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Published on: May 30, 2025
Interventions targeting comorbid depression and overweight/obesity: A systematic review
Bing Cao1, Jiatong Xu2, Ruonan Li2
1Key Laboratory of Cognition and Personality, Faculty of Psychology, Ministry of Education, Southwest University, Chongqing 400715, PR China; National Demonstration Center for Experimental Psychology Education, Southwest University, Chongqing 400715, PR China.
This review found limited evidence for treating obesity and depression together. However, cognitive behavioral therapy (CBT) with lifestyle changes, certain supplements, antidepressants, and anti-diabetic drugs show promise for this common comorbidity.
Area of Science:
- Medical research
- Psychiatry
- Public health
Background:
- Overweight/obesity and depression frequently co-occur, sharing underlying biological, social, and economic factors.
- This systematic review is the first to synthesize literature on interventions for this specific comorbidity.
Purpose of the Study:
- To comprehensively review and synthesize existing research on the effectiveness of interventions for individuals with comorbid overweight/obesity and depression.
Main Methods:
- A systematic search of multiple databases (MEDLINE, PsycINFO, etc.) was conducted up to November 2021.
- Included studies reported on pharmacological, psychological, or dietary interventions targeting both overweight/obesity and depression.
Main Results:
- 19 studies (15 RCTs, 4 uncontrolled) involving 3408 participants were analyzed.
- Evidence is insufficient for definitive evidence-based treatments for this dual condition.
- Combined cognitive behavioral therapy (CBT) and lifestyle interventions, nutritional supplements, antidepressants, and anti-diabetic agents showed some efficacy.
Conclusions:
- Concurrent management of depression and overweight/obesity is supported by current data.
- Further research is needed to evaluate interventions in real-world settings for patients with multiple chronic conditions.
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