The role of serious mental illness in motivation, participation and adoption of health behavior change among obese/sedentary Latino adults.
The role of serious mental illness in motivation, participation and adoption of health behavior change among obese/sedentary Latino adults.
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DOI：
10.1080/13557858.2017.1390552
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发表时间：
2019-11
影响因子：
3.1
通讯作者：
Bartels SJ
中科院分区：
文献类型：
--
作者：
Jimenez DE;Thomas L;Bartels SJ
严重精神疾病（精神分裂症、分裂情感性障碍、妄想症、双相情感障碍、严重重度抑郁症和精神病等严重精神疾病）和拉丁裔族裔可造成复杂的健康差异，使个人处于过度发病和过早死亡的特别高风险之中。在本研究中，我们试图确定重度精神分裂症在拉丁裔超重成年人健康行为改变的动机、参与和采用中的作用。对20名超重的拉丁裔重度精神障碍患者进行了定性、半结构化访谈，这些患者参加了一项随机试验，评估针对重度精神障碍患者的动机性健康促进干预的有效性，in SHAPE。访谈探讨了重度精神障碍在拉丁裔参与者生活中的复杂作用。SMI对拉丁裔参与者的健康行为有积极和消极的影响。他们精神疾病的性质以及药物副作用（如嗜睡、体重增加等）对他们持久改变健康行为的能力产生了负面影响。然而，与各种专家的定期会面为他们提供了原本缺乏的结构，并给了他们一个走出家门的理由。本探索性研究提供了对超重拉丁裔重度精神障碍患者的经验以及重度精神障碍影响他们参与健康行为改变的方式的见解。了解重度精神障碍对健康行为改变的积极和消极影响，将为针对重度精神障碍拉美裔患者的健康促进干预措施的制定提供信息。
Serious mental illness (SMI; e.g. schizophrenia, schizoaffective disorder, delusional disorder, bipolar disorder, severe major depressive disorder, and psychotic disorders) and Latino ethnicity can produce a compounded health disparity, placing individuals at particularly high risk for excess morbidity and premature mortality. In this study we sought to identify the role of SMI in motivation, participation, and adoption of health behavior change among overweight Latino adults. Qualitative, semi-structured interviews were conducted with 20 overweight Latinos with SMI who were enrolled in a randomized trial evaluating the effectiveness of a motivational health promotion intervention adapted for persons with SMI, In SHAPE. The interviews explored the complicated role having an SMI had in the lives of the Latino participants. SMI had both positive and negative impact on Latino participants’ health behaviors. The nature of their mental illness along with medication side effects (e.g. lethargy, weight gain, etc.) negatively impacted their ability to making lasting health behavior change. However, the regular appointments with various specialists provided them with structure that they otherwise would have lacked and gave them a reason to get out of the house. This exploratory research provides insight into the experience of overweight Latinos with SMI and the ways in which SMI impacts their participation in health behavior change. An understanding of the positive and negative effects of SMI on health behavior change will inform the development of health promotion interventions targeted at Latinos with SMI.
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影响因子：
2.7
作者：
Van Citters, Aricca D.;Pratt, Sarah I.;Bartels, Stephen J.
通讯作者：
Bartels, Stephen J.
DOI：
10.1037/lat0000020
发表时间：
2015-02-01
期刊：
JOURNAL OF LATINA-O PSYCHOLOGY
影响因子：
--
作者：
Jimenez, Daniel E.;Aschbrenner, Kelly;Bartels, Stephen J.
通讯作者：
Bartels, Stephen J.
影响因子：
2.5
作者：
Jimenez, Daniel E.;Burrows, Kimberly;Bartels, Stephen J.
通讯作者：
Bartels, Stephen J.
DOI：
10.1176/ps.2010.61.8.774
发表时间：
2010-08
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Cabassa LJ;Ezell JM;Lewis-Fernández R
通讯作者：
Lewis-Fernández R
影响因子：
3
作者：
Druss, Benjamin G.;Zhao, Liping;Marcus, Steven C.
通讯作者：
Marcus, Steven C.