Obesity as a Prospective Predictor of Depression in Adolescent Females
Obesity as a Prospective Predictor of Depression in Adolescent Females
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DOI：
10.1037/a0018645
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发表时间：
2010-05-01
影响因子：
4.2
通讯作者：
Stice, Eric
中科院分区：
文献类型：
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作者：
Boutelle, Kerri N.;Hannan, Peter;Stice, Eric
目的：肥胖和抑郁在青少年时期都很突出，肥胖可能是青少年抑郁的诱因。本研究旨在探讨超重或肥胖是否与青春期女性抑郁症的发生发展有关。设计图：参与者是496名青春期女孩，她们完成了基于抑郁症的测量，并在四年的评估中测量了她们的身高和体重。重复测量logistic回归与广义估计方程被用来评估是否超重或肥胖状态与抑郁症或抑郁症状的增加次年。主要结果测量：使用K-SADS访谈的修改版本评估重性抑郁症和抑郁症状。超重和肥胖状态通过使用标准化方案测量身高和体重来确定。结果：结果表明，肥胖状态，而不是超重状态，与未来的抑郁症状，但不重性抑郁症。这项研究表明，肥胖是抑郁症状的危险因素，但不是临床抑郁症。结论：由于抑郁症状被认为是沿着抑郁症的光谱与临床抑郁症在高端，这些结果表明，体重状况可以被认为是一个因素沿着的途径，在一些青春期女性抑郁症的发展。
Objective: Both obesity and depression are prominent during adolescence, and it is possible that obesity is a trigger for adolescent depression. The purpose of this paper is to evaluate whether overweight or obese status contributes to the development of depression in adolescent girls. Design: Participants were 496 adolescent girls who completed interview based measures of depression and had their height and weight measured at four yearly assessments. Repeated measures logistic regressions with generalized estimating equations were used to evaluate whether overweight or obese status were associated with major depression or an increase in depressive symptoms the following year. Main Outcome Measures: Major depression and depressive symptoms were evaluating using a modified version of the K-SADS interview. Overweight and obese status was determined by using standardized protocols to measure height and weight. Results: Results showed that obese status, not overweight status, was associated with future depressive symptoms, but not major depression. This study demonstrated that obesity is a risk factor for depressive symptoms, but not for clinical depression. Conclusions: As depressive symptoms are considered along the spectrum of depression with clinical depression at the high end, these results suggest that weight status could be considered a factor along the pathway of development of depression in some adolescent females.