Sentissi Othman, Zosso Gabrielle, Cogordon Anouck, Chillà Chiara
Adult Psychiatric Division, Ambulatory Psychiatric Centre (Cappi Jonction), University Hospitals of Geneva, Geneva, Switzerland.
Department of Psychiatry, Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Front Sports Act Living. 2023 Aug 22;5:1197925. doi: 10.3389/fspor.2023.1197925. eCollection 2023.
The present study aims to investigate the effect of the 4-F (Fit, Fun, Feel, and Food) group-based program on physical, clinical, and biological outcomes in young patients suffering from severe psychiatric disorders.
A pilot study with a naturalistic design was conducted to investigate the effect of a group-based intervention on young patients.
A descriptive analysis revealed that out of the 61 outpatients initially enrolled in the program, with a mean age of 26.9 years old (±6.1, 60% men), 71% were overweight or obese. Paired T-tests for the difference between T0 and T1 were used to evaluate the evolution of the outcomes. The 24 patients who completed the full program showed no significant decrease in weight or body composition. Despite the limitations, the main findings of this study were the significant improvement in muscular endurance and coordination (from T0 ( = 13.65, SD = ±1.93) compared to T1 ( = 12.49, SD = ±1.81), [(20) = 3.072, < 0.05] and the general increase in mental well-being from baseline to the end of the program according to the type of psychopathology [(3,10) = 4.25, < .05]. A slight modification in eating behavior, with a tendency towards a decrease in TFEQ hunger levels, was also noticed. The ANCOVA showed no difference in outcomes between the groups based on diagnosis.
Despite its limitations and the small sample size, this pilot study provides valuable insights, demonstrating the feasibility of the program and its positive impact on physical well-being and improved mental health in young patients with psychiatric disorders, sedentary behavior, and unhealthy lifestyles. These encouraging results warrant further research in controlled, larger population samples to deepen our understanding of the potential effects of such interventions.
本研究旨在调查基于4-F（健康、乐趣、感受和食物）小组的项目对患有严重精神疾病的年轻患者的身体、临床和生物学指标的影响。
开展一项采用自然主义设计的试点研究，以调查基于小组的干预措施对年轻患者的影响。
描述性分析显示，在最初纳入该项目的61名门诊患者中，平均年龄为26.9岁（±6.1，60%为男性），71%超重或肥胖。采用配对T检验来评估T0和T1之间结果的变化。完成整个项目的24名患者体重或身体成分没有显著下降。尽管存在局限性，但本研究的主要发现是肌肉耐力和协调性有显著改善（与T0（=13.65，标准差=±1.93）相比，T1（=12.49，标准差=±1.81），[(20)=3.072，<0.05]，并且根据精神病理学类型，从基线到项目结束时心理健康总体有所改善[(3,10)=4.25，<0.05]。还注意到饮食行为有轻微改变，TFEQ饥饿水平有下降趋势。协方差分析显示，基于诊断的各组之间结果没有差异。
尽管存在局限性且样本量较小，但这项试点研究提供了有价值的见解，证明了该项目的可行性及其对患有精神疾病、久坐不动和生活方式不健康的年轻患者身体健康和心理健康改善的积极影响。这些令人鼓舞的结果值得在更大规模的对照人群样本中进行进一步研究，以加深我们对这类干预措施潜在效果的理解。
