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Is there a relationship between morbid obesity and depression?

Published online by Cambridge University Press:  23 March 2020

L. Martínez
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
L. Pujol
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
M. Angelats
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
I. Ezquiaga
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
M. Grifell
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
Á. Palma
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
E. Belmonte
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
L. Pérez
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
V. Pérez-Solá
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain
P. Salgado
Affiliation:
Institut de neuropsiquiatria i addiccions, Parc de Salut Mar, institut hospital del Mar d’Investigacions Mèdiques, CIBERSAM G21, psychiatry, Barcelona, Spain

Abstract

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Introduction

A considerable proportion of patients with morbid obesity require treatment with antidepressants.

Objectives

The aim of this study is to determine the incidence of patients who are in antidepressant treatment and identify risk factors for the need of this treatment in patients with morbid obesity.

Materials and methods

Retrospective cohort study of 292 patients with morbid obesity who underwent bariatric surgery at Hospital del Mar from January 2010 to November 2015. The incidence of antidepressant treatment was analyzed, and also its possible relationship with the following variables: age, sex, BMI, tobacco smoking, alcohol consumption and age of onset of obesity. Chi2 test for categorical variables and Student t-test for quantitative variables were applied. Afterwards, a multivariate analysis was performed using logistic regression.

Results

The mean age is 43.1 years. Most of the patients (76.4%) are women. Seventy-seven patients (26.4%) are receiving treatment with antidepressants. There is a statistically significant relationship between age and the need of treatment with antidepressants (P < 0.001). This relationship is still present when the variables are analyzed using logistic regression (P < 0.005, OR 1.049). We have not found any significant relationship with the rest of the variables.

Conclusions

Despite the large number of patients in the study, there are limitations, such as being a retrospective study and not being adjusted for confounding factors. From all the variables that have been analyzed we have found that as the age of the patients increase, there is a higher number of patients that receive treatment with antidepressants.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Walk: Depression - part 3 and obsessive-compulsive disorder
Copyright
Copyright © European Psychiatric Association 2017
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