Merlo Gia, Snellman Lilly, Sugden Steven G
New York University Grossman School of Medicine, New York, NY, USA (GM).
Baylor College of Medicine, Houston, TX, USA (LS).
Am J Lifestyle Med. 2025 Jun 2:15598276251345455. doi: 10.1177/15598276251345455.
The field of Lifestyle Psychiatry aims to prevent, treat, and sometimes reverse chronic physical and mental health conditions through evidence-based interventions. The foundational pillars of this field are physical activity & exercise, nutrition, restorative sleep, stress management, toxic exposure reduction, and connectedness. Connection has been defined as "feeling part of something larger than yourself, feeling close to another person or group, feeling welcomed, and understood." Within Lifestyle Psychiatry, however, we emphasize that connectedness encompasses not only our relationships with other individuals but also our connection to ourselves and with the world at large. We have identified these three relationships as three core or pivotal needs. Similarly, we have expanded our previous model of connectedness to include six domains: (1) Happiness, (2) Purpose in Life & Meaning-Making, (3) Empathy & Compassion, (4) Social Connection & Community, (5) Nature, and (6) Spirituality & Religion. In this paper, we present psychological and scientific data supporting the necessity of the six domains of connectedness. By combining the six domains with the three core needs, practitioners of lifestyle psychiatry can develop impactful and sustainable interventions that promote connectedness, decrease negative health outcomes, and promote psychological growth through increasing resilience, emotional development, and the ability to be alone without loneliness.
生活方式精神病学领域旨在通过循证干预措施预防、治疗慢性身心健康问题，有时还能使其逆转。该领域的基础支柱包括体育活动与锻炼、营养、恢复性睡眠、压力管理、减少接触毒素以及人际关系。人际关系被定义为“感觉自己是比自身更宏大事物的一部分，感觉与他人或群体亲近，感觉受到欢迎且被理解”。然而，在生活方式精神病学领域，我们强调人际关系不仅包括我们与他人的关系，还包括我们与自己以及与整个世界的联系。我们已将这三种关系确定为三项核心或关键需求。同样，我们扩展了先前的人际关系模型，将其涵盖六个领域：（1）幸福，（2）生活目的与意义构建，（3）同理心与同情心，（4）社会联系与社区，（5）自然，以及（6）精神性与宗教。在本文中，我们呈现支持人际关系六个领域必要性的心理学和科学数据。通过将这六个领域与三项核心需求相结合，生活方式精神病学从业者能够制定出有影响力且可持续的干预措施，这些措施可促进人际关系、减少负面健康结果，并通过增强恢复力、情感发展以及独处而不感到孤独的能力来促进心理成长。
