Psychosocial stress impairs health behavior in patients with mental disorders.
Psychosocial stress impairs health behavior in patients with mental disorders.
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DOI：
10.1186/s12888-018-1956-8
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发表时间：
2018-12-04
期刊：
影响因子：
4.4
通讯作者：
Michal M
中科院分区：
文献类型：
--
作者：
Beutel TF;Zwerenz R;Michal M
研究表明，在一般人群中，心理社会压力会影响健康行为。然而，对高危人群的类似研究很少。因此，本横断面研究的目的是分析常见的心理社会压力源和健康行为之间的关系，在一个样本的精神障碍患者。我们分析了来自精神卫生保健部门的2326例门诊患者的数据。心理社会压力的严重程度进行了评估的PHQ压力模块的患者健康问卷（PHQ）。健康行为包括肥胖、不受控制的饮食、吸烟和缺乏身体活动。多元二元回归模型进行PHQ压力评分和每10个PHQ压力项目作为自变量。在调整多变量影响后，“经济压力”和“没有人可以求助”主要与不良健康行为相关。受影响最大的健康行为是不受控制的饮食在男女和肥胖的妇女。我们的研究结果表明，在临床样本的心理社会压力对不健康行为的具体影响。经济紧张和缺乏社会支持的患者可能需要特定的支持来改善他们的健康行为。
It has been shown, that in the general population psychosocial stress affects health behaviors. However similar studies of high risk populations are sparse. Therefore, the aim of this cross-sectional study is to analyze the association between common psychosocial stressors and health behavior in a sample of patients with mental disorders. We analyzed data of n = 2326 outpatients from a mental health care department. Severity of psychosocial stress was assessed by the PHQ-stress module of the Patient Health Questionnaire (PHQ). Health behaviors included obesity, uncontrolled eating, smoking and physical inactivity. Multiple binary regression models were conducted for the PHQ-stress score and for each of the ten PHQ-stress items as independent variables. 'Financial stress' and 'having no one to turn to with problems' were mainly associated with adverse health behaviors after adjustment for multivariate effects. The most affected health behaviors were uncontrolled eating in both sexes and obesity in women. Our findings indicate specific influences of psychosocial stressors on unhealthy behaviors in a clinical sample. Patients with financial strain and lack of social support might need specific support for improving their health behavior.
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影响因子：
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作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
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