Williamson Kevin, Baker John, Clibbens Nicola
School of Healthcare, University of Leeds, Leeds, UK.
Centre for Nutrition and Behaviour, Grounded Research Hub, RDaSH NHS Foundation Trust, Doncaster, UK.
Int J Ment Health Nurs. 2025 Jun;34(3):e70073. doi: 10.1111/inm.70073.
Psychosis has a large impact on individuals and their families and current treatment approaches are not fully efficacious. The formation and function of the brain are dependent upon nutrients, supplied through the diet. Despite this, evidence indicates that the diets of people living with psychosis are nutritionally suboptimal. The aim of this qualitative research study was to seek the views of healthcare professionals experienced in psychosis management on the role and core components of dietary intervention for psychosis management. The study was conducted following the Medical Research Council's (MRC) framework's approach to the development and evaluation of complex healthcare interventions. The data were thematically analysed and constructed into four themes: (1) 'A desire for more knowledge on diet in relation to psychosis management'; (2) 'Balancing duty of care around diet within services'; (3) 'Health Professionals' perceptions of dietary habits of people with psychosis'; and (4) 'Factors to consider when developing and implementing a diet intervention for psychosis'. Findings from these key stakeholders suggest value for diet intervention within psychosis management, delivered by trained health professionals within National Health Service (NHS) mental health services. The evidence-based diet intervention should be accessible to patients and should lead to the necessary dietary knowledge and skills acquisition for patients and their families. The principal recommendation following this research is to develop a diet intervention for psychosis management with additional stakeholder involvement, including NHS mental health service commissioners and academics responsible for health professionals' pre- and postregistration curricula.
精神病对个人及其家庭有重大影响,而目前的治疗方法并不完全有效。大脑的形成和功能依赖于通过饮食提供的营养物质。尽管如此,有证据表明,患有精神病的人的饮食在营养方面并不理想。这项定性研究的目的是寻求在精神病管理方面有经验的医疗保健专业人员对饮食干预在精神病管理中的作用和核心组成部分的看法。该研究是按照医学研究理事会(MRC)框架中关于复杂医疗保健干预措施的开发和评估方法进行的。对数据进行了主题分析,并构建为四个主题:(1)“渴望获得更多关于饮食与精神病管理相关的知识”;(2)“在服务中平衡围绕饮食的护理职责”;(3)“医疗保健专业人员对精神病患者饮食习惯的看法”;以及(4)“制定和实施精神病饮食干预措施时要考虑的因素”。这些关键利益相关者的研究结果表明,由英国国家医疗服务体系(NHS)心理健康服务部门中经过培训的医疗保健专业人员进行的饮食干预在精神病管理中具有价值。基于证据的饮食干预措施应该让患者能够获得,并应使患者及其家人获得必要的饮食知识和技能。这项研究之后的主要建议是,在包括NHS心理健康服务专员以及负责医疗保健专业人员注册前和注册后课程的学者等更多利益相关者的参与下,开发一种用于精神病管理的饮食干预措施。