Obesity and Depression in Primary Care - Results from the INTERACT Study

Zusammenfassung Anliegen Untersuchung der Pravalenz von depressiven Storungen bei von Adipositas betroffenen Patienten einer Mitteldeutschen Allgemeinarztstichprobe. Methoden 131 Patienten der INTERACT-Studie mit Adipositas (BMI >= 30); Einsatz des PHQ-9 zur Erfassung depressiver Storungen. Ergebnisse 29% der Patienten mit Adipositas zeigen eine Major Depression, 31% eine subklinische depressive Storung. Schlussfolgerung Die hohe Komorbiditat von Adipositas mit depressiven Storungen auf klinischem sowie subklinischem Niveau birgt besondere Herausforderungen fur die Behandlung in der Primarversorgung. Abstract Objective Comorbid mental conditions affect course and outcome of somatic disorders negatively. Therefore, we aimed to determine the prevalence of depressive disorders in primary care patients with obesity. Methods 131 primary care patients with obesity who participated in the baseline assessment of the INTERACT study were regularly interviewed with PHQ-9. The prevalence of depression in obesity was determined. Results 29% of patients with obesity had a Major Depression, further 31% showed subclinical depressive symptoms. The prevalence of depression is highest in patients with obesity level III. Conclusion Obesity is highly associated with comorbid depression and challenges treatment in primary care.