emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университетemcardio-286Research ArticleОригинальные научные публикацииOriginal Scientific ResearchОценка частоты встречаемости и степени выраженности депрессии у пациентов с ожирением 1 степениEvaluation of the incidence and the degree of expression of depression in patients with class I obesityДрапкинаО. М.DrapkinaO. M.ШепельР. Н.ShepelR. N.ФГБУ «Государственный научно-исследовательский центр профилактической медицины» Минздрава РоссииNational Research Center for Preventive Medicine20181411202521169174Copyright © Драпкина О.М., Шепель Р.Н., 20252025Драпкина О.М., Шепель Р.Н.Drapkina O.M., Shepel R.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/286

Цель. Изучить частоту встречаемости депрессии у пациентов с ожирением 1 степени.Материалы и методы. Методом слепой рандомизации в исследование включено 60 пациентов, средний возраст 55,05±17,27 года, число мужчин и женщин - 20 (33,33%) и 40 (66,67%), соответственно. В зависимости от показателя индекса массы тела пациенты были разделены на 2 группы: 1-я группа – пациенты с нормальной массой тела (n=30); 2-я группа – пациенты с ожирением 1 степени (n=30). Всем пациентам была выполнена оценка антропометрических показателей (рост, вес, индекс массы тела). Оценку депрессивного синдрома оценивали по опроснику А. Бека.Результаты. Симптомы депрессии различной степени тяжести встречались на 20% (p=0,02) чаще у лиц с ожирением 1 степени по сравнению с пациентами с нормальной массой тела (53,3% и 33,3%, соответственно). Средний балл по шкале Бека в 1-й группе составил 7,47±5,45, в то время как аналогичный показатель во 2-й группе – 10,13±5,13. Общая частота случаев выявления симптомов депрессии во второй группе оказалась выше в 4 раза у женщин, чем у мужчин (n=12 (40%) и n=3 (10%), соответственно. У лиц с нормальной массой тела симптомы депрессии установлены у 33,3% участников (n=10).Выводы. 1) У лиц с ожирением 1 степени депрессивные симптомы встречаются чаще, чем у лиц с нормальной массой тела. 2) Каждый третий участник группы пациентов с нормальной массой тела имел симптомы депрессии. Данный факт должен учитываться врачами (особенно специалистами первичного звена здравоохранения) с целью коррекции и профилактики возможного развития ассоциированных с депрессией заболеваний. 3) Изучив степень выраженности депрессии у лиц с ожирением 1 степени на основе опросника Бека, можно рекомендовать применять научно обоснованные методы коррекции и профилактики патологических нарушений личности. 4) Полученные результаты могут быть использованы для оптимальных стратегий, тактик и средств психологического, психотерапевтического и врачебного воздействия, для разработки методов профилактики психических расстройств и патологических личностных поведенческих нарушений у лиц с ожирением 1 степени.

Objective. To study the incidence of depression in patients with class I obesity.Materials and methods. 60 patients were included in the study, the mean age was 55.05 ± 17.27 years, the number of men and women was 20 (33.33%) and 40 (66.67%), respectively. Depending on the body mass index, patients were divided into 2 groups: 1st group - patients with normal body weight (n = 30); 2nd group - patients with class I obesity (n = 30). All patients were evaluated by anthropometric indicators (height, weight and body mass index). Evaluation of the depressive syndrome was assessed by Beck's Depression Inventory .Results. Symptoms of depression of varying severity were 20% (p = 0.02) more common in persons with class I obesity compared with patients with normal body weight (53.3% and 33.3%, respectively). The average mark on the Beck scale in the 1st group was 7.47 ± 5.45, while in the 2nd group it was 10.13 ± 5.13. The overall incidence of depression in the 2nd group was 4-fold higher in women than in men (n = 12 (40%) and n = 3 (10%), respectively.) In people with normal body weight, the symptoms of depression were found in 33.3% of participants (n = 10).Conclusions. 1. In persons with class I obesity depressive symptoms are more common than in individuals with normal body weight. 2. Every third participant in the group of patients with normal body weight had symptoms of depression. Undoubtedly, this fact should be taken into account by doctors (especially specialists of primary health care) with the aim of correcting and preventing possible development of diseases associated with depression. 3. Having studied the severity of depression in persons with class I obesity on the basis of the Beck's Depression Inventory, it is possible to recommend using scientifically based methods of correction and prevention of pathological personality disorders. 4. The obtained results can be used for optimal strategies, tactics and means of psychological, psychotherapeutic and medical influence, for the development of methods for the preventing mental disorders and pathological personality behavioral disorders in persons with class I obesity.

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The authors declare that there are no conflicts of interest present.