Citation

Martinac M, Bevanda D, Bevanda-Glibo D, Tomić I, Tomić M, Bevanda M, Vasilj I. Alcohol. Psychiatry Res. 2016; 52(1): 17-32.

Copyright

(Copyright © 2016, Department of Psychiatry, University Hospital Center Sestre milosrdnice, Publisher Hrčak)

DOI

unavailable

PMID

unavailable

Abstract

There is a growing quantity of data showing that mental illnesses affect the somatic health. Depression is a complex disease, connected with the disturbances of sleep-cycle, appetite, body weight and level of physical activity, all of which may represent the risk factors for the development of metabolic disturbances. In the depressive patients, there is a number of various physiological mechanisms and psychosocial factors which may influence the development of metabolic syndrome (MS), such as sex, age, smoking, stress levels, nutrition and level of physical activity. It is considered that chronic stress causes depression and the resulting bad life habits may lead to MS and finally KVB. Aim of this study was to investigate the psychosocial and clinical features of depressive patients with the diagnosis of MS. The cross-reference study has been done at the sample of 80 patients diagnosed with MS. Among the diagnostic instruments applied, we have used the structured socio-demographic questionnaire, MINI questionnaire, Hamilton Rating Scale for Depression (HAMD-17) and Clinical Global Impression (CGI). The diagnosis of metabolic syndrome had been established following the NCEP ATP criteria. Among the depressive patients, there were 38.8% who fulfilled the criteria for establishing the diagnosis of MS. There was a greater incidence of suicide among the depressive patients with the diagnosis of MS. The diagnose was more frequently established in depressive women, while an increased intake of carbohydrates represented a significant feature of both depression and MS. Further research is needed to explain the observed gender differences and to determine if the interventions aimed to treating the depression can also contribute to accepting the healthy life habits and as a consequence, indirectly reduce the incidence of MS. © 2015 KBCSM, Zagreb.

Language: en

Keywords

adult; human; Depression; suicide; female; male; depression; suicide attempt; major clinical study; clinical feature; social psychology; melancholia; cross-sectional study; demography; hypertension; smoking habit; carbohydrate; Metabolic syndrome; Psychosocial factors; smoking cessation; disease duration; hyperglycemia; Article; hypertriglyceridemia; metabolic syndrome X; Clinical Global Impression scale; abdominal obesity; carbohydrate intake; Hamilton Depression Rating Scale