中華心理衛生協會

Purpose: The aim of present study was to investigate the associations between metabolic syndromes and psychological factors in Taiwanese adults underwent health examination. This is a pilot investigation study to examine whether the association found in West culture could be replicated in Taiwan. Methods: In this cross-sectional study, 547 participants (mean age 50.35, SD 15.18), were recruited from the health examination department of a hospital from November 2009 to May 2011. All participants completed 4 psychosocial scales, including the Beck Depression Inventory-II, the State-Trait Anxiety Inventory, the Chinese Hostility Inventory--Short Form, and the Type D Scale-Taiwanese version. The physical examination data collected included height, weight, triglycerides, fasting glucose, high-density lipoprotein, systolic blood pressure, and diastolic blood pressure. Results: The results of t-tests showed significant differences between metabolic and non-metabolic participants in body mass index, triglycerides, fasting glucose, highdensity lipoprotein, systolic blood pressure, and diastolic blood pressure for physical factors (p＜.01), as well as depression and hostility (p＜.05). There were positive correlations between depression and fasting glucose (r=.14, p＜.01), hostility and triglycerides(r=.34, p＜.001), negative affect and high-density lipoprotein (r=.18, p＜.01), and social inhibition and diastolic blood pressure(r=.15, p＜.05). The results of hierarchical regression analyses after controlling for age, gender, family history, and exercise showed that hostility was significantly associated with triglycerides (β=.22, p＜.001) and depression was significantly associated with fasting glucose (β=.13, p＜.01). Conclusions: Independent of traditional risk factors, including age, gender, family history, and exercise, there are positive associations between psychological factors and metabolic syndromes.