Talking about Health: A Topic Analysis of Narratives from Individuals with Schizophrenia and Other Serious Mental Illnesses.
Talking about Health: A Topic Analysis of Narratives from Individuals with Schizophrenia and Other Serious Mental Illnesses.
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DOI：
10.3390/bs12080286
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发表时间：
2022-08-13
期刊：
影响因子：
--
通讯作者：
Cohen AS
中科院分区：
文献类型：
--
作者：
Cowan T;Rodriguez ZB;Granrud OE;Masucci MD;Docherty NM;Cohen AS
精神分裂症患者死亡率更高，寿命更短。造成这些情况的因素有很多，但其中一个方面是身体健康状况恶化，尤其是心血管和代谢健康。许多改善精神分裂症患者健康的干预措施已经出现，但总的来说，在改善生活质量或寿命方面的效果有限。一个潜在的新的调查途径涉及到一个更加以患者为中心的观点；了解身体健康的各个方面是最重要的，也可能是最容易改变的，对个人来说，这是基于他们的生活叙述。本研究使用主题建模，一种自然语言处理（NLP）对来自严重精神疾病（主要是精神分裂症）患者（n = 366）的非结构化语音样本进行主题提取。语音样本来自于十多年来在美国两个地理上截然不同的地区收集的三项研究。出现了一些与健康相关的话题，主要围绕食物、生活状况和生活方式（例如，日常活动、爱好）。讨论了这些发现对严重精神疾病和精神分裂症患者如何看待自己的健康，以及对未来健康促进政策和干预措施可能最有效的影响。
Individuals with schizophrenia have higher mortality and shorter lifespans. There are a multitude of factors which create these conditions, but one aspect is worse physical health, particularly cardiovascular and metabolic health. Many interventions to improve the health of individuals with schizophrenia have been created, but on the whole, there has been limited effectiveness in improving quality of life or lifespan. One potential new avenue for inquiry involves a more patient-centric perspective; understanding aspects of physical health most important, and potentially most amenable to change, for individuals based on their life narratives. This study used topic modeling, a type of Natural Language Processing (NLP) on unstructured speech samples from individuals (n = 366) with serious mental illness, primarily schizophrenia, in order to extract topics. Speech samples were drawn from three studies collected over a decade in two geographically distinct regions of the United States. Several health-related topics emerged, primarily centered around food, living situation, and lifestyle (e.g., routine, hobbies). The implications of these findings for how individuals with serious mental illness and schizophrenia think about their health, and what may be most effective for future health promotion policies and interventions, are discussed.
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