生活方式干预能否改善加拿大男性的心理健康？HAT TRICK 计划的结果。

Can lifestyle interventions improve Canadian men's mental health? Outcomes from the HAT TRICK programme.

机构信息

School of Sport, Exercise and Rehabilitation, University of Technology Sydney, PO Box 123, Broadway, Sydney, NSW 2007, Australia.

Institute for Healthy Living and Chronic Disease Prevention, University of British Columbia, 1147 Research Road, Kelowna, BC V1V 1V7, Canada.

出版信息

Health Promot Int. 2021 Aug 30;36(4):943-951. doi: 10.1093/heapro/daaa120.

DOI:10.1093/heapro/daaa120

PMID:33246330

Abstract

Engaging men in mental health promotion can be difficult because of reticence about help-seeking, especially for gender neutral programmes. Developments in men's health research has pointed to the success of gender-sensitized programmes to increase men's engagement in healthy lifestyle interventions targeting physical activity and healthy eating; however, less is known about the impact of these interventions on men's mental health. This study explored changes to men's depression risk and health-related quality of life at post-intervention (12 weeks) and 9-month follow-up, after participating in HAT TRICK, a gender-sensitized lifestyle intervention for overweight men. Participants completed validated self-report measures of mental health at baseline, post-intervention (12 weeks) and 9-month follow-up. Men's scores on the Male Depression Risk Scale (MDRS) and the SF-12 questionnaire, including physical health (PH12) and mental health (MH12) composite scores, were analyzed using mixed linear models to assess linear trends. At baseline, men (N = 62) had a mean age of 50.98 (SD = 10.09) years and BMI of 35.87 (SD = 5.51) kg/m2. Results show that both the MDRS and the MH12 showed improvements in participants' mental health, with significant linear trends (p = 0.003; p = 0.003) qualified with significant quadratic trends over time (p = 0.02; p = 0.03). There were no significant changes in the PH12 over time. Gender-sensitized programmes for overweight men, such as HAT TRICK, are a promising approach to positively influence components of men's mental health, with the potential for sustained improvements over the long term.

摘要

让男性参与心理健康促进可能很困难，因为他们对寻求帮助持谨慎态度，尤其是对性别中立的项目。男性健康研究的发展指出，性别敏感的项目在增加男性参与针对身体活动和健康饮食的健康生活方式干预方面取得了成功；然而，关于这些干预对男性心理健康的影响知之甚少。本研究探讨了超重男性参与性别敏感的生活方式干预项目 HAT TRICK 后，在干预后（12 周）和 9 个月随访时男性抑郁风险和与健康相关的生活质量的变化。参与者在基线、干预后（12 周）和 9 个月随访时完成了心理健康的有效自我报告测量。使用混合线性模型分析男性抑郁风险量表（MDRS）和 SF-12 问卷的男性分数，包括身体健康（PH12）和心理健康（MH12）综合分数，以评估线性趋势。在基线时，男性（N=62）的平均年龄为 50.98 岁（SD=10.09），BMI 为 35.87 公斤/平方米（SD=5.51）。结果表明，MDRS 和 MH12 都显示出参与者心理健康的改善，具有显著的线性趋势（p=0.003；p=0.003），随着时间的推移具有显著的二次趋势（p=0.02；p=0.03）。PH12 没有随时间发生显著变化。针对超重男性的性别敏感项目，如 HAT TRICK，是一种有前途的方法，可以积极影响男性心理健康的各个方面，具有长期持续改善的潜力。