Psychiatric disorders of patients seeking obesity treatment.
Psychiatric disorders of patients seeking obesity treatment.
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DOI：
10.1186/1471-244x-13-1
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发表时间：
2013-01-02
期刊：
影响因子：
4.4
通讯作者：
Yen YC
中科院分区：
文献类型：
--
作者：
Lin HY;Huang CK;Tai CM;Lin HY;Kao YH;Tsai CC;Hsuan CF;Lee SL;Chi SC;Yen YC
肥胖和超重的人患慢性身体疾病和精神疾病的风险较高。据报道，肥胖与精神疾病呈正相关，尤其是对于寻求肥胖治疗的人。同时，肥胖治疗可能会受到心理因素或性格特征的影响。本研究旨在了解寻求肥胖治疗的华人中精神障碍的患病率。受试者是从台湾的肥胖治疗中心回顾性招募的。肥胖治疗包括减肥手术和非手术治疗。所有受试者均接受了标准化临床评估，包括两份问卷，并在需要时进行精神病转诊。精神病学诊断是通过使用 SCID 进行彻底的精神病学诊所访谈得出的。总共招募了 841 名患者。我们比较了接受手术和非手术治疗的患者精神疾病患病率的差异。在 841 名患者中，42% 至少患有一种精神疾病。情绪障碍、焦虑症和饮食失调是最常见的精神疾病类别。女性比男性更容易出现情绪障碍和饮食失调。手术组比非手术组有更多的暴食障碍、适应障碍和睡眠障碍。在寻求肥胖治疗的华人中发现精神疾病的患病率很高。这与美国和欧洲的研究结果一致。
Obese and overweight people have a higher risk of both chronic physical illness and mental illness. Obesity is reported to be positively associated with psychiatric disorders, especially in people who seek obesity treatment. At the same time, obesity treatment may be influenced by psychological factors or personality characteristics. This study aimed to understand the prevalence of mental disorders among ethnic Chinese who sought obesity treatment. Subjects were retrospectively recruited from an obesity treatment center in Taiwan. The obesity treatments included bariatric surgery and non-surgery treatment. All subjects underwent a standardized clinical evaluation with two questionnaires and a psychiatric referral when needed. The psychiatric diagnosis was made thorough psychiatric clinic interviews using the SCID. A total of 841 patients were recruited. We compared the difference in psychiatric disorder prevalence between patients with surgical and non-surgical treatment. Of the 841 patients, 42% had at least one psychiatric disorder. Mood disorders, anxiety disorders and eating disorders were the most prevalent categories of psychiatric disorders. Females had more mood disorders and eating disorders than males. The surgical group had more binge-eating disorder, adjustment disorder, and sleep disorders than the non-surgical group. A high prevalence of psychiatric disorders was found among ethnic Chinese seeking obesity treatment. This is consistent with study results in the US and Europe.