Forsberg Karl Anton, Björkman Tommy, Sandman Per Olof, Sandlund Mikael
Psychiatric clinic, Skellefteå Hospital, SE-931 86 Skellefteå, Sweden.
Nord J Psychiatry. 2008;62(6):486-95. doi: 10.1080/08039480801985179.
The objective was to explore the impact on physical health of a lifestyle programme among persons with psychiatric disabilities, and their caregivers. Their satisfaction with the intervention was also assessed. Somatic comorbidity and an increased mortality related to the lifestyle among persons with psychiatric disabilities are well known. Few randomized controlled trials have been aimed specifically at lifestyle issues among persons with a psychiatric disability. This trial includes clients with psychiatric disabilities living in supported housing and their staff. Forty-one persons with a DSM-?V diagnosis of severe mental illness from psychiatric disability from 10 supported housing facilities and 41 of their caregivers participated in this 12-month study during 2005-2006 in Sweden. The supported housing facilities with residents and staff were randomly assigned to either a health intervention programme or a control programme with an aesthetic content. The presence of metabolic syndrome and changes in the mean of physiological parameters such as Hba1c, P-glucose, P-insulin, lipids, blood pressure, physical working capacity, body mass index, Heart Score were investigated and participants' satisfaction assessed. There was a significant reduction in the mean of metabolic syndrome criteria in the intervention group compared with the control group at the follow-up. The participants expressed satisfaction with the programme. The results indicate that health interventions on lifestyle issues when involving carers are appreciated, feasible and could be successful in reducing some health-related risk factors among persons with psychiatric disabilities.
目的是探讨一项生活方式项目对患有精神疾病的人群及其照料者身体健康的影响。同时也评估了他们对该干预措施的满意度。患有精神疾病的人群存在躯体共病以及与生活方式相关的死亡率增加，这是众所周知的。很少有随机对照试验专门针对患有精神疾病的人群的生活方式问题。该试验纳入了居住在支持性住房中的患有精神疾病的客户及其工作人员。2005年至2006年期间，来自瑞典10个支持性住房设施的41名被诊断患有DSM-Ⅴ重度精神疾病的精神残疾患者及其41名照料者参与了这项为期12个月的研究。有居民和工作人员的支持性住房设施被随机分配到一个健康干预项目或一个具有美学内容的对照项目。研究了代谢综合征的存在情况以及生理参数平均值的变化，如糖化血红蛋白、血糖、胰岛素、血脂、血压、身体工作能力、体重指数、心脏评分，并评估了参与者的满意度。随访时，干预组的代谢综合征标准平均值与对照组相比有显著降低。参与者对该项目表示满意。结果表明，当涉及照料者时，针对生活方式问题的健康干预措施受到欢迎、可行，并且可能成功降低患有精神疾病的人群中一些与健康相关的风险因素。
