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Prospective Associations Between Depressive Symptoms and the Metabolic Syndrome: the Spirited Life Study of Methodist Pastors in North Carolina.
- Source :
-
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine [Ann Behav Med] 2017 Aug; Vol. 51 (4), pp. 610-619. - Publication Year :
- 2017
-
Abstract
- Background: Metabolic syndrome (Met-S) has a robust concurrent association with depression. A small, methodologically limited literature suggests that Met-S and depression are reciprocally related over time, an association that could contribute to their overlapping influences on morbidity and mortality in cardiovascular disease, diabetes, and cancer.<br />Purpose: Using a refined approach to the measurement of Met-S as a continuous latent variable comprising continuous components, this study tested the prospective associations between Met-S and depression.<br />Methods: This study of 1114 clergy included four annual assessments of depressive symptoms and Met-S components. Standard methods were used to measure Met-S risk factors, and the Patient Health Questionnaire-8 was used to assess depressive symptoms. We used confirmatory factor analysis to verify the structure of Met-S and depression and structural equation modeling to quantify the prospective relationships.<br />Results: The statistical models confirmed the validity of quantifying Met-S as a continuous latent variable, replicated previous evidence of a concurrent association, and indicated a significant prospective association of initial depressive symptoms with subsequent Met-S. Initial Met-S was at most only weakly associated with subsequent depressive symptoms, and the former prospective effect was significantly larger. Associations of depressive symptoms and Met-S were significant for both men and women, but somewhat stronger among men.<br />Conclusions: Results support representation of Met-S as a continuous latent variable. The association of initial depressive symptoms with later Met-S suggests that interventions addressing these correlated risk factors may prove useful in preventive efforts.
- Subjects :
- Adult
Aged
Clergy statistics & numerical data
Comorbidity
Depression epidemiology
Female
Humans
Male
Metabolic Syndrome epidemiology
Middle Aged
North Carolina epidemiology
Patient Health Questionnaire
Risk Factors
Clergy psychology
Depression psychology
Metabolic Syndrome diagnosis
Protestantism psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1532-4796
- Volume :
- 51
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 28210925
- Full Text :
- https://doi.org/10.1007/s12160-017-9883-3