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重症精神疾病患者的身体活动:临床及研究应用评估的可行性

Physical activity in patients who are severely mentally ill: feasibility of assessment for clinical and research applications.

作者信息

Dubbert Patricia M, White Jeffrey D, Grothe Karen B, O'Jile Judith, Kirchner Kent A

机构信息

G.V. Montgomery Veterans Affairs Medical Center, 1500 E. Woodrow Wilson Drive, Jackson, MS 39216, USA.

出版信息

Arch Psychiatr Nurs. 2006 Oct;20(5):205-9. doi: 10.1016/j.apnu.2006.04.002.

DOI:10.1016/j.apnu.2006.04.002
PMID:17010823
Abstract

Few studies have examined physical activity in patients who are severely mentally ill. We assessed feasibility and validity of using standardized self-report and objective measures of physical activity in 20 community-dwelling veteran patients, most with psychotic disorders and substance abuse in remission. Test-retest reliability of a past week physical activity survey and the Community Healthy Activities Model Program for Seniors interview were evaluated with repeated interviews. RT3 accelerometer data provided objective physical activity data. Test-retest reliability and validity correlations for the self-report instruments were similar in magnitude to those reported for nonclinical adult samples. Some activity measures were correlated with cognitive status and quality of life. Results indicate that self-reported physical activity can provide valid information for clinical and research applications in mental health settings. Correlations between physical activity measures and psychiatric symptoms suggested interesting patterns for future study.

摘要

很少有研究调查过重症精神病患者的身体活动情况。我们评估了在20名社区居住的退伍军人患者中使用标准化自我报告和身体活动客观测量方法的可行性和有效性,这些患者大多患有精神疾病且药物滥用已缓解。通过重复访谈评估了过去一周身体活动调查和老年人社区健康活动示范项目访谈的重测信度。RT3加速度计数据提供了客观的身体活动数据。自我报告工具的重测信度和效度相关性在大小上与非临床成人样本报告的相似。一些活动测量与认知状态和生活质量相关。结果表明,自我报告的身体活动可为心理健康环境中的临床和研究应用提供有效信息。身体活动测量与精神症状之间的相关性为未来研究提出了有趣的模式。

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