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双相障碍的营养、运动和健康治疗:综合干预的概念验证。

Nutrition, Exercise, and Wellness Treatment in bipolar disorder: proof of concept for a consolidated intervention.

机构信息

Department of Psychiatry, Massachusetts General Hospital, 50 Staniford St, Suite 580, Boston, MA 02114, USA ; Harvard Medical School, Boston, MA 02115, USA.

Department of Psychiatry, Massachusetts General Hospital, 50 Staniford St, Suite 580, Boston, MA 02114, USA.

出版信息

Int J Bipolar Disord. 2013 Oct 1;1(1):24. doi: 10.1186/2194-7511-1-24.

Abstract

BACKGROUND

This pilot study examines the proof of concept of a consolidated Nutrition, Exercise, and Wellness Treatment (NEW Tx) for overweight individuals with bipolar disorder.

FINDINGS

Five participants completed NEW Tx, a 20-week individual cognitive behavioral therapy-based treatment comprising three modules: Nutrition teaches appropriate serving sizes and balanced diet; Exercise emphasizes increasing weekly physical activity; Wellness focuses on skills for healthy decision-making. Participants attended most sessions and reported high satisfaction with the treatment. Participants' weight, cholesterol and trigyclerides decreased over the study duration as well as number of daily calories and sugar intake. We found that weekly exercise duration more than tripled over the study duration and depressive symptoms and functioning have improved.

CONCLUSIONS

These results offer proof of concept that consolidated NEW Tx is feasible and acceptable and has the potential to improve nutrition, exercise, wellness, and mood symptoms in bipolar disorder. Future iterations of NEW Tx will reflect the strengths and lessons learned from this study.

摘要

背景

本试点研究旨在验证针对超重双相障碍患者的综合营养、运动和健康治疗(NEW Tx)的概念验证。

结果

五名参与者完成了 NEW Tx,这是一种为期 20 周的个体认知行为治疗为基础的治疗方法,包括三个模块:营养部分教授适当的份量和均衡饮食;运动部分强调增加每周的身体活动;健康部分专注于健康决策的技能。参与者大多参加了课程,并对治疗的满意度很高。研究期间,参与者的体重、胆固醇和三酸甘油酯下降,每日卡路里和糖摄入量也减少。我们发现,研究期间每周的运动时间增加了两倍多,抑郁症状和功能得到了改善。

结论

这些结果提供了概念验证,即综合 NEW Tx 是可行且可接受的,并且有可能改善双相障碍患者的营养、运动、健康和情绪症状。未来的 NEW Tx 迭代将反映本研究的优势和经验教训。

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