心理社会压力会损害精神障碍患者的健康行为。
Psychosocial stress impairs health behavior in patients with mental disorders.
机构信息
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Untere Zahlbacher Str. 8, 55131, Mainz, Germany.
Institute of Occupational, Social and Environmental Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Obere Zahlbacher Str. 67, 55131, Mainz, Germany.
出版信息
BMC Psychiatry. 2018 Dec 4;18(1):375. doi: 10.1186/s12888-018-1956-8.
BACKGROUND
It has been shown, that in the general population psychosocial stress affects health behaviors. However similar studies of high risk populations are sparse. Therefore, the aim of this cross-sectional study is to analyze the association between common psychosocial stressors and health behavior in a sample of patients with mental disorders.
METHODS
We analyzed data of n = 2326 outpatients from a mental health care department. Severity of psychosocial stress was assessed by the PHQ-stress module of the Patient Health Questionnaire (PHQ). Health behaviors included obesity, uncontrolled eating, smoking and physical inactivity. Multiple binary regression models were conducted for the PHQ-stress score and for each of the ten PHQ-stress items as independent variables.
RESULTS
'Financial stress' and 'having no one to turn to with problems' were mainly associated with adverse health behaviors after adjustment for multivariate effects. The most affected health behaviors were uncontrolled eating in both sexes and obesity in women.
CONCLUSION
Our findings indicate specific influences of psychosocial stressors on unhealthy behaviors in a clinical sample. Patients with financial strain and lack of social support might need specific support for improving their health behavior.
背景
已有研究表明，在普通人群中，心理社会压力会影响健康行为。然而，针对高危人群的类似研究却很少。因此，本横断面研究的目的是分析精神障碍患者样本中常见心理社会压力源与健康行为之间的关系。
方法
我们分析了来自精神卫生保健部门的 2326 名门诊患者的数据。心理社会压力严重程度采用患者健康问卷（PHQ）的 PHQ-压力模块进行评估。健康行为包括肥胖、饮食失控、吸烟和身体活动不足。将 PHQ-压力评分和 PHQ-压力的十个项目中的每一个作为自变量进行多项二元回归模型分析。
结果
调整了多变量影响后，“经济压力”和“遇到问题时无人求助”主要与不良健康行为相关。受影响最大的健康行为是两性的饮食失控和女性的肥胖。
结论
我们的研究结果表明，心理社会压力源对临床样本中不健康行为有特定影响。经济压力大且缺乏社会支持的患者可能需要特定的支持来改善他们的健康行为。
Zotero 插件