Posture and body image in individuals with major depressive disorder: a controlled study (original) (raw)
Related papers
2010
ABTRACT Objetive: The aim of this study was to assess quantitatively the posture and body image in patients with major depressive disorder (MDD) during the episode and after drug treatment, and to compare with healthy volunteers. Method: Thirty-four individuals with depression and 37 healthy volunteers were evaluated. Posture was assessed from subjects’ digital photos, using Corel Draw software guidelines and body landmarks. Body image was evaluated using the Body Shape Questionnaire (BSQ). Results: During depressive episodes, patients showed increased head flexion (p<0.001), increased thoracic kyphosis (p<0.001), tendency to pelvic sagittal left retroversion (p=0.012) and abduction of the left scapula (p = 0.046). During remission, posture was similar to controls. Contrasting controls and patients with MDD at week 1, differences were seen for head posture (p<0.001) and thoracic kyphosis (p<0.001). At weeks 8-10, differences were seen only for shoulder position. The BSQ ...
Differences and similarities in postural alterations caused by sadness and depression
Journal of Bodywork and Movement Therapies, 2013
The present study investigated the existence of a relationship between depression and body posture in 40 women, aged between 20 and 30 years, who had normal body mass indices (or were underweight) and absence of neurological, psychiatric, or musculoskeletal disorders. The aim of the present study was to investigate the existence of a relationship between sadness, depression and the posture represented by the angle of Tales, head inclination, shoulder inclination, and forward head and shoulder protrusion. The degree of depression was rated on analogue scales representing current and usual depression and current and usual sadness and by the Beck Depression Inventory. The results indicated that a relationship exists between: Beck depression and the angle of Tales (p Z 0.01), current depression and inclination of the head (p Z 0.05) and inclination of the shoulders (p Z 0.006), and usual depression and protrusion of the shoulder (p Z 0.02). Inclination of the shoulders is associated with current sadness (p Z 0.03; r Z 0.443) and usual sadness (p Z 0.04; r Z 0.401). Usual sadness is also associated with protrusion of the shoulder (p Z 0.05; r Z 0.492). No associations were found with protrusion of the head and the emotional variables assessed. The conclusion was that depression and sadness might possibly change posture. Consequently, postural assessment and treatment may assist in diagnosing and treating depression. ª
Gait & Posture, 2017
The aim of this study was to investigate associations between poor spinal posture and the recurrence of major depressive episodes and severity of symptoms in patients with major depressive disorder (MDD). This was a cross-sectional quantitative study of MDD patients. Outpatients were recruited from consecutive admissions at a mood disorders unit of a tertiary psychiatric hospital. Of 136 MDD patients, 72 (53 women, 19 men; mean age, 42.4 AE 9.1 years) met all the criteria and completed the study. Fortyone patients were classified with a recurrent episode (RE) of MDD and 31 with a single episode (SE). Quantitative assessments of postural deviations were made using photogrammetry, including kyphosis, shoulder protraction, and head inclination. The severity of depressive episodes was assessed using the Hamilton Depression Rating Scale. The diagnosis and classification of patients were performed according to DSM-IV-TR and SCID criteria. Multivariate analysis of variance indicated that the RE group had greater anterior head inclination (35.39; SD: 1.57), greater scapular abduction (1.69; SD: 0.93), and worse thoracic kyphosis (139.38; SD: 1.19) than the SE group (p < 0.001 for all). Multivariate analysis of covariance showed an interaction between the severity of depressive symptoms and the degree of thoracic kyphosis (p = 0.002). Recurrence of depressive episodes is associated with measures of postural misalignment.
Brain and neurological disorders, 2022
Aim and Background: Body image refers to the perception and feeling that a person has about his/her physical self and its constituents. This research studies the comparison of body image distortion in patients with depression and normal in Rafsanjan city, Iran. Method: This is a descriptive-analytical study with case and control group. The investigated population consists of all patients with depressive disorder who referred to psychiatric Children and Adolesce outpatient clinics of Rafsanjan City (A city in southwest of Iran) in 2014. Drawing test of "Good enough-Harris" had been used in 40 depressed patients and 40 non-depressed as a control group.Chi-square test for data analyzing had been used. Results: The results showed that depressed patients in painting of the dummies were different in the most aspects as compared to control group. Conclusion: We suggest using "dummy test Good enough-Harris " in order to complementary diagnosis of depressed Persons.
Upright posture improves affect and fatigue in people with depressive symptoms
Journal of Behavior Therapy and Experimental Psychiatry, 2017
Background and objectives: Slumped posture is a diagnostic feature of depression. While research shows upright posture improves self-esteem and mood in healthy samples, little research has investigated this in depressed samples. This study aimed to investigate whether changing posture could reduce negative affect and fatigue in people with mild to moderate depression undergoing a stressful task. Methods: Sixty-one community participants who screened positive for mild to moderate depression were recruited into a study purportedly on the effects of physiotherapy tape on cognitive function. They were randomized to sit with usual posture or upright posture and physiotherapy tape was applied. Participants completed the Trier Social Stress Test speech task. Changes in affect and fatigue were assessed. The words spoken by the participants during their speeches were analysed. Results: At baseline, all participants had significantly more slumped posture than normative data. The postural manipulation significantly improved posture and increased high arousal positive affect and fatigue compared to usual posture. The upright group spoke significantly more words than the usual posture group, used fewer first person singular personal pronouns, but more sadness words. Upright shoulder angle was associated with lower negative affect and lower anxiety across both groups. Limitations: The experiment was only brief and a non-clinical sample was used. Conclusions: This preliminary study suggests that adopting an upright posture may increase positive affect, reduce fatigue, and decrease self-focus in people with mild-to-moderate depression. Future research should investigate postural manipulations over a longer time period and in samples with clinically diagnosed depression.
Psychiatry Investigation, 2020
Objective Although neuroimaging studies have shown volumetric reductions, such as the anterior cingulate, prefrontal cortices, and hippocampus in patients with major depressive disorder (MDD), few studies have investigated the volume of or shape alterations in the subcortical regions and the brainstem. We hypothesized that medication-naïve female adult patients with MDD might present with shape and volume alterations in the subcortical regions, including the brainstem, compared to healthy controls (HCs).Methods A total of 20 medication-naïve female patients with MDD and 21 age-matched female HCs, underwent 3D T1-weighted structural magnetic resonance scanning. We analyzed the volumes of each subcortical region and each brainstem region, including the midbrain, pons, and medulla oblongata. We also performed surface-based vertex analyses on the subcortical areas and brainstem.Results Female patients with MDD showed non-significant volumetric differences in the subcortical regions, who...
Major depressive disorder alters perception of emotional body movements
Frontiers in psychiatry, 2014
Much recent research has shown an association between mood disorders and an altered emotion perception. However, these studies were conducted mainly with stimuli such as faces. This is the first study to examine possible differences in how people with major depressive disorder (MDD) and healthy controls perceive emotions expressed via body movements. Thirty patients with MDD and thirty healthy controls observed the video scenes of human interactions conveyed by point-light displays (PLDs). They rated the depicted emotions and judged their confidence in their rating. Results showed that patients with MDD rated the depicted interactions more negatively than healthy controls. They also rated interactions with negative emotionality as being more intense and were more confident in their ratings. It is concluded that patients with MDD exhibit an altered emotion perception compared to healthy controls when rating emotions expressed via body movements depicted in PLDs.
Relationship between body image disturbance and incidence of depression: the SUN prospective cohort
BMC Public Health, 2009
Background: Body image disturbance is an increasing problem in Western societies and is associated with a number of mental health outcomes including anorexia, bulimia, body dysmorphia, and depression. The aim of this study was to assess the association between body image disturbance and the incidence of depression. Methods: This study included 10,286 participants from a dynamic prospective cohort of Spanish university graduates, who were followed-up for a median period of 4.2 years (Seguimiento Universidad de Navarrathe SUN study). The key characteristic of the study is the permanently open recruitment that started in 1999. The baseline questionnaire included information about body mass index (BMI) and the nine figure schemes that were used to assess body size perception. These variables were grouped according to recommended classifications and the difference between BMI and body size perception was considered as a proxy of body image disturbance. A subject was classified as an incident case of depression if he/she was initially free of depression and reported a physician-made diagnosis of depression and/or the use of antidepressant medication in at least one of the follow-up questionnaires. The association between body image disturbance and the incidence of depression was estimated by calculating the multivariable adjusted Odds Ratio (OR) and its 95% Confidence Interval (95% CI), using logistic regression models. Results: The cumulative incidence of depression during follow-up in the cohort was 4.8%. Men who underestimated their body size had a high percentage of overweight and obesity (50.1% and 12.6%, respectively), whereas women who overestimated their body size had a high percentage of underweight (87.6%). The underestimation exhibited a negative association with the incidence of depression among women (OR: 0.72, 95% CI: 0.54-0.95), but this effect disappeared after adjusting for possible confounding variables. The proportion of participants who correctly perceived their body size was high (53.3%) and gross misperception was seldom found, with most cases selecting only one silhouette below (42.7%) or above (2.6%) their actual BMI. Conclusion: We found no association between body image disturbance and subsequent depression in a cohort of university graduates in Spain.
Journal of Psychosomatic Research, 2010
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