Ngamaba Kayonda Hubert, Webber Martin, Xanthopoulou Penny, Chevalier Agnes, Giacco Domenico
International Centre for Mental Health Social Research (ICMHSR), School for Business and Society, University of York, Heslington, York, YO10 5DD, UK.
Mental Health Research Group, College of Medicine and Health, University of Exeter, College House (1.05), St. Luke's Campus, Exeter, EX1 2LU, Devon, UK.
Ann Gen Psychiatry. 2023 Mar 13;22(1):8. doi: 10.1186/s12991-023-00438-1.
Leisure activities can improve quality of life in the general population. For people with psychosis, negative symptoms (e.g. being unmotivated, difficulty in sticking with activities) are often a barrier to engaging in social leisure activities. However, we do not know if participation in leisure activities is associated with quality of life in this group and, whether psychosocial interventions should aim to increase leisure activities.
This study investigates participation in social leisure activities of people with psychosis and whether their participation is associated with better quality of life.
A cross-sectional survey was conducted in 6 NHS mental health trusts. Adults aged 18-65 (N = 533) with a diagnosis of a psychosis-related condition (ICD-10 F20-29) were recruited from outpatient secondary mental health services. Several measures were used including an adapted version of the Time Use Survey (TUS), the Social contacts assessment (SCA) and Manchester Short Assessment of Quality of Life (MANSA). A Structural Equation Model (SEM) was used to explore the relationships between participation in leisure activities and quality of life, and whether social contacts mediated the link.
Participants attended an average of 2.42 (SD = 1.47) leisure activities in the last 7 days. Their quality of life increased with the number of leisure activities they attended. Participation in leisure activities was positively associated with quality of life in people with psychosis (B = 0.104, SE = 0.051, p = 0.042, 95% CI [0.003 to 0.204]). Leisure activities predicted social contacts, but the link between social contacts and the quality of life was not significant. After controlling for sociodemographic factors, being female and unemployed were negatively linked with quality of life (B = - 0.101, SE = 0.048, p = 0.036, 95% CI [- 0.196 to - 0.006; B = - 0.207, SE = 0.050, p = 0.001, 95% CI [- 0.305 to - 0.108, respectively].
People with psychosis who attend more leisure activities have a higher quality of life. Quality of life was lower amongst female and unemployed participants who attended leisure activities. Intervention which helps improve participation in leisure activities may be beneficial for people with psychosis. Trial registration number ISRCTN15815862.
休闲活动可以改善普通人群的生活质量。对于患有精神病的人来说，阴性症状（例如缺乏动力、难以坚持参与活动）往往是参与社会休闲活动的障碍。然而，我们尚不清楚参与休闲活动是否与该群体的生活质量相关，以及心理社会干预措施是否应旨在增加休闲活动。
本研究调查了患有精神病的人参与社会休闲活动的情况，以及他们的参与是否与更好的生活质量相关。
在6个国民保健服务（NHS）心理健康信托机构中进行了一项横断面调查。从门诊二级心理健康服务机构招募了年龄在18 - 65岁（N = 533）、诊断患有与精神病相关疾病（国际疾病分类第十版，F20 - 29）的成年人。使用了多种测量方法，包括时间使用调查（TUS）的改编版、社会交往评估（SCA）和曼彻斯特生活质量简短评估（MANSA）。采用结构方程模型（SEM）来探讨参与休闲活动与生活质量之间的关系，以及社会交往是否介导了这种联系。
参与者在过去7天内平均参加了2.42项（标准差 = 1.47）休闲活动。他们的生活质量随着参加的休闲活动数量的增加而提高。参与休闲活动与患有精神病的人的生活质量呈正相关（B = 0.104；标准误 = 0.051；p = 0.042；95%置信区间[0.003至0.204]）。休闲活动可以预测社会交往，但社会交往与生活质量之间的联系并不显著。在控制了社会人口统计学因素后，女性和失业与生活质量呈负相关（B = -0.101；标准误 = 0.048；p = 0.036；95%置信区间[-0.196至 -0.006]；B = -0.207；标准误 = 0.050；p = 0.001；95%置信区间[-0.305至 -0.108]）。
参加更多休闲活动的患有精神病的人生活质量更高。参加休闲活动的女性和失业参与者的生活质量较低。有助于提高休闲活动参与度的干预措施可能对患有精神病的人有益。试验注册号：ISRCTN15815862。
