這篇是我上學期期末分享報告時選的， 一篇很有興趣的新聞， 新聞來源是時代雜誌。 英文翻譯得很爛請不要轟我感恩。 Study: The Link between Diabetes and Depression Goes Both Ways 研究報告：糖尿病與憂鬱症之間的雙向關係 By Erin Skarda Wednesday, November 24, 2010 Two common conditions — depression and diabetes — frequently appear together, and a new study by researchers from the Harvard School of Public Health suggests that each illness may be both a consequence and a contributor to the other. 糖尿病與憂鬱症這兩種常見的疾病經常被一同提及，一篇來自於美國哈佛大學公共衛生學 院研究人員所發表的最新研究指出，這兩種疾病間可能對彼此的後果與互相促成有所影響 The 10-year study followed 65,381 women, ages 50 to 75, who were participating in the Nurses' Health Study. Over the course of the research, depression and new cases of Type 2 diabetes were monitored: 2,844 women from the group were diagnosed with diabetes and 7,415 women developed depression — unsurprising numbers based on the prevalence of both illnesses. 一篇長達十年的研究追蹤了65381位參與美國護士健康調查的50到75歲女性，在研究過程 中監控著憂鬱症與第二型糖尿病的新病例，有2844女性診斷出罹患有糖尿病，而有7415女 性被發現罹患有憂鬱症，以此兩種疾病為基礎的盛行率數字並不讓人感到訝異。 Researchers also found a correlation between the conditions: women who suffered from depression were 17% more likely to develop Type 2 diabetes during the study period than women who weren't depressed; women with diabetes were 29% more likely to develop depression than women without diabetes, even after adjusting for other mood disorders and risk factors, such as weight and lack of frequent exercise. 研究人員也發現到這兩種疾病之間的關聯性：既使調整消除了其他情緒障礙疾病和風險因 子，例如體重或缺少運動等狀況的干擾後，仍發現患有憂鬱症的女性比起研究期間沒有罹 患憂鬱症的女性要多出17％的機率容易患有第二型糖尿病，而罹患有糖尿病的女性比起沒 有糖尿病的女性高出29％的機率容易罹患有憂鬱症， Additionally, the more severe the depression or diabetes was, the more likely that women would develop the other disease. Women whose diabetes was serious enough to require insulin, for instance, were 53% more likely to develop depression during the 10-year time frame, compared with women without diabetes. And women who took antidepressants to manage their depression were 25% more likely than undepressed women to develop diabetes. 此外，當這些女性罹患的憂鬱症或糖尿病越嚴重，就越容易罹患另一種疾病。例如，與沒 有罹患糖尿病的女性比較發現，罹患有嚴重糖尿病而需要注射胰島素的女性在十年間 罹患有憂鬱症的機率高出了53％。 而需要服用抑鬱藥物來控制憂鬱症的女性，比起沒有罹患憂鬱症的女性 要多出25％的機率容易罹患有糖尿病。 Lead researcher Dr. Frank Hu, professor of nutrition and epidemiology, told WebMD that factors such as physical activity and body mass index (BMI) might partially explain the connection between the two illnesses, but that the more likely common denominator is stress. 研究計畫主持人胡‧法蘭克博士，營養學與流行病學教授，向中央社表示：一些影響因子 例如身體活動與身體質量指數等，可能可以用來解釋這兩個疾病之間的關連性，但更可能 的共同影響特性應該是壓力。 High levels of stress hormones, which are often found in people who are depressed, can lead to problems with glucose and blood sugar metabolism, increased insulin resistance and an accumulation of stomach fat — all risk factors for diabetes. Depression also tends to lead to unhealthy lifestyle behaviors, such as eating a poor diet and not exercising, which may further up the risk of diabetes. 高程度下的壓力賀爾蒙通常很容易在憂鬱的人們上被發現，除了會造成葡萄糖與血糖代謝 的問題外，也會增加胰島素阻抗與腹部脂肪的堆積，而這些正好都是影響糖尿病形成的風 險因子。憂鬱症也會趨使養成不健康的生活習慣，例如吃不健康的食物或是不運動，這些 狀況都將更進一步造成糖尿病的風險。 Conversely, people with diabetes must deal with managing a chronic disease, which requires changing diet and lifestyle and adjusting to various prescription medications, so it's easy to see how the disease could increase stress levels and risk of depression. 相反地，罹患有糖尿病的人必須面對慢性疾病的控制，需要改變飲食與生活方式並且適應 各種處方藥。這就是為什麼我們可以輕易的瞭解，罹患糖尿病會增加壓力的程度與憂鬱症 的風險。 The study's authors say, therefore, that doctors should take care to address the psychological aspects of disease management with diabetes patients, and pay attention to blood sugar levels and other signs of diabetes in patients diagnosed with clinical depression. 因此這項研究的作者提到，醫師應該要關注糖尿病患控制其病情時的心理層面，另外也該 專注於那些被診斷為憂鬱症患者的血糖程度與任何有關糖尿病的警訊。 The new study was published this week in the Archives of Internal Medicine. 這篇最新的研究將出版於《內科醫學檔案》期刊裡。 -- 對不起成了這國家的口頭禪， 道歉敵不過口沫橫飛， 鞠躬搖身為一種全民運動。 聲嘶力竭若被加諸為暴民的冷然姿態， 某天醒來，我們正撿拾著散落一地的破碎自由， 罪名肆無忌憚。 --

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