维生素D3水平及补充对女性抑郁症患者症状严重程度及生活质量的影响

Gabriela Zdunek, Arkadiusz Kołodziej, Mateusz Masiak
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摘要

介绍。维生素D3在人体中有许多功能。维生素D3对心理健康的影响见于各种神经和精神疾病。在本研究中,我们评估其对女性抑郁症患者的症状和生活质量的影响。该研究旨在确定较高的血清25(OH)D水平是否与女性抑郁发作患者较轻的抑郁症状和较好的生活质量相关,并确定维生素D3补充剂是否能减轻上述人群的抑郁症状并提高生活质量。材料和方法。33例患者被分为研究组(每天补充2000 IU维生素D3,持续2个月)和对照组。在研究开始和结束时,两组都测量了血清25(OH)D。采用BDI-II、HDRS和SF-36问卷对抑郁症状和生活质量进行评估,患者在基线时和两个月后填写问卷。研究组12例,对照组10例。结果与结论。在完成初始血液检查的患者(n=33)中,血清25(OH)D水平、抑郁症状严重程度和生活质量之间没有关联。研究组与对照组在抑郁评分和生活质量方面的变化无统计学差异。抑郁和生活质量评分变化与血清25(OH)D水平变化无相关性。两组血清25(OH)D水平差异有统计学意义(p=0.0004),对照组无统计学差异(p=0.06)。研究组和对照组的BDI-II抑郁评分差异有统计学意义(p=0.02和p=0.04)。在HDRS抑郁评分或SF-36生活质量评分中,研究组和对照组没有发现这种差异。因此,该研究并未显示补充维生素D3在减轻女性抑郁发作患者的抑郁症状或生活质量方面的益处。关键词:维生素D3,抑郁症,情绪障碍,生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The influence of vitamin D3 level and supplementation on the severity of symptoms and quality of life of female patients with depression
Introduction. Vitamin D3 has many functions in the human body. The impact of vitamin D3 on mental health is seen in various neurological and psychiatric disorders. In this study, we are assessing its impact on the symptoms and the quality of life of female patients with depressive episodes. Aim. The study aimed to determine whether higher levels of serum 25(OH)D correlate with milder symptoms of depression and better quality of life among female patients with depressive episodes as well as to establish whether vitamin D3 supplementation reduces the symptoms of depression and increases the quality of life in the population above. Material and methods. Patients (n=33) were divided into a study group (supplementing 2000 IU vitamin D3 daily for 2 months) and a control group. In both groups, the serum 25(OH)D was measured at the study’s beginning and end. The symptoms of depression and the quality of life were assessed using BDI-II, HDRS, and SF-36 questionnaires, which the patients answered at baseline and after two months. The trial was completed by 12 patients in the study group and 10 in the control group. Results and conclusion. No association between the serum 25(OH)D level, symptoms of depression severity, and life quality was shown in patients (n=33) who completed the initial bloodwork. No statistically significant difference was found in changes in depression scores and life quality between the study and control group. No correlation was found between the changes in the scores of depression and life quality and the changes in serum 25(OH)D levels. A statistically significant difference was found in the serum 25(OH)D levels (p=0.0004), with no such difference in the control group (p=0.06). A statistically significant difference was also found in the BDI-II depression scores both in the study and in the control group (p=0.02 and p=0.04). No such difference was found in the study or control in the HDRS depression score or SF-36 life quality score. Therefore, the study does not show the benefit of vitamin D3 supplementation in the reduction of depression symptoms or life quality in female patients with depressive episodes. Keywords: vitamin D3, depressive disorders, mood disorders, life quality.
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