Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts:: Results from a general population study
Relationships between obesity and DSM-IV major depressive disorder, suicide ideation, and suicide attempts:: Results from a general population study
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DOI：
10.2105/ajph.90.2.251
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发表时间：
2000-02-01
影响因子：
12.7
通讯作者：
Faith, MS
中科院分区：
文献类型：
--
作者：
Carpenter, KM;Hasin, DS;Faith, MS
目标.本研究旨在测试相对体重和临床抑郁症自杀意念之间的关系，并在美国成年人的一般人群样本自杀企图。受访者是40 086非洲裔美国人和白色参与者在全国调查采访。结果的措施是过去一年的抑郁症，自杀意念，自杀企图诊断根据精神疾病的诊断和统计手册，第四版。主要预测因素是相对体重，在logistic回归分析中进行连续（即体重指数[BMI]）和分类处理。协变量包括年龄、收入和教育、疾病状态、药物和酒精使用。相对体重与重性抑郁症、自杀企图和自杀意念有关，尽管男女之间的关系不同。在女性中，BMI增加与重度抑郁症和自杀意念有关。在男性中，较低的BMI与重度抑郁症、自杀企图和自杀意念有关。没有种族差异。BMI或体重状况的差异与过去一年的重度抑郁症、自杀企图、自杀未遂和自杀意念的概率相关。需要进行纵向研究，以区分连接身体和精神疾病的因果途径和机制。
Objectives. This study sought to test the relationships between relative body weight and clinical depression suicide ideation, and suicide attempts in adult US general population sample.Methods. Respondents were 40 086 African American and White participants interviewed in a national survey. Outcome measures were past-year major depression, suicide ideation, and suicide attempts diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. The primary predictor was relative body weight, treated both continuously (i.e. body mass index [BMI]) and categorically in logistic regression analyses. Covariates included age, income and education, disease status, and drug and alcohol use.Results. Relative body weight was associated with major depression, suicide attempts, and suicide ideation, although relationships were different for men and women. Among women, increased BMI was associated with both major depression and suicide ideation. Among men, lower BMI was associated with major depression, suicide attempts, and suicide ideation. There were no racial differences.Conclusions. Differences in BMI, or weight status, were associated with the probability of past-year major depression, suicide attempts, and suicide attempts, and suicide ideation. Longitudinal studies are needed to differentiate the causal pathways and mechanisms linking physical and psychiatric conditions.