式因素与抑郁症有关，这些和相关特征可能与乳腺癌幸存者的抑郁症有关。这项横断面研究的目的是检查与超重或肥胖女性（n=85）抑郁症相关的因素，这些女性已被诊断为早期乳腺癌并接受治疗。抑郁症状用贝克抑郁量表（BDI）测量，进食精神病理学用进食障碍检查问卷（EDE-Q）评估，体力活动用7天体力活动回忆评估。在双变量分析中，BDI与总体EDE-Q评分正相关（r= 0.56，P <0.01），与年龄负相关（r=-0.22，P <0.05）。控制体重指数，年龄，教育和其他因素，BDI与全球EDE-Q评分直接相关（P<0.001），与体力活动水平负相关（P<0.05），解释了61%的方差。饮食态度和行为以及身体活动水平与超重或肥胖乳腺癌幸存者的抑郁症状独立相关。版权所有© 2005年约翰威利父子有限公司。
Psychosocial problems such as depression are present as long‐term sequelae of breast cancer and its treatment in a substantial minority of patients. In general and patient populations, lifestyle factors such as obesity and physical activity have been associated with depression, and these and related characteristics may be associated with depression in breast cancer survivors. The purpose of this cross‐sectional study was to examine factors associated with depression in overweight or obese women (n=85) who had been diagnosed and treated for early stage breast cancer. Depressive symptoms were measured with the Beck depression inventory (BDI), eating psychopathology was assessed with the eating disorder examination—questionnaire (EDE‐Q), and physical activity was estimated with the seven‐day physical activity recall. BDI was directly correlated with global EDE‐Q score (r=0.56,P<0.01) and inversely associated with age (r=−0.22,P<0.05) in bivariate analysis. Controlling for body mass index, age, education and other factors, BDI was directly associated with global EDE‐Q score (P<0.001) and inversely associated with level of physical activity (P<0.05) in a model that explained 61% of the variance. Eating attitudes and behaviors, and physical activity level, are independently associated with depressive symptoms in overweight or obese breast cancer survivors. Copyright © 2005 John Wiley & Sons, Ltd.