Tsubata Naomi, Kuroki Akiko, Tsujimura Harumi, Takamasu Masako, IIjima Nariaki, Okamoto Takashi
Junwakai Yahagigawa Hospital, 141 Minamiyama, Fujii-cho, Anjo 448-0023, Japan.
Department of Home Economics, Faculty of Home Economics, Japan Women's University, 2-8-1 Mejirodai, Bunkyo-ku, Tokyo 112-0015, Japan.
Healthcare (Basel). 2023 Jun 8;11(12):1690. doi: 10.3390/healthcare11121690.
In this study we have examined the feasibility of a program based on the health belief model (HBM), for its effectiveness in improving lifestyle-related diseases in patients with schizophrenia (SZ) and bipolar disorder (BD), which are often complicated with physical conditions. In this model, we attempted to enable patients to identify a "threat" and to find "balance between benefits and disadvantages". Subjects were carefully selected from among psychiatric patients by excluding any bias. Thus, the enrolled patients were 30 adult men and women with lifestyle-related diseases, or those with a body mass index (BMI) of over 24. Of these 30 subjects, 15 were randomly assigned to the intervention group and 10 the control group, since 5 subjects in the control voluntarily left from the study. Comparison of the intervention and control groups revealed significant improvement ( < 0.05) in HDL cholesterol in the intervention group. However, there were no significant changes in other variables. These findings support the usefulness and efficacy of HMB-based nutritional interventions for preventing lifestyle-related disorders among psychiatric patients. Further evaluation is needed with a larger sample size and a longer intervention period. This HMB-based intervention could be useful for the general population as well.
在本研究中，我们检验了基于健康信念模型（HBM）的项目对于改善精神分裂症（SZ）和双相情感障碍（BD）患者生活方式相关疾病的可行性，这些患者常伴有身体状况复杂的情况。在该模型中，我们试图让患者识别“威胁”并找到“利弊平衡”。通过排除任何偏差，从精神病患者中仔细挑选受试者。因此，入选患者为30名患有生活方式相关疾病的成年男女，或体重指数（BMI）超过24的人。在这30名受试者中，15人被随机分配到干预组，10人被分配到对照组，因为对照组中有5名受试者自愿退出研究。干预组与对照组的比较显示，干预组的高密度脂蛋白胆固醇有显著改善（<0.05）。然而，其他变量没有显著变化。这些发现支持了基于HMB的营养干预对预防精神病患者生活方式相关疾病的有用性和有效性。需要更大样本量和更长干预期进行进一步评估。这种基于HMB的干预对普通人群也可能有用。
