Lifestyle interventions for adults with serious mental illness: a systematic literature review.
Lifestyle interventions for adults with serious mental illness: a systematic literature review.
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DOI：
10.1176/ps.2010.61.8.774
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发表时间：
2010-08
期刊：
影响因子：
--
通讯作者：
Lewis-Fernández R
中科院分区：
文献类型：
--
作者：
Cabassa LJ;Ezell JM;Lewis-Fernández R
在严重精神疾病患者中推广健康的生活方式是他们康复的一个组成部分。本系统性文献综述的目的是评价严重精神疾病患者生活方式干预结局研究的方法学质量，总结干预策略，检查身体健康结局，并评估这些研究中种族和少数民族群体的纳入情况。进行电子书目数据库检索，以查找在美国进行的研究。纳入了1980年至2009年期间用英语撰写并发表在同行评审期刊上的文章。作者使用标准化工具来评价研究的方法学质量。共审查了23篇文章。根据研究的方法学质量，发现了三个层次的证据：单组报告，准实验研究和随机对照试验。大多数干预措施使用行为技术来改善饮食习惯和增加体力活动。12项研究报告了与接受生活方式干预相关的体重减轻或代谢综合征风险因素的显着改善。来自少数种族和族裔群体的人，特别是西班牙裔和亚裔美国人的代表性不足。只有一项研究包括非英语国家的参与者。适应严重精神疾病患者的生活方式干预措施有望减少体重减轻和代谢综合征的一些风险因素。少数种族或族裔群体的人在这些文献中的代表性不足，限制了其普遍性。研究和实践的影响进行了讨论。
The promotion of healthy lifestyles among persons with serious mental illness is an integral part of their recovery. The aims of this systematic literature review were to rate the methodological quality of lifestyle intervention outcome studies for persons with serious mental illness, summarize intervention strategies, examine physical health outcomes, and evaluate the inclusion of racial and ethnic minority groups in these studies. Electronic bibliographic database searches were performed to locate studies conducted in the United States. Articles written in English and published in peer-reviewed journals between 1980 and 2009 were included. The authors used a standardized instrument to rate studies' methodological quality. Twenty-three articles were reviewed. Based on studies' methodological quality, three levels of evidence were found: single-group reports, quasi-experimental studies, and randomized controlled trials. Most interventions used behavioral techniques to improve dietary habits and increase physical activity. Twelve studies reported significant improvements in either weight loss or metabolic syndrome risk factors associated with receiving a lifestyle intervention. Persons from racial and ethnic minority groups were underrepresented, especially Hispanics and Asian Americans. Only one study included non–English-speaking participants. Lifestyle interventions adapted to persons with serious mental illness show promise in reducing weight loss and some risk factors for metabolic syndrome. The under-representation of persons from racial or ethnic minority groups in this literature limits its generalizability. Implications for research and practice are discussed.
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影响因子：
158.5
作者：
Knowler, WC;Barrett-Connor, E;Nathan, DM
通讯作者：
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