Abstract:
BACKGROUND:A growing number of studies have associated metabolic syndrome (MetS) and depression, both retrospectively and prospectively. However, it has remained unclear, which degrees, or sub-dimensions of depression are related to MetS and if comorbid depression affects health care utilization. The purpose of the study was to determine the associations of a) somatic and cognitive-affective symptoms to MetS and b) depression and MetS to health care utilization. METHODS:In a population-based, representative survey of 14.499 participants we studied the associations of the two dimensions of depression with MetS and health care utilization. Depressive symptoms were assessed by the Patient Health Questionnaire (PHQ-9). RESULTS:MetS and its components were associated with the degree of depression, particularly with moderately severe/ severe depressive symptoms (PHQ-9 > = 15). There were clear positive associations of somatic-affective depressive symptoms with the presence of MetS and its components. Cognitive-affective symptoms were negatively associated with MetS. At the single item level, disorders of sleep and appetite as well as exhaustion were positively, while trouble concentrating was negatively associated with MetS. Symptoms of depression were related to higher consultations of somatic and mental health care, while the presence of MetS was related to somatic health care utilization. There was an additional interaction of depressive symptoms and MetS with mental health care. CONCLUSIONS:Somatic affective symptoms of depression are positively associated, while cognitive-affective symptoms are negatively associated with MetS.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Wiltink J,Michal M,Jünger C,Münzel T,Wild PS,Lackner KJ,Blettner M,Pfeiffer N,Brähler E,Beutel MEdoi
10.1186/s12888-018-1691-1subject
Has Abstractpub_date
2018-04-27 00:00:00pages
114issue
1issn
1471-244Xpii
10.1186/s12888-018-1691-1journal_volume
18pub_type
杂志文章相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:In clinical practice, sleep disturbance is often regarded as an epiphenomenon of the primary mental disorder. The aim of this study was to test if sleep disturbance, independently of primary mental disorders, is associated with current clinical state and benefit from treatment in a sample representative of p...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-12-179
更新日期:2012-10-29 00:00:00
abstract:BACKGROUND:Accurate assessment of suicidality is of major importance. We aimed to evaluate trained clinicians' ability to assess suicidality against a structured assessment made by trained raters. METHOD:Treating clinicians classified 218 adolescent psychiatric outpatients suffering from a depressive mood disorder int...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-8-97
更新日期:2008-12-31 00:00:00
abstract:BACKGROUND:Despite of an increasing body of research the associations between vitamin B12 and folate levels and the treatment outcome in depressive disorders are still unsolved. We therefore conducted this naturalistic prospective follow-up study. Our aim was to determine whether there were any associations between the...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-3-17
更新日期:2003-12-02 00:00:00
abstract:BACKGROUND:Despite the availability of evidence based treatments, many people with major depression receive no or delayed professional treatment, which may put them at risk for adverse outcomes. The aim of this study was to examine which demographic and need factors distinguish early, delayed and no treatment use. MET...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1531-8
更新日期:2017-11-16 00:00:00
abstract:BACKGROUND:Debate is ongoing about what role, if any, variation in the serotonin transporter linked polymorphic region (5-HTTLPR) plays in depression. Some studies report an interaction between 5-HTTLPR variation and stressful life events affecting the risk for depression, others report a main effect of 5-HTTLPR variat...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/1471-244X-13-304
更新日期:2013-11-12 00:00:00
abstract:BACKGROUND:Executive functioning impairment is common in substance use disorder and is a major risk factor for poor treatment outcomes, including treatment drop-out and relapse. Cognitive remediation interventions seek to improve executive functioning and offer a promising approach to increase the efficacy of alcohol a...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2044-4
更新日期:2019-02-13 00:00:00
abstract:BACKGROUND:The aim of this study was to develop and evaluate psychometric properties of the Clinical Decision Making Style (CDMS) scale which measures general preferences for decision making as well as preferences regarding the provision of information to the patient from the perspectives of people with severe mental i...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-48
更新日期:2013-02-04 00:00:00
abstract:BACKGROUND:The prevalence of smoking in patients with schizophrenia is higher than that in the general population and is an important medical issue. Short-term smoking cessation tends to worsen psychiatric symptoms in patients with schizophrenia but decreases sympathetic nervous system activity and improves plasma chol...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1250-1
更新日期:2017-03-07 00:00:00
abstract:BACKGROUND:Clinical assessment of depression is an important part of pre-surgical assessment among individuals with morbid obesity. However, there is no agreed-upon instrument to identify mood psychopathology in this population. We examined the reliability and criterion validity of the clinician-administered Montgomery...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0823-8
更新日期:2016-04-30 00:00:00
abstract:BACKGROUND:The prevalence of major depressive disorder (MDD) is highest in working age people and depression causes significant impairment in occupational functioning. Work productivity and work absence should be incorporated into clinical assessments but currently available scales may not be optimized for clinical use...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-78
更新日期:2009-12-03 00:00:00
abstract:BACKGROUND:Information regarding the distribution of evidence grades in psychiatry and psychotherapy guidelines is lacking. Based on the German evidence- and consensus- based (S3) psychiatry and psychotherapy and the Scottish Intercollegiate Guidelines Network (SIGN) treatment guidelines, we aimed to specify how guidel...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02897-2
更新日期:2020-10-12 00:00:00
abstract:BACKGROUND:Although the individual and economic disease burden of depression is particularly high for long-term symptoms, little is known of the lifetime course of chronic depression. Most evidence derives from clinical samples, and the diagnostic distinction between persistent depressive disorder (PDD) and non-chronic...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-2460-5
更新日期:2020-02-10 00:00:00
abstract:BACKGROUND:Carers provide both practical and emotional support and often play an important role in coordination of care for recipients. The demands of caring may lead to increased levels of stress for the carer, which can affect mental health and quality of life. This study examined the relationship between being a car...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02571-7
更新日期:2020-04-06 00:00:00
abstract:BACKGROUND:The time between discharge from hospital and transition to community and home is a critical period for health status among patients with a mental illness, including patients with schizophrenia. This study aimed to investigate crucial patient factors (patient-level) and hospital factors (hospital-level) affec...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-03001-4
更新日期:2020-12-14 00:00:00
abstract:BACKGROUND:Mental health literacy has received increasing attention as a useful strategy to promote early identification of mental disorders, reduce stigma and enhance help-seeking behaviors. However, despite the abundance of research on mental health literacy interventions, there is the absence of evaluations of curre...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-015-0681-9
更新日期:2015-11-17 00:00:00
abstract:BACKGROUND:Social anxiety disorder (SAD) is one of the most common mental disorders and causes subjective suffering and economic burden worldwide. Although effective treatments are available, a lot of cases go untreated. Internet-based self-help is a low-threshold and flexible treatment alternative for SAD. Various stu...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-14-115
更新日期:2014-04-15 00:00:00
abstract::Results of a randomised controlled trial testing the EFFect Of Running Therapy on Depression. BACKGROUND:This randomised controlled trial explored the anti-depressive and health effects of add-on exercise (running therapy or Nordic walking) in patients with Major Depressive Disorder (MDD). METHODS:Patients were recr...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-019-2156-x
更新日期:2019-06-10 00:00:00
abstract:BACKGROUND:Early dramatic treatment response suggests a subset of patients who respond to treatment before most of it has been offered. These early responders tend to be over represented among those who are well at termination and at follow-up. Early response patterns in psychotherapy have been investigated only for a ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1351-x
更新日期:2017-05-25 00:00:00
abstract:UNLABELLED:The WARM study is a longitudinal cohort study following infants of mothers with schizophrenia, bipolar disorder, depression and control from pregnancy to infant 1 year of age. BACKGROUND:Children of parents diagnosed with complex mental health problems including schizophrenia, bipolar disorder and depressio...
journal_title:BMC psychiatry
pub_type: 临床试验,杂志文章
doi:10.1186/s12888-015-0692-6
更新日期:2015-12-09 00:00:00
abstract:BACKGROUND:Increasing numbers of people with mental disorders receive services at primary care in China. The aims of this study are to evaluate impact of a new training course and supervision for community mental health staff to enhance their levels of mental health knowledge and to reduce their stigmatization toward p...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0660-1
更新日期:2015-10-26 00:00:00
abstract:BACKGROUND:Few studies have compared self-reported criminal behaviour with high-quality databases of criminal offences and judicial sanctions. Self-reported problems from drug abusers are generally believed to be valid. We assessed the validity of self-reported theft, drug offences and prison sentences from a five-year...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-8-2
更新日期:2008-01-07 00:00:00
abstract:BACKGROUND:Social dislocations resulting from coronavirus disease 2019 (COVID-19) pandemic have been prolonged, which has led to general population social suppression. The present study aimed to reveal risk factors associated with mental health problems and suggest concrete coping strategies in the context of COVID-19....
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-021-03047-y
更新日期:2021-01-12 00:00:00
abstract:BACKGROUND:The purpose of the study was to determine the effectiveness and tolerability of quetiapine as a maintenance treatment preventing against relapse or recurrence of acute mood episodes in adolescent patients diagnosed with bipolar disorder. METHODS:Consenting patients meeting DSM-IV lifetime criteria for a bip...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-9-4
更新日期:2009-02-06 00:00:00
abstract:BACKGROUND:Depression is an important public health problem and is closely associated with suicidal behavior in the population. Although the Center for Epidemiologic Studies Depression Scale (CES-D) is widely used for assessment of depression, the psychometric characteristics of this scale have not been explored in stu...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0458-1
更新日期:2015-04-09 00:00:00
abstract:BACKGROUND:Depression is common among people with diabetes, negatively affecting quality of life, treatment adherence and diabetes outcomes. In routine clinical care, diabetes patients have limited access to mental health services and depression therefore often remains untreated. Web-based therapy could potentially be ...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-8-9
更新日期:2008-02-19 00:00:00
abstract:BACKGROUND:The development of hospital service areas (HSAs) using small area analysis has been useful in examining variation in medical and surgical care; however, the techniques of small area analysis are underdeveloped in understanding psychiatric admission rates. We sought to develop these techniques in order to und...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-11-146
更新日期:2011-09-09 00:00:00
abstract:BACKGROUND:Atypical antipsychotics are increasingly used for treatment of mental illnesses like schizophrenia and bipolar disorder, and considered to have fewer extrapyramidal effects than older antipsychotics. METHODS:We examined efficacy in randomised trials of bipolar disorder where the presenting episode was eithe...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/1471-244X-7-40
更新日期:2007-08-16 00:00:00
abstract:BACKGROUND:The presence of depressive subsyndromal symptoms (SS) in bipolar disorder (BD) increases the risk of affective relapse and worsens social, cognitive functioning, and quality of life. Nonetheless, there are limited data on how to optimize the treatment of subthreshold depressive symptoms in BD. Mindfulness-Ba...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12888-014-0215-x
更新日期:2014-08-15 00:00:00
abstract:BACKGROUND:Patients with stress-related exhaustion suffer from cognitive impairments, which often remain after psychological treatment or work place interventions. It is important to find effective treatments that can address this problem. Therefore, the aim of this study was to investigate the effects on cognitive per...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-017-1457-1
更新日期:2017-09-02 00:00:00
abstract:BACKGROUND:Koro is a culture bound syndrome, which has been reported usually from Asian countries. It has been described as an acute, brief lasting illness, which often occurs in epidemics. There is no description in literature of a chronic form of this syndrome. CASE PRESENTATION:Two sporadic cases with koro-like sym...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-5-34
更新日期:2005-10-12 00:00:00