患有第一发精神病的患者体重增加的危险因素
Bogna Batko1, Marta Szwajca1, Natalia Śmierciak1
1Uniwersytet Jagielloński, Uniwersytet Jagielloński Collegium Medicum, Wydział Lekarski, Katedra Psychiatrii, Klinika Psychiatrii Dzieci i Młodzieży, Kraków, Polska.
Psychiatria polska
|June 23, 2023
概括
第一发精神病 (FEP) 的体重增加与饮食,情绪应对和症状严重程度有关. 干预措施应针对饮食习惯,精神病理和情绪健康,以有效管理.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 营养神经科学 营养神经科学
背景情况:
- 第一发精神病 (FEP) 是发展长期健康问题的关键时期,包括显著的体重增加.
- 在FEP中体重增加与代谢综合征,心血管疾病的风险增加和治疗坚持不佳有关.
- 了解FEP对体重增加的多因素影响对于开发有针对性的干预措施至关重要.
研究的目的:
- 评估FEP患者体重增加与各种生物心理社会和社会因素之间的关联.
- 在精神病治疗的初始阶段确定体重变化的预测因素.
- 在FEP中探索饮食行为,情绪功能和精神病症状严重程度之间的关系.
主要方法:
- 一组25名FEP患者 (14-35岁) 在基线 (P1) 和住院三个月后 (P3) 进行了评估.
- 数据收集包括社会人口统计调查,积极和消极综合症量表 (PANSS),国家特征焦虑清单 (STAI),应对压力状况清单 (CISS) 和食用行为问卷 (QEB).
- 还收集了生物化学测试和父母/兄弟姐妹的人类学数据,以分析与体重变化的相关性.
主要成果:
- 在体重变化和健康饮食指数,精神病症状严重程度 (PANSS),情绪应对策略 (CISS),父母体重史和兄弟姐妹数量之间发现了显著的相关性.
- 线性回归确定了基线体重和以情绪为中心的应对能力 (CISS) 作为三个月后体重的显著预测因素.
- 这些发现突出了FEP体重增加中心理,行为和家庭因素之间的复杂相互作用.
结论:
- 在FEP中体重增加是一个多因素的问题,受到饮食,饮食行为,精神病理和情绪功能的影响.
- 干预措施应将饮食建议与解决情绪调节和饮食习惯的心理基础的策略相结合.
- 需要采用整体方法,有效地管理体重增加,并改善第一发精神分裂症患者的整体健康状况.
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