肥胖和心理上的痛苦
Andrew Steptoe1, Philipp Frank2
1Department of Behavioural Science and Health, University College London, 1-19 Torrington Place, London WC1E BT, UK.
概括
高体重与较差的心理健康,特别是抑郁症有关,有证据表明体重影响焦虑,而不是相反. 解决体重耻辱对于幸福和有效的体重管理至关重要.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 公共卫生 公共卫生
- 内分泌学 在内分泌学.
背景情况:
- 几十年的研究探索了高体重与心理健康之间的联系.
- 流行病学,机理学和心理学研究越来越多地澄清了这些关联.
- 高体重始终与较差的心理健康结果,特别是抑郁症有关.
研究的目的:
- 综合当前对高体重与心理健康之间的关系的理解.
- 探索协会的方向性,专注于体重影响心理健康.
- 识别介导生物和心理社会机制,并建议社会干预措施.
主要方法:
- 对基于人口的大规模流行病学研究的审查.
- 机械学和心理学研究的分析.
- 检查双向关系和调解因素的证据.
主要成果:
- 体重高与抑郁和抑郁症状的增加有关.
- 证据强烈支持体重增加导致心理痛苦,而不是相反.
- 体重耻辱和歧视对心理痛苦有很大影响.
- 系统性炎症和HPA轴调节障碍是关键的生物媒介.
结论:
- 高体重会对心理健康产生负面影响,焦虑往往来自体重本身.
- 体重耻辱加剧了心理痛苦,并阻碍了体重管理.
- 干预措施应侧重于改变社会对高体重的态度,以改善福祉并促进有效的,包容性的健康行为.
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