Youth Mental Health Research Unit, Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Early Interv Psychiatry. 2021 Jun;15(3):439-448. doi: 10.1111/eip.12981. Epub 2020 May 19.
Physical health inequalities experienced by people with mental health conditions are labelled an international scandal; due to the 15 to 30-year gap in life expectancy, driven mostly by physical health conditions. Lifestyle interventions are recommended to prevent the onset of poor physical health in people with mental illness. Yet, there is less high-quality evidence for adolescents, particularly those in inpatient settings. We aimed to assess existing literature reporting physical health or lifestyle interventions conducted on adolescent mental health inpatient units.
An electronic search of MEDLINE, PsycINFO, Embase, the Cochrane Central Register of Controlled Trials and AMED was conducted on 13th June 2019. Eligible studies included peer-reviewed English language research articles of physical health interventions delivered within child and adolescent mental health inpatient services. A narrative synthesis was conducted on the data.
Only three studies were identified implementing health interventions for adolescent inpatients. The interventions consisted of two physical health interventions aiming to increase activity levels within routine care (one gym-based, one sports led) and a yoga intervention. Outcome measurements varied and benefits were observed in relation to overall health (HONOSCA), physical health (waist, hip and chest circumference) and behaviour.
Although preliminary results suggest lifestyle interventions may be feasible and beneficial for this group, more work is needed to fully understand the best way to implement these interventions within adolescent clinical settings. Adolescent inpatients are an important target for such interventions, affording the opportunity to prevent the onset of physical comorbidities.
精神健康状况患者所经历的身体健康不平等现象被称为国际丑闻；由于预期寿命相差 15 至 30 年，主要是由身体健康状况造成的。建议采取生活方式干预措施来预防精神病患者身体健康状况恶化。然而，针对青少年，尤其是住院患者的高质量证据较少。我们旨在评估报告在青少年心理健康住院病房进行的身体健康或生活方式干预的现有文献。
我们于 2019 年 6 月 13 日在 MEDLINE、PsycINFO、Embase、Cochrane 中央对照试验注册库和 AMED 上进行了电子检索。符合条件的研究包括在儿童和青少年心理健康住院服务中提供的身体健康干预的同行评审英文研究文章。对数据进行了叙述性综合。
仅确定了三项针对青少年住院患者实施健康干预的研究。这些干预措施包括两项旨在提高常规护理中活动水平的身体健康干预措施（一项基于健身房，一项以运动为主）和一项瑜伽干预。测量结果各不相同，与整体健康（HONOSCA）、身体健康（腰围、臀围和胸围）和行为相关的益处。
尽管初步结果表明生活方式干预对这一人群可能是可行且有益的，但仍需要更多的工作来全面了解在青少年临床环境中实施这些干预措施的最佳方法。青少年住院患者是此类干预措施的重要目标，为预防身体合并症的发生提供了机会。
