Department of Psychiatric Nursing, Dokuz Eylül University Institute of Health Sciences, Izmir, Turkey.
Department of Psychiatric Nursing, Dokuz Eylül University Faculty of Nursing, Izmir, Turkey.
Issues Ment Health Nurs. 2024 Mar;45(3):331-343. doi: 10.1080/01612840.2023.2297310. Epub 2024 Feb 27.
The study was aimed at determining the effectiveness of the Shared Decision Making Model-based Guided Self-Help Program (SDM-GSH) on emotional eating behavior and uncontrolled eating behavior in individuals with a severe mental disorder.
This randomized controlled experimental study was conducted in the Community Mental Health Center of a university hospital between September 2020 and November 2022. The sample of the study consisted of 64 participants. Of them, 33 were in the Experimental Group and 31 were in the control group. To collect the study data, the Patient Information Form, Emotional Eater Questionnaire, and Three-Factor Eating Questionnaire were administered. The participants in the Experimental Group took part in the SDM-GSH. The study data were collected from the participants in the Experimental and Control Groups before, right after and 6 months after the intervention.
The comparison of the BMI values of the participants with a severe mental disorder who took part in the SDM-GSH demonstrated that their pre-intervention BMI values significantly decreased at the measurements preformed right after and 6 months after the intervention ( < 0.05). The mean emotional eating (λ = 0.189, η2 = 0.811) and uncontrolled eating (λ = 0.218, η2 = 0.782) scores obtained by the participants in the Experimental Group before the intervention significantly decreased at the measurements preformed right after and 6 months after the intervention ( < 0.05).
Based on the results of our study, it is concluded that the SDM-GSH positively affected the BMI values, emotional eating behaviors and uncontrolled eating behaviors of the participants with a severe mental disorder.
本研究旨在确定基于共享决策模式的自助指导方案(SDM-GSH)对严重精神障碍个体的情绪性进食行为和失控性进食行为的有效性。
这是一项在 2020 年 9 月至 2022 年 11 月期间于一所大学附属医院社区心理健康中心进行的随机对照实验研究。该研究的样本包括 64 名参与者。其中,33 名参与者被分配到实验组,31 名参与者被分配到对照组。为了收集研究数据,使用了患者信息表、情绪性进食问卷和三因素饮食问卷。实验组的参与者参加了 SDM-GSH。实验组和对照组的参与者在干预前、干预后和干预后 6 个月收集研究数据。
对参加 SDM-GSH 的严重精神障碍患者的 BMI 值进行比较,发现他们的干预前 BMI 值在干预后和干预后 6 个月的测量中显著降低(<0.05)。实验组参与者的情绪性进食(λ=0.189,η2=0.811)和失控性进食(λ=0.218,η2=0.782)得分在干预前、干预后和干预后 6 个月的测量中显著降低(<0.05)。
根据我们的研究结果,可以得出结论,SDM-GSH 对严重精神障碍患者的 BMI 值、情绪性进食行为和失控性进食行为产生了积极影响。