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Body mass index and atypical balance as predictors of winter depression remission in cognitive-behavioral therapy and light therapy.

Journal of affective disorders
January 1, 1970
Praise Iyiewuare et al. (3 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
cognitive-behavioral therapy (CBT-SAD)
increase
depression remission
adults diagnosed with Major Depression, Recurrent with Seasonal Pattern
-
prescriptively predicted higher likelihood of depression remission
#1
light therapy (LT)
no change
depression remission
adults diagnosed with Major Depression, Recurrent with Seasonal Pattern
-
did not prescriptively predict higher likelihood of depression remission
#2
cognitive-behavioral therapy (CBT-SAD)
increase
depression remission
adults diagnosed with Major Depression, Recurrent with Seasonal Pattern with BMI ≤ 26.1
-
probability of remission was higher
#3
light therapy (LT)
decrease
depression remission
adults diagnosed with Major Depression, Recurrent with Seasonal Pattern with BMI ≤ 26.1
-
probability of remission was lower
#4
cognitive-behavioral therapy (CBT-SAD)
increase
depression remission
adults diagnosed with Major Depression, Recurrent with Seasonal Pattern with atypical balance ≤ 40.3%
40.3%
probability of remission was higher
#5
light therapy (LT)
decrease
depression remission
adults diagnosed with Major Depression, Recurrent with Seasonal Pattern with atypical balance ≤ 40.3%
40.3%
probability of remission was lower
#6
Abstract

BACKGROUND: Efficacious treatments for winter seasonal affective disorder (SAD) include light therapy (LT) and cognitive-behavioral therapy (CBT-SAD); however, baseline characteristics may differentially predict treatment outcomes. This study investigated body mass index (BMI) and atypical balance (the proportion of atypical depression symptoms), as predictors of depression remission. METHODS: The parent study randomized 177 adults diagnosed with Major Depression, Recurrent with Seasonal Pattern to 6-weeks of CBT-SAD (n = 88) or LT (n = 89) and followed participants one and two winters later. At baseline, BMI was measured and atypical balance was derived using the Structured Interview Guide for the Hamilton Rating Scale for Depression-Seasonal Affective Disorder Version (SIGH-SAD) as 8-item atypical subscale score/total SIGH-SAD score × 100. Depression remission was defined using standard SIGH-SAD cutpoints. Hierarchical logistic regressions tested the main effects of treatment modality, BMI, and atypical balance and their interactive effects on depression remission at post-treatment and follow-ups. RESULTS: The BMI × treatment and atypical balance × treatment interactions significantly predicted depression remission at second winter follow-up. The probability of remission was higher in CBT-SAD than LT at BMI ≤ 26.1 and atypical balance ≤ 40.3%. This predictive relationship survived when adjusting atypical balance for BMI, but not vice-versa. LIMITATIONS: Participants were predominantly White and older. BMI does not account for muscle mass or fat distribution. CONCLUSIONS: BMI and atypical balance prescriptively predicted higher likelihood of depression remission two winters following CBT-SAD but not LT. This work informs clinical decision-making and precision medicine efforts.

Medical Subject Headings (MeSH)
AdultBody Mass IndexCognitive Behavioral TherapyHumansPhototherapySeasonal Affective DisorderTreatment Outcome
Study Links
Citation Metrics
Total Citations3
Citations/Year1.0
Relative Citation Ratio0.55
NIH Percentile30%
Research Impact Scores
APT Score0.25
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Body mass index and atypical balance as predictors of winter... | Panacea Index