精神病中睡眠和体力活动模式与日常生活症状相关:一个动图和经验采样研究
Lydia E Pieters1, Jeroen Deenik1, Adriaan W Hoogendoorn2
1Research Department, Psychiatric Centre GGz Centraal, Postbus 3051, Amersfoort 3800 DB, the Netherlands; Department of Mental Health and Neuroscience, Maastricht University, PO Box 616, Maastricht 6200 MD, the Netherlands.
Psychiatry research
|December 14, 2024
概括
身体活动 (PA) 增强了精神病患者的积极影响. 然而,更好的睡眠连续性可能会使第二天的负面和精神病症状恶化,这表明复杂的生活方式与症状的联系.
科学领域:
- 精神病学是一个精神病学.
- 行为科学 行为科学
- 睡眠医学 睡眠医学
背景情况:
- 睡眠障碍和体力活动减少是精神病患者身体和心理健康不良结果的重要危险因素.
- 在精神病中,睡眠,PA和精神病理学之间的复杂关系仍然不完全理解.
研究的目的:
- 调查精神分裂症谱系障碍患者体力活动,睡眠模式,精神病和情感症状之间的日常相互关系.
- 探索客观测量的PA和睡眠的影响如何影响每日症状波动的变化.
主要方法:
- 在被诊断患有精神分裂症谱系障碍的32名患者中使用了经验采样方法 (ESM) 和动图的组合.
- 采用多层混合效应模型来分析日常PA,睡眠参数 (连续性,效率,持续时间) 和自我报告的情感和精神病症状之间的关联.
主要成果:
- 每日增加的体力活动与自我报告的积极影响率更高有关.
- 更高的睡眠连续性 (更高的睡眠效率,更长的睡眠时间) 意外地与第二天的负面影响和/或精神病症状增加有关.
- 睡眠连续度较长但总睡眠时间较短的夜晚之后,身体活动水平更高.
结论:
- 可改变的生活方式因素,特别是体力活动和睡眠,与精神病中的精神病和情感症状具有复杂和临床相关的相互作用.
- 结果表明,针对PA和睡眠的干预措施可能为改善临床结果提供途径,尽管睡眠影响的具体性质需要进一步调查.
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