Social Processes Associated With Health and Health Behaviors Linked to Early Mortality in People With a Diagnosis of a Serious Mental Illness.
Social Processes Associated With Health and Health Behaviors Linked to Early Mortality in People With a Diagnosis of a Serious Mental Illness.
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与健康和健康行为相关的社会过程与诊断出严重精神疾病的人的早期死亡率有关。
DOI：
10.1177/1745691621990613
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发表时间：
2022-01
期刊：
影响因子：
--
通讯作者：
Bianco CL
中科院分区：
文献类型：
--
作者：
Fortuna KL;Williams A;Mois G;Jason K;Bianco CL
与普通人群相比，患有严重精神疾病（SMI）的个体预期寿命缩短10 - 25年。SMI患者的过早死亡主要归因于不健康的行为（例如，不良饮食、久坐的生活方式），这促使专门针对SMI患者制定了健康促进和自我管理干预措施，以促进健康行为的改变。然而，经过数十年的研究，SMI患者与普通人群之间的死亡率差距正在增大。为了解决SMI患者的这种过早死亡差异，必须探索一种新的范式。本报告提出了“影响SMI患者过早死亡的社会过程”范式，强调了社会过程在塑造SMI患者的健康和健康行为方面的强大作用。该范式探讨了孤独、污名（社会污名和自我污名）、创伤、社会排斥、社会隔离以及社会规范如何与SMI患者的过早死亡相关。“影响SMI患者过早死亡的社会过程”范式是理解并有可能解决SMI患者过早死亡问题的重要一步。
Individuals with serious mental illness (SMI) experience a 10–25 year reduced life expectancy compared to the general population. Early mortality for people with SMI has mainly been attributed to unhealthy behaviors (e.g., poor diet, sedentary lifestyle), which has led to the development of health promotion and self-management interventions specifically for people with SMI to promote health behavior change. Yet, after decades of research, the mortality gap between those with SMI and the general population is increasing. To address this early mortality disparity for individuals with SMI, a new paradigm must be explored. This report presents Social Processes Impacting Early Mortality in People with SMI paradigm, highlighting the powerful role of social processes in shaping the health and health behaviors of people with SMI. This paradigm explores how loneliness, stigma (social and self), trauma, social exclusion, social isolation, and social norms are related to early mortality in people with SMI. The Social Processes Impacting Early Mortality in People with SMI paradigm is an important step in understanding, and potentially, addressing early mortality in people with SMI.
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