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精神疾病患者身体活动参与中的社交焦虑:一项横断面多中心研究。

Social anxiety in physical activity participation in patients with mental illness: a cross-sectional multicenter study.

机构信息

Faculty of Rehabilitation Science and Physiotherapy, Catholic University of Leuven, Leuven, Belgium.

出版信息

Depress Anxiety. 2013 Aug;30(8):757-62. doi: 10.1002/da.22059. Epub 2013 Mar 26.

DOI:10.1002/da.22059
PMID:23532913
Abstract

BACKGROUND

Social anxiety (SA) is a frequent comorbid condition in patients with mental illness. However, no data exist regarding SA in physical activity (PA) situations. The aim of the present study was to measure the level of self-reported SA in PA participation in patients with mental illness compared to healthy controls.

METHODS

Six hundred ninety-three patients with mental illness and 2,888 controls aged between 18 and 65 years completed the Physical Activity and Sport Anxiety Scale (PASAS). Group and gender differences in PASAS scores were tested by ANOVA and Scheffé's post hoc test.

RESULTS

After controlling for gender (P < .05), the patient group (men 40.2 ± 14.4; women 49.2 ± 17) scored higher on the PASAS compared to control group (men 30.6 ± 12.2; women 37.3 ± 13.7). Within both groups, women reported higher levels of SA compared to men.

CONCLUSIONS

Our data indicate that patients with mental illness reported higher levels of SA in PA situations compared to healthy control subjects. Health professionals should consider SA when trying to improve outcome and adherence of patients with mental illness to PA interventions.

摘要

背景

社交焦虑(SA)是精神疾病患者常见的共病情况。然而,目前尚无关于身体活动(PA)情境中 SA 的数据。本研究的目的是测量与健康对照组相比,精神疾病患者在参与 PA 时自我报告的 SA 水平。

方法

693 名年龄在 18 至 65 岁之间的精神疾病患者和 2888 名对照者完成了身体活动和运动焦虑量表(PASAS)。通过方差分析和 Scheffé 事后检验测试 PASAS 评分在组间和性别间的差异。

结果

在控制了性别因素后(P <.05),与对照组(男性 30.6 ± 12.2;女性 37.3 ± 13.7)相比,患者组(男性 40.2 ± 14.4;女性 49.2 ± 17)的 PASAS 评分更高。在两个组中,女性报告的 SA 水平均高于男性。

结论

我们的数据表明,与健康对照组相比,精神疾病患者在 PA 情境中报告的 SA 水平更高。健康专业人员在尝试改善精神疾病患者对 PA 干预的效果和依从性时,应考虑到 SA。

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