Journal articles on the topic 'Lifestyle psychiatry'
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UEBELACKER, LISA A. "Lifestyle Psychiatry." Journal of Psychiatric Practice 26, no. 4 (July 2020): 344–45. http://dx.doi.org/10.1097/pra.0000000000000486.
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Den Bleijker, N., M. Van Schothorst, N. De Vries, P. Van Harten, and J. Deenik. "The feasibility of an implementation fidelity tool for the monitoring of a multidisciplinary lifestyle focused approach for inpatients with mental illness." European Psychiatry 65, S1 (June 2022): S622. http://dx.doi.org/10.1192/j.eurpsy.2022.1594.
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Introduction Lifestyle behaviours (e.g. physical activity and dietary habits) play a major role in the well-known premature mortality caused by poor physical health in people with mental illness. There is increasing evidence for the efficacy of lifestyle interventions on both physical and mental health, and consensus about important factors for success (e.g. targeting multiple lifestyle behaviours). However, implementation remains challenging and there is little change in clinical care. Studies that include measures of fidelity (the extent to which an intervention is implemented as intended) are able to gain insight in variations in actual implementation, which may affect intended health outcomes. However, there is currently no suitable fidelity tool for our lifestyle intervention. Objectives A pilot study to evaluate the feasibility of a tool that assesses and monitors the implementation fidelity of a multidisciplinary lifestyle focused approach (MULTI+). Methods MULTI+ can be tailored to various psychiatric wards and consists of 10 essential components based on scientific evidence, existing guidelines and consensus in the field of ‘lifestyle psychiatry’. We developed a tool to assess the 10 components and thereby the implementation fidelity of MULTI+. Qualitative observational data about compliance to these components are collected in 45 psychiatric wards. Adherence is converted to a gradual score (0-50). A higher score indicates higher fidelity. Results Preliminary results show that the tool is feasible for use in clinical practice. Scores give insight in how various wards have implemented MULTI+. Conclusions These outcomes can be used to further improve and understand the implementation and effectiveness of lifestyle interventions. Disclosure No significant relationships.
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Gall, S. L., K. Sanderson, K. J. Smith, G. Patton, T. Dwyer, and A. Venn. "Bi-directional associations between healthy lifestyles and mood disorders in young adults: The Childhood Determinants of Adult Health Study." Psychological Medicine 46, no. 12 (June 24, 2016): 2535–48. http://dx.doi.org/10.1017/s0033291716000738.
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BackgroundHealthy lifestyles prevent cardiovascular disease and are increasingly recognized in relation to mental health but longitudinal studies are limited. We examined bi-directional associations between mood disorders and healthy lifestyles in a cohort followed for 5 years.MethodParticipants were aged 26–36 years at baseline (2004–2006) and 31–41 years at follow-up (2009–2011). At follow-up, lifetime mood disorders (depression or dysthymia) were retrospectively diagnosed with the Composite International Diagnostic Interview. A five-item lifestyle score (comprising body mass index, non-smoking, alcohol consumption, leisure time physical activity and healthy diet) was measured at both time points. Linear and log multinomial regression determined if mood disorder before baseline predicted changes in lifestyle (n= 1041). Log binomial regression estimated whether lifestyle at baseline predicted new episodes of mood disorder (n= 1233). Covariates included age, sex, socio-economic position, parental and marital status, social support, major life events, cardiovascular disease history, and self-rated physical and mental health.ResultsA history of mood disorder before baseline predicted unfavourable trajectories of lifestyle over follow-up, including somewhat lower risk of improvement [relative risk (RR) 0.76, 95% confidence interval (CI) 0.56–1.03] and greater risk of worsening (RR 1.46, 95% CI 0.99–2.15) of lifestyle independent of confounding factors. Higher lifestyle scores at baseline were associated with a 22% (RR 0.76, 95% CI 0.61–0.95) reduced risk of first episodes of mood disorder, independent of confounding factors.ConclusionsHealthy lifestyles and mood disorders are closely related. Our results suggest that healthy lifestyles may not only reduce cardiovascular disease but also promote mental health.
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Wallace, Caroline. "Nutritional Psychiatry: A Solution for Socioeconomic Disparities in Access to Mental Health Care?" Health Science Inquiry 11, no. 1 (August 10, 2020): 155–57. http://dx.doi.org/10.29173/hsi288.
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As in all sectors of healthcare, socioeconomic status (SES) affects an individual’s ability to benefit from psychiatric care.Mood and anxiety disorders are the most common disorders for which psychiatric care is sought, and while there are options for effective treatments available, they are often accompanied by additional costs. Further to costs, issues with the heterogeneity of mental illness have led resarchers to explore other options for psychatric care. Nutritional psychiatry is an emerging field that uses dietary and nutritional approaches to target the gut-brain axis for the prevention and treatment of mental illness, including mood and axiety disorders. Nutritional psychiatry has been promoted as being an advantageous alternative to classic mental health treatments due to it’s broader accessibility, highlighting the lower costs associated with lifestyle changes than medication and psychotherapy. At a glance, this may appear accurate, but upon closer examination, may not be entirely true. Factors surrounding healthy eating, food deserts, the supplement industry, and adherence to lifestyle changes are all barriers present in nutritional psychiatry that are accompanied by added costs. These costs likely contribute to a disparity between low SES and high SES individuals benefitting from the treatment, in a similar way to classic treatments. This commentary reviews these factors to suggest that nutritional psychiatry may not be the accessible treatment option we purport it to be, and that as clinical researchers in the field, we must be aware of these disparities.
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Merrill, David A., and Gary W. Small. "Prevention in Psychiatry: Effects of Healthy Lifestyle on Cognition." Psychiatric Clinics of North America 34, no. 1 (March 2011): 249–61. http://dx.doi.org/10.1016/j.psc.2010.11.009.
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Albuquerque, C. M. Sousa, J. L. Pais Ribeiro, and C. P. Baptista Mota. "Personality and Lifestyles in Voluntary Firemen." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71501-9.
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Background:The main objective of this study was to verify if the Lifestyles are related with the type of Personality of the firefighters. Another objective was to verify if stress is related with the Lifestyles adopted.Methods:This was a transversal study applied to 146 Firefighters of Leiria, with ages between the 17 and 60 years (44 female and 102 the male). We used the NEO-Pi-R to analyze Personality and the Lifestyles Appraisal Questionnaire.Results:We found a significant statistical correlation between the Lifestyle Part I (risk factors) and the Neuroticism, that suggests that these citizens tend to have a bigger risk to developing illnesses. They present higher values of concern, nervousness, hypochondriacs and they have more disability answers of coping. They tend to be emotionally unsafe, revealing, sometimes, feelings of incompetence. They also show sadness, fear, embarrassment, anger and guilt. We also found significant statistical between the lifestyle Part I (risk factors) and the Lifestyle Part II (Stress). Indicates that a higher risk of developing illness is related to higher levels of stress. It was verified that the citizens present high factors of risk for their health and that this factor helps to increase the loss of control of the perception of stress.
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Baron, David, and Douglas Noordsy. "The Lifestyle Psychiatry project of the WPA Section on Medicine, Psychiatry and Primary Care." World Psychiatry 20, no. 3 (September 9, 2021): 454–55. http://dx.doi.org/10.1002/wps.20898.
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Vňuková, M., and R. Ptáček. "The development of depressive symptomatology, burnout and lifestyle in the Czech population – in years 2014-2020." European Psychiatry 64, S1 (April 2021): S146—S147. http://dx.doi.org/10.1192/j.eurpsy.2021.401.
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IntroductionIt is clear from the literature that depressive disorder is closely related to lifestyle, however the relationship between burnout and lifestyle remains unclear.ObjectivesThe aim of this study was to present a comprehensive overview of depressive symptoms, burnout and lifestyle over the years. Furthermore, this study looks at the relationship between burnout, depressive symptomatology and lifestyle and seeks to clarify the extent to which burnout can be explained by these variables.MethodsData collection took place in three waves. The first data collection was in 2014 (October/November), the second in 2017 (March) and the third in 2020 (March). The STEM/MARK agency conducted the data collection and collected answers from a representative sample of respondents using the CAWI method - computer-assisted questioning. These respondents were selected from the European National Panel. Because the target group was adults (18-65 years), an online survey was chosen. Internet penetration in this target population is sufficient and it was not necessary to use a combination of methodologies.ResultsAll 3 data collections identically show that for the model explaining burnout statistically significant variables are: age, depression and fatigue during the day. Other variables related to healthy lifestyles did not reach statistical significance.ConclusionsEven though the variables regarding healthy lifestyles have not reached statistical significance, their importance should not be underestimated. Mental well-being is closely linked to physical health and therefore a holistic approach to health should be emphasized and the rate of burnout should be regularly monitored.DisclosureNo significant relationships.
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Wheatley, David, and C. Bass. "Can Lifestyle Changes Reverse Coronary Heart Disease? The Lifestyle Heart Trial." British Journal of Psychiatry 158, no. 2 (February 1991): 264–67. http://dx.doi.org/10.1192/bjp.158.2.264.
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“In a prospective, randomised, controlled trial to determine whether comprehensive lifestyle changes affect coronary atherosclerosis after 1 year, 28 patients were assigned to an experimental group (low-fat vegetarian diet, stopping smoking, stress management training, and moderate exercise) and 20 to a usual-care control group. 195 coronary artery lesions were analysed by quantitative coronary angiography. The average percentage diameter stenosis regressed from 40.0 (SD 16.9)% to 37.8 (16.5)% in the experimental group yet progressed from 42.7 (15.5)% to 46.1 (18.5)% in the control group. When only lesions greater than 50% stenosed were analysed, the average percentage diameter stenosis regressed from 61.1 (8.8)% to 55.8 (11.0)% in the experimental group and progressed from 61.7 (9.5)% to 64.4 (16.3)% in the control group. Overall, 82% of experimental-group patients had an average change towards regression. Comprehensive lifestyle changes may be able to bring about regression of even severe coronary atherosclerosis after only 1 year, without use of lipid-lowering drugs.”
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Phelan, Michael, and Grant Blair. "Medical history-taking in psychiatry." Advances in Psychiatric Treatment 14, no. 3 (May 2008): 229–34. http://dx.doi.org/10.1192/apt.bp.105.001099.
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A good medical history is an essential starting point in ensuring that the physical health needs of people with severe mental illness are addressed. Psychiatrists have an important role in helping to tackle the general ill health, excess of undiagnosed physical illness and reduced survival rates among their patients. To do this they need to use their medical training, communication skills and regular contact with patients. Assessments should include family history, past and current physical health, medication, lifestyle, healthcare and physical symptoms. Some groups of patients will need more detailed assessments.
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Marx, Wolfgang, Felice Jacka, and Adrienne O’Neil. "Lifestyle-based mental health care in psychiatry: Translating evidence into practice." Australian & New Zealand Journal of Psychiatry 55, no. 7 (May 12, 2021): 641–43. http://dx.doi.org/10.1177/00048674211011250.
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Walters, Glenn D. "Sexual preoccupation as a lifestyle." Sexual and Marital Therapy 11, no. 4 (November 1996): 373–82. http://dx.doi.org/10.1080/02674659608404451.
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Raboch, J., R. Ptacek, M. Vnukova, and S. Tkacova. "How does lifestyle affect depression?" European Psychiatry 41, S1 (April 2017): S539. http://dx.doi.org/10.1016/j.eurpsy.2017.01.745.
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ObjectiveThe aim of this study was to test the assumption that there seems to be association between depression and lifestyle choices. The hypothesis was that unhealthy lifestyle will have an association with increased score on BDI II.MethodsCzech version of BDI II was used and a questionnaire of lifestyle was distributed among Czech economically active population. Combination of interviews (for older population) and questionnaires (for younger population) was used. Stepwise multiple linear regression was applied to test whether and to what extend is lifestyle associated with depression.ResultsIn total data from 1027 participants was collected; 675 persons aged 25–50 years and 352 persons aged 51–65 years. The model explains 31% of variance of depression and the model is highly significant F (8,1018) = 57.66, P = 0.001. Lifestyle choices that were found to be associated with depression were sleeping habits, regular eating and drinking habits and generally conscious adherence to healthy lifestyle.ConclusionOverall, an association was found between depression and certain lifestyle choices. Importantly it was also found conscious maintenance of healthy lifestyle is an important factor. This study thus confirmed the hypothesis that there is an association between depression and lifestyle. The most important factor of lifestyle in this study was shown to be regular sleeping pattern lasting at least 6 hours. Regular eating and maintaining drinking regime during the day were also found to be crucial.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Berk, M., J. Sarris, C. E. Coulson, and F. N. Jacka. "Lifestyle management of unipolar depression." Acta Psychiatrica Scandinavica 127 (April 16, 2013): 38–54. http://dx.doi.org/10.1111/acps.12124.
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Young, Claire L., Karen Trapani, Samantha Dawson, Adrienne O’Neil, Frances Kay-Lambkin, Michael Berk, and Felice N. Jacka. "Efficacy of online lifestyle interventions targeting lifestyle behaviour change in depressed populations: A systematic review." Australian & New Zealand Journal of Psychiatry 52, no. 9 (July 27, 2018): 834–46. http://dx.doi.org/10.1177/0004867418788659.
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Background: It is well established that depression and non-communicable diseases are highly co-morbid and bi-directional in nature. ‘Lifestyle medicine’ has recently gained traction in the field of psychiatry, aimed at improvement of both physical and mental health. Online interventions can be an effective and inexpensive alternative or supplement to therapy that is delivered using more traditional modes, overcoming barriers that may prohibit people from accessing treatment by promoting flexibility and accessibility. Methods: This systematic review evaluates the existing evidence for the efficacy or effectiveness of lifestyle interventions for (1) individuals with depressive symptoms, (2) clinically depressed populations or discussing the outcomes of depression within a subset of a larger cohort that are delivered online or via smart phone. Included studies were randomised controlled trials, with active comparator conditions, in adult populations and with reported lifestyle and depression-related outcomes. The analysis examined attrition, engagement, adherence and behaviour change techniques employed to achieve the target behaviours. Results: Seven studies were included in the review and targeted behaviour change in five domains: alcohol reduction, improved sleep quality/insomnia reduction, increased physical activity, reduced/cessation of substance abuse and smoking cessation. Four of the studies achieved significant improvements in the targeted behaviour; of these three also reported significant improvements in depressive symptoms. No studies reported significant improvements in depressive symptoms without a change in the target lifestyle behaviour. Conclusion: The results of this review highlight the potential of online lifestyle interventions as adjunctive treatments for depression, and the possibility of achieving significant improvements in depressive symptoms when targeting lifestyle behaviour change.
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Hall, Thomas, Gemma Andrews, and Darren Carr. "An Audit of Physical Health Monitoring in the Community Psychiatry Outpatient Setting: Can We Improve?" BJPsych Open 8, S1 (June 2022): S134—S135. http://dx.doi.org/10.1192/bjo.2022.392.
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AimsCare in the community psychiatric setting involves regular monitoring of both mental and physical health. Patients with mental illness worldwide have higher rates of morbidity and earlier mortality, often due to physical disease, most commonly of metabolic or cardiovascular origin. The reasons for these findings are numerous, though a significant contributor is the underperformance of lifestyle screening and subsequent underutilisation of interventions. As standard, it is recommended that practitioners of all grades should, at each appropriate opportunity, assess their patient's current physical status and screen for lifestyle factors that increase risk of morbidity. These include: weekly physical activity, weight/BMI, diet, smoking status and alcohol intake. Our aim was to investigate if our Community Team was meeting both trust-set standards and national standards.MethodsA list of all outpatient appointments, including all clinic types, and all grades of staff, was generated from 1/11/21 to 19/11/21 giving a total of 48 appointments. A list of questions were then answered using data taken from notes available on an electronic system. This allowed analysis of the frequency of assessment for each lifestyle factor and frequency of offered interventions, where appropriate. Further analysis across all grades of staff, both outpatient appointment clinics and medication monitoring clinics, and across specific mental health disorders was performed.ResultsEach lifestyle factor should have been checked at each appointment and interventions offered where appropriate. In each assessment an intervention could have been offered following identification of a modifiable factor. No factor was assessed at every opportunity. Only 2 interventions (4%) were offered. Targeted Medication Monitoring Clinics (MMC) did not perform better than Outpatient Follow-up Clinics (OPA), OPA offered more interventions. These findings were consistent across all grades of practitioner and diagnoses.ConclusionAssessment of modifiable risk factors was not performed at each assessment, and where interventions were appropriate, they were rarely offered. This was a universal issue across the team, and in spite of specialised clinics, or high risk disorders, there was substandard physical health management. Therefore, opportunities to modify risk of physical disease, or improve treatment of the underlying psychiatric disorder are being missed. This is troublesome as community psychiatry often has the space, time, and rapport with patients to explore these issues, furthermore, many psychiatric treatments carry the burden of increased risk of morbidity and mortality. Consequently, the onus should be upon us to manage these risks and improve patient health through simple, short interventions and timely signposting and referrals.
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Krupić, Dino, Benjamin Banai, and Philip J. Corr. "Relations Between the Behavioral Approach System (BAS) and Self-Reported Life History Traits." Journal of Individual Differences 39, no. 2 (April 2018): 115–22. http://dx.doi.org/10.1027/1614-0001/a000256.
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Abstract. The behavioral approach system (BAS) has been shown to be important in everyday life. However, its putative evolutionary origins have not been extensively studied. The purpose of this study was to explore relationships between BAS processes and life history strategies, or lifestyles, within life history theory. The BAS scales were assessed by the Reinforcement Sensitivity Theory of Personality Questionnaire (RST-PQ) and Sensitivity to Punishment and Sensitivity to Reward Questionnaire (SPSRQ-20), while lifestyles were measured by the Mini-K. Data from 457 participants (173 males) were analyzed by structural equation modelling, followed by set correlation to examine personality and Mini-K relationships. The structural model showed that RST-PQ Reward Interest, Goal-Drive Persistence and Reward Reactivity correlated with a slow lifestyle, while RST-PQ Impulsivity and (SPSRQ) Sensitivity to Reward (SR) did not correlate with the Mini-K. However, set correlation analysis revealed that SR correlated negatively with the Mini-K subscale Experience in romantic relationship and highlighted the importance of Insight, planning, and control in explaining the role of the BAS within slow lifestyle strategy. The findings are discussed in terms of possible evolutionary origins of the BAS.
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Puterbaugh, Dolores. "Lifestyle assessment and changes: Using the Healthy Lifestyle Worksheet in practice." Psychiatric Rehabilitation Journal 23, no. 1 (1999): 70–74. http://dx.doi.org/10.1037/h0095191.
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Connolly, Moira, and Ciara Kelly. "Lifestyle and physical health in schizophrenia." Advances in Psychiatric Treatment 11, no. 2 (March 2005): 125–32. http://dx.doi.org/10.1192/apt.11.2.125.
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People with schizophrenia die prematurely. Their illness, its treatment and their lifestyle all contribute to the excess morbidity and mortality. Lifestyle ‘choices' (e.g. poor diet, low rates of physical activity and increased likelihood to smoke cigarettes) predispose them to poor physical health and comorbid medical diseases. In addition, weight gain and obesity are a consequence of most antipsychotics, particularly the atypicals. Excessive body weight increases the risk of morbidity and mortality, and is the biggest risk factor for type II diabetes in schizophrenia. Much of the excess mortality of schizophrenia is preventable through lifestyle and risk factor modification and the treatment of common diseases, but the potential for improving outcomes in this area is only starting to be addressed.
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Filipcic, I., I. Simunovic Filipcic, E. Ivezic, K. Matic, N. Tunjic Vukadinovic, S. Vuk Pisk, D. Bodor, Z. Bajic, M. Jakovljevic, and N. Sartorius. "Chronic physical illnesses in patients with schizophrenia spectrum disorders are independently associated with higher rates of psychiatric rehospitalization; a cross-sectional study in Croatia." European Psychiatry 43 (June 2017): 73–80. http://dx.doi.org/10.1016/j.eurpsy.2017.02.484.
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AbstractBackground:Increased physical morbidity in patients with schizophrenia spectrum disorders (SSDs) is well documented. However, much less is known about the association between somatic comorbidities and psychosis treatment outcomes.Subjects and methods:This cross-sectional study, nested within the larger frame of a prospective cohort study, was done in 2016 at Psychiatric Hospital Sveti Ivan, Zagreb, Croatia. Data were collected on a consecutive sample of 301 patients diagnosed with schizophrenia spectrum disorders who achieved a stable therapeutic dosage. Key outcome was the number of psychiatric rehospitalizations since diagnosis of the primary psychiatric illness. Predictors were number of physical and psychiatric comorbidities. By robust regression, we controlled different clinical, sociodemographic, and lifestyle confounding factors.Results:The number of chronic somatic comorbidities was statistically significantly associated with a larger number of psychiatric rehospitalizations, even after the adjustment for number of psychiatric comorbidities and large number of other clinical, sociodemographic, and lifestyle variables.Conclusions:Chronic somatic comorbidities are associated with higher rates of psychiatric rehospitalization independently of psychiatric comorbidities and other clinical, sociodemographic, and lifestyle factors. Therefore, to treat psychosis effectively, it may be necessary to treat chronic somatic comorbidities promptly and adequately. Chronic somatic comorbidities should be considered equally important as the SSD, and should be brought to the forefront of psychiatric treatment and research with the SSD as one entity. The integrative approach should be the imperative in clinical practice.
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Van Schothorst, M., N. Den Bleijker, I. Hendriksen, W. Cahn, N. De Vries, P. Van Harten, and J. Deenik. "Effectiveness and implementation of a MUltidisciplinary Lifestyle focused approach in the Treatment of Inpatients with mental illness (MULTI+): a stepped wedge study protocol." European Psychiatry 65, S1 (June 2022): S868. http://dx.doi.org/10.1192/j.eurpsy.2022.2250.
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Introduction People with mental illness (MI) have a reduced life expectancy compared to the general population, mostly attributable to somatic diseases caused by poor physical health. Modifiable lifestyle factors are increasingly associated with the onset of somatic diseases in people with MI. Despite the increasing evidence for the efficacy of lifestyle interventions there is little change in routine clinical care. This discrepancy is referred to as the implementation gap and has caused a need for effectiveness and implementation research in real-world settings. Objectives This study investigates the health outcomes and implementation of a multidisciplinary lifestyle focused approach in treatment of inpatients with mental illness (MULTI+). Methods This is an open cohort stepped wedge cluster randomized trial in inpatients psychiatric wards of GGz Centraal. Three clusters are randomly allocated to one of the three pre-defined steps to integrate MULTI+. MULTI+ can be tailored to fit individual psychiatric wards and includes 10 core components aimed at improving lifestyle factors. The primary outcome is to investigate whether there is a greater decrease in the QRISK3 cardiovascular risk score after receiving MULTI+ as compared to treatment as usual. Secondary outcomes include somatic and mental health outcomes, lifestyle factors, and implementation factors. Results First results expected in 2022. Conclusions To our knowledge, this will be the first large-scale study evaluating the long-term effects of a multidisciplinary, multicomponent approach aimed at improving lifestyle factors. We expect that this approach will increase long-term sustainability and can serve as a potential blueprint for future implementation of lifestyle interventions to improve routine clinical care. Disclosure No significant relationships.
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Fathi, Ayatollah, Solmaz Sadeghi, Ali Akbar Maleki Rad, Saeed Sharifi Rahnmo, Hossein Rostami, and Karim Abdolmohammadi. "The Role of Cyberspace Use on Lifestyle Promoting Health and Coronary Anxiety in Young Peopl." Iranian Journal of Psychiatry and Clinical Psychology 26, no. 3 Special Issue on COVID-19 (December 1, 2020): 332–47. http://dx.doi.org/10.32598/ijpcp.26.3415.1.
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Objectives: The most critical issue that the young generation faces is cyberspace, which has increased irrationally with the coronavirus outbreak. The present study aimed to identify cyberspace’s role in lifestyle, promoting health, and coronary anxiety in young people. Methods: The research method is descriptive post-event. The community included all undergraduate students of Tabriz Azad University, of which 307 people participated in the study through an online call answer to a Researcher-Made Questionnaires, which designed to measure the use of cyberspace, Corona Anxiety Questionnaire and the Lifestyle Promoters. Data were analyzed by multivariate analysis of variance and Post Hoc test. Results: The findings show the components of lifestyle promoting health, subscales of spiritual growth (P=0.001), responsibility (P=0.016), interpersonal relationships (p=0.033), exercise (P=0.009) as well as the overall score of lifestyle (P=0.001); And one of the components of Corona Anxiety is a subscale of psychological symptoms (P=0.001) and also the total score of Corona Anxiety (P=0.001) in groups related to the use of cyberspace is significant, And students who spent more than four hours using cyberspace scored lower on health-promoting lifestyles and higher on coronary anxiety components. Conclusion: The excessive use of cyberspace has played a negative role in improving the health of students. Excessive and very little use of cyberspace also increases students’ anxiety, and in this regard, it is suggested that students manage the use of virtual social networks.
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Rosenbaum, S., A. Watkins, P. B. Ward, D. Pearce, K. Fitzpatrick, and J. Curtis. "Psychiatry heal thyself: a lifestyle intervention targeting mental health staff to enhance uptake of lifestyle interventions for people prescribed antipsychotic medication." European Psychiatry 33, S1 (March 2016): S619. http://dx.doi.org/10.1016/j.eurpsy.2016.01.2314.
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IntroductionPeople experiencing severe mental illness (SMI) face a shortened life expectancy of up to 20 years, primarily due to preventable cardiovascular (CV) diseases. Lifestyle interventions are effective in reducing CV risk, yet examples of service-wide interventions are lacking. Staff culture remains a barrier to the successful implementation of lifestyle interventions. The Keeping the Body in Mind (KBIM) program, established by SESLHD (Australia), aims to close the gap in life expectancy through multidisciplinary teams, including clinical nurse consultants, dieticians, exercise physiologists, and peer support workers. Prior to the KBIM rollout, an individualized lifestyle intervention called Keeping Our Staff In Mind (KoSiM) was offered to all district mental health staff.ObjectiveKoSiM examined the effectiveness of a staff intervention to improve physical health, confidence, knowledge and attitudes of mental health staff.MethodsMental health staffs were invited to participate in an online survey and a 4-week individualized intervention including personalised health screening and lifestyle advice, with a 16-week follow-up. Outcomes assessed included: attitudes, confidence and knowledge regarding metabolic health, weight, waist circumference (WC), blood pressure, sleep, diet, physical activity and exercise capacity.ResultsOf a total of 702 staff, 204 completed the survey (29%). Among those completing the survey, 154 staff (75%) participated in the intervention. A mean decrease in waist circumference of 2 ± 2.7 cm, (P < 0.001) was achieved. Among staffs that were overweight or obese at baseline, 75% achieved a decrease in WC.ConclusionImproving staff culture regarding physical health interventions is an important step in integrating lifestyle interventions into routine care.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Kim, Yeon-Jin, and Sang-Ah Lee. "The Relationship of Lifestyle Factors with the Prevalence of Major Depressive Disorder by Ecological Factors." Psychiatry Investigation 18, no. 4 (April 25, 2021): 340–47. http://dx.doi.org/10.30773/pi.2020.0309.
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Objective The association between ecological/lifestyle factors and major depressive disorder (MDD) have been provided but was inconsistent as characteristics of population including race, gender, etc.Methods Data were extracted from the Korean National Health and Nutrition Examination Survey and consisted of 35,839 adults including 1,537 with MDD. Ecological factors included age, sex, married status, education, family income, residence, occupation, BMI, self-recognition stress, and history of non-communicable disease. Smoking, drinking, regular exercise, total energy intake, and sleep was consisted for lifestyle factors. The relationship between MDD and ecological/lifestyle factors, was evaluated using the multiple logistic regression model after adjustment for covariates.Results The increased prevalence of MDD in men was related aged, unmarried, low educated, unoccupied, high BMI, and high self-recognition stress. To women, MDD prevalence was increased as aged, low educated and family income, resided in urban, unoccupied, high self-recognition stress and history of non-communicable disease. Current smoking/drinking and lack of sleep was positively related with prevalence of MDD in women. The relationship between lifestyle factors and MDD prevalence was influenced by ecological status, predominantly in women.Conclusion The relationship of lifestyle factors with MDD prevalence were observed and could be attenuated by various ecological factors, in women.
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Jörg, F., A. Looijmans, A. Stiekema, L. Van der Meer, R. Schoevers, and E. Corpeleijn. "Changing the Obesogenic Environment to Improve Cardiometabolic Health in Residential Patients with a Severe Mental Illness: ELIPS, a Randomized Controlled Trial." European Psychiatry 41, S1 (April 2017): S267—S268. http://dx.doi.org/10.1016/j.eurpsy.2017.02.088.
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IntroductionThe life expectancy of severe mentally ill (SMI) patients is shortened up to 30 years, due to cardiometabolic diseases, partly caused by unhealthy lifestyles behaviors. In residential facilities, adopting a healthy lifestyle is hampered by the obesogenic environment; an obesity promoting environment.ObjectiveTo determine, the effectiveness of a 12 month lifestyle intervention addressing the obesogenic environment to improve cardiometabolic health of SMI residential patients.MethodsThe effectiveness of lifestyle interventions in psychiatry (ELIPS) trial is a multi-site, cluster randomized controlled pragmatic trial. Twenty-nine sheltered and long-term clinical care teams serving SMI patients in the Netherlands were randomized into intervention (n = 15) or control (n = 14) arm, including 736 patients (73% psychotic disorder, 63% male, 48 ± 13 years). The intervention aimed to improve the obesogenic environment using a small change approach with a focus on nutrition and physical activity. Primary outcome was waist circumference (WC) after three and twelve month's intervention. Secondary outcomes were BMI and metabolic syndrome.ResultsGeneral linear mixed models adjusted for age, gender, housing facility and antipsychotic medication showed that WC significantly decreased with 1.51 cm (95%CI = −2.99;−0.04, Cohen's d = 0.07) in the intervention group compared to control group after three months and tended to remain lower with 1.28 cm (95%CI = −2.79; 0.23, Cohen's d = 0.06) after twelve months. Metabolic syndrome Z-score decreased after three months with 0.225 SD (95% CI = −0.4038;−0.096, Cohen's d = 0.20), mainly due to lower fasting glucose and WC. No significant effects were found on BMI.ConclusionA small change approach targeting the obesogenic environment of SMI residential patients reduces cardiometabolic risk.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Kim, Eun Gyeong, Sook Kyoung Park, and Ju-Hee Nho. "The Effect of COVID-19–Related Lifestyle Changes on Depression." Psychiatry Investigation 19, no. 5 (May 25, 2022): 371–79. http://dx.doi.org/10.30773/pi.2021.0381.
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Objective This study aimed to identify the effect of coronavirus disease (COVID-19)–related lifestyle changes on depression.Methods This secondary data analysis study included 229,269 adults from a community health survey conducted in the South Korea in 2020. Data were collected using a structured questionnaire about participants’ lifestyle changes related to COVID-19 and the Patient Health Questionnaire-9. The data were analyzed using a complex sample independent t-test, analysis of variance, Pearson’s correlation coefficient, and multiple regression analysis.Results The mean age of the participants was 48.76; 49.6% were male, and 50.4% were female. The multiple regression showed that depression increased due to COVID-19–related lifestyle changes (physical activity, sleep duration, consumption of convenience foods, alcohol consumption, smoking, and use of public transportation). The explanatory power was 27.3%, and the model was suitable (Wald F=63.75, p<0.001).Conclusion This study identified the effect of COVID-19–related lifestyle changes on depression, and the results have implications for future depression-relieving interventions.
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Fujii, R., M. Fujimoto, M. Kuga, Y. Kudo, H. Suzuki, K. Haki, S. Nishimon, and J. Nakane. "The current status of forensic psychiatry in japan." European Psychiatry 26, S2 (March 2011): 779. http://dx.doi.org/10.1016/s0924-9338(11)72484-1.
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In 2005, the Medical Treatment and Supervision (MTS) Act was enacted in Japan to hospitalize the criminally insane and to promote a self-supporting lifestyle after deinstitutionalization. As of October 2010, 490 patients remain hospitalized in 23 highly secure forensic hospitals. Most patients are diagnosed with chronic schizophrenia and exhibit symptoms of drug resistance. Battering is the most common criminal act they have committed.The increased prevalence of the combination of criminal insanity with drug dependence is a common problem in other countries as well. It is a serious problem that diversity in prison medical care has not been achieved.A characteristic feature of care for criminally insane patients in Japan is that they must live in a residential district where a public health center is located and close to forensic hospitals after deinstitutionalization. Although there may be concerns about social prejudice against psychiatric disorders, this limited area would help support rehabilitation of patients because medical staff can easily know the whereabouts, psychiatric condition and aspects, of daily life for each patient through frequent reports obtained from home-visiting nurses. As a result, patients who have been successfully deinstitutionalized lead a self-supporting lifestyle without treatment interruption or repetition of similar criminal acts.In this presentation, we will show the current status of forensic care in Japan, analyze its characteristics and problems described above, and make suggestions for the treatment of the criminally insane in countries with a small national land area such as Japan.
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Schmitt, Andrea, and Peter Falkai. "Impact of lifestyle in severe psychiatric disorders and brain morphology." European Archives of Psychiatry and Clinical Neuroscience 263, no. 6 (July 27, 2013): 449–50. http://dx.doi.org/10.1007/s00406-013-0430-3.
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Bucur, Mihaela. "Lifestyle Psychiatry Edited by Douglas L. Noordsy MD American Psychiatric Association Publishing. 2019. $59.00 (pb). 416 pp. ISBN 978161537166." BJPsych Bulletin 44, no. 4 (June 17, 2020): 186. http://dx.doi.org/10.1192/bjb.2020.55.
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Ganhao, I., M. Trigo, A. Paixao, and J. Cardoso. "Healthy lifestyles programme in an acute psychiatric inpatient unit." European Psychiatry 41, S1 (April 2017): S379—S380. http://dx.doi.org/10.1016/j.eurpsy.2017.02.407.
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IntroductionMental health issues and illnesses are associated with poor self-care and unhealthy lifestyles that contribute to morbidity, mortality and overall decrease in quality of life when compared to the general population. Healthy lifestyle promotion is infrequently considered a priority in mental healthcare services, especially in acute psychiatric inpatient units.ObjectivesTo present a healthy lifestyles promotion programme implemented in an acute psychiatric inpatient unit.AimsTo reflect on how to design an adequate programme for patients with complex needs.MethodsIn a general psychiatric inpatient unit, a team of two psychologists and one psychiatrist, ventured to introduce weekly activities that included drawing, colouring, painting, crafts and games, that provided a context for patients and the team to sit down together or to gradually “drift” together and make possible conversations focusing on tobacco smoking, caffeine consumption, weight control, physical activity and health promoting activities.ResultsInstead of individual or group psychoeducation talk interventions, play and art strategies, in closer proximity with the patients, made it far easier to engage difficult patients and made psychoeducation possible and fun.ConclusionsPatients with severe mental illness are frequently reluctant to engage in activities targeting healthy lifestyles, especially in acute psychiatric inpatient units, when insight and motivation for change may be low due to illness and consequences of illness. Play and art therapy interventions led by a team of mental healthcare professionals who participate directly with the patients, may be an innovative, more effective and enjoyable strategy.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Ghani, Mohamad Zulkifli Abdul, Abu Dardaa Mohamad, Wan Hilmi Wan Abdullah, Muhammad Arif Yahya, Abdul Ghafar Don, Miftachul Huda, and Andino Maseleno. "The Moderation of Da’wah in Empowering Islamic Lifestyle." International Journal of Psychosocial Rehabilitation 24, no. 1 (January 31, 2020): 239–46. http://dx.doi.org/10.37200/ijpr/v24i1/pr200126.
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Shah, K., M. Ghouse, and D. Kamrai. "Barriers in managing psychiatric disorders in athletes." European Psychiatry 64, S1 (April 2021): S397. http://dx.doi.org/10.1192/j.eurpsy.2021.1063.
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IntroductionAthletes have participated in sports and physical exercise for several decades as a coping strategy to alleviate mental health and behavioral issues. The increasing prevalence of psychiatric disorders among athletes attributed to the failure of its appropriate management.ObjectivesOur goal is to identify barriers in diagnosing and treating psychiatric problems among sportspersons to educate clinicians about the potential risk factors for athletes’ mental health disorders to provide optimal medical care.MethodsWe examined MeSH terms “Athletes,” “Sports,” “Risk Factors,” “Diagnosis,” and “Patient Care Management,” in the context of “Mental Health,” “Mental Disorders,” “sports psychiatry,” and “diagnostic barriers.” We included 23 studies per the PRISMA guidelines, searching Medline, PubMed, PubMed Central, and PsychInfo databases until August 2020.ResultsBarriers managing psychiatric disorders in athletes are overtraining syndrome, compensatory training, idolizing, negative coping mechanisms, social stigma, injuries, and performance-enhancing supplements usage. Other factors attributed to diagnostic barriers are general perceptions, age, racial and gender disparities, poor health services, interpersonal issues, patient-therapist relationships, sense of entitlement, control or confidentiality problems, and lack of quality preventative measures. Risk factors are injuries, sports type, doping, substance abuse, lifestyle, failures in achievement, eating disorders, and maladaptive coping mechanisms.ConclusionsThese barriers in psychiatric care have adversely impacted the mental health of sportspersons. Athletes have deviated from their careers and lost valuable periods of their lives due to inadequate attention to sports psychiatry aspects, such as cognitive health services, inclusive sports management measures, diagnostic and treatment approaches, reliable mental health services, and public awareness programs.
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Sudhir, Paulomi M. "Advances in psychological interventions for lifestyle disorders." Current Opinion in Psychiatry 30, no. 5 (September 2017): 346–51. http://dx.doi.org/10.1097/yco.0000000000000348.
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St-Amour, S., F. A. Bérubé, L. Cailhol, and C. Le Corff. "Review of the interaction between lifestyle habits and personality disorders." European Psychiatry 65, S1 (June 2022): S662—S663. http://dx.doi.org/10.1192/j.eurpsy.2022.1702.
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Introduction Individuals with personality disorders have a decreased life expectancy when compared to the general population in particular due to physical illnesses. Many factors can be associated with those physical illnesses such as lack of physical activity and bad nutritional habits. Moreover, physical activity and nutrition (lifestyle) intervention have shown great results in decreasing symptoms and improving condition in affective and anxiety disorders. However, little is known about the relation between lifestyle, and personality disorders. Objectives The purpose of this review is to regroup the available information on this topic. Methods In February 2021, we searched the literature using 4 databases for articles analyzing the relation between lifestyle and personality disorders. Twenty-one articles were included. Results In this review, we found few studies analyzing the relation between lifestyle and personality disorders. Most studies either used lifestyle measures as control variables or did not use such variables at all. Moreover, instruments used to measure lifestyle variables lacked precision at best. Two studies demonstrated a relation between early malnutrition and further development of personality disorders, but those results may be influenced by confounding variables and cannot indicate a clear link between nutrition and personality disorder. Conclusions Few evidences are available linking lifestyle to personality disorders in any way. This lack of evidence is surprising considering the multiple benefits individuals with personality disorders could get from it. More studies are needed to thoroughly analyze the impact of lifestyle on personality disorders and vice versa. Those studies need to use validated instruments to provide strong evidence about this relation. Disclosure No significant relationships.
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Den Bleijker, N., M. Van Schothorst, I. Hendriksen, W. Cahn, and J. Deenik. "The association between lifestyle factors, and physical and mental health in inpatients with MI: a network analysis." European Psychiatry 65, S1 (June 2022): S615. http://dx.doi.org/10.1192/j.eurpsy.2022.1576.
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Introduction People with mental illness (MI) have a reduced life expectancy compared to the general population, mostly attributable to somatic diseases caused by poor physical health. Lifestyle factors (exercise, sleep, diet, substance use) are associated with poor physical and mental health. Although lifestyle factors, and physical and mental health are believed to be interconnected, research has mainly focused on one-sided relationships. Currently, we are implementing a lifestyle focussed approach in treatment, in which we assess lifestyle factors as well as physical and mental health of people with MI on a large scale (˜850 places of residence). Objectives To investigate the association between lifestyle factors, and physical and mental health in people with MI. Methods Baseline data from an open cohort cluster randomized stepped wedge study. Lifestyle factors (exercise, sleep, diet, substance use), physical health, medication use and psychological health (symptoms, quality of life) were assessed using data from patient files and questionnaires. Associations will be analysed with network analyses. Results First results (N≈1600) show that 54% of patients have high blood pressure, 51% have excessive waist circumference, 46% are experiencing sleep problems, 71% smoke and 88% do not meet exercise guidelines. Patients experience a lower quality of life compared to the general population. Conclusions Initial results show that patients have poor physical health, low quality of life and an unhealthy lifestyle. Further analyses are currently being conducted to gain insight in the complex pattern between lifestyle factors, and physical and mental health. This can contribute to the improvement of routine clinical care. Disclosure No significant relationships.
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Shoham, Natalie, and Claudia Cooper. "How advances in epidemiology are influencing older adult psychiatry." BJPsych Advances 26, no. 2 (February 24, 2020): 104–5. http://dx.doi.org/10.1192/bja.2019.69.
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SUMMARYShortcomings of randomised controlled clinical trials include their high cost, which often precludes very long-term studies and very large populations, and ethical constraints of randomisation. Observational studies are a valuable alternative and we outline their use in epidemiological research to study very long-term effects of lifestyle and medication on dementia, to explore (using Mendelian randomisation) the association between Alzheimer's dementia and individual traits, and to evaluate population-wide health inequalities and lifespan changes in risk factors for psychiatric illness.
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Dressler, William W. "Education, lifestyle and arterial blood pressure." Journal of Psychosomatic Research 34, no. 5 (January 1990): 515–23. http://dx.doi.org/10.1016/0022-3999(90)90026-z.
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Giordano, Giulia Maria, Pasquale Pezzella, Andrea Perrottelli, and Silvana Galderisi. "‘Precision psychiatry’ needs to become part of ‘personalized psychiatry’." Fortschritte der Neurologie · Psychiatrie 88, no. 12 (August 31, 2020): 767–72. http://dx.doi.org/10.1055/a-1211-2826.
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Abstract‘Precision medicine’ is defined as ‘an emerging approach for treatment and prevention that takes into account each person’s variability in genes, environment, and lifestyle’. Sometimes the term ‘personalized medicine’ is also used, either as a synonym or in a broader sense. In psychiatry, the term ‘personalized’ applies to different levels of health-care provision, such as the service organization and the choice of treatment plans based on the characterization of the individual patient. This approach is already feasible but, currently, it is often hampered by the shortage of human and financial resources. Recently, the terminology of ‘precision medicine’ has been extended to psychiatry: the term ‘precision psychiatry’ refers to the full exploitation of recent scientific and technological advances to achieve a close match between individual biosignature and prevention / treatment strategies. This article provides an overview of recent advances in neuroimaging, multi-omics and computational neuroscience, which have contributed to foster our understanding of the neurobiology of major mental disorders, and led to the implementation of a precision medicine-oriented approach in psychiatry.We argue that, while ‘precision psychiatry’ represents an important step to further advance the effectiveness of the ‘personalized psychiatry’, the distinction between the two terms is important to avoid dangerous neglect of the current potential of personalized care in psychiatry and to underscore the need for disseminating good existing practices aimed at organizing mental health services and providing care according to person’s psychopathological characteristics, illness trajectory, needs, environment and preferences.In conclusion, ‘precision psychiatry’ will contribute to advance ‘personalized psychiatry’, but for the time being keeping the distinction between the two terms will contribute to fully exploit the current potential of personalized care.
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Denman, Melissa, Femi Oyebode, and Jayne Greening. "Reasons for choosing to specialise in psychiatry: differences between core psychiatry trainees and consultant psychiatrists." BJPsych Bulletin 40, no. 1 (February 2016): 19–23. http://dx.doi.org/10.1192/pb.bp.114.048678.
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Aims and methodThis questionnaire study aimed to investigate the reasons for choosing to specialise in psychiatry in a sample of consultant psychiatrists and core trainee psychiatrists from within the West Midlands.ResultsFive reasons were significantly different between the core trainees and consultant psychiatrists. ‘Emphasis on the patient as a whole’ was identified as the most important reason for choosing to specialise for both core trainees and consultants. Six additional reasons were shared within the top ten ‘very important’ reasons, although their actual ranking varies.Clinical implicationsSome of the reasons for choosing to specialise in psychiatry were shown to significantly differ between core trainees and consultants. Numerous key driving factors have remained important over time for both groups, whereas other reasons have been replaced with a shift of importance towards lifestyle and humanitarian factors for core trainees. Consequently, it may be advisable not to use the reasons that consultants gave for choosing psychiatry when thinking about how to attract today's prospective psychiatrists.
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Janoutová, Jana, Alice Hálová, and Vladimír Janout. "The influence of lifestyle on epigenetic regulation: implications for psychiatric disorders." Psychiatrie pro praxi 18, E-verze 3/17 (December 1, 2017): e3-e8. http://dx.doi.org/10.36290/psy.2017.037.
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Long, Clive, Arleen Rowell, Samantha Rigg, Frank Livesey, and Peter McAllister. "What is effective in promoting a healthy lifestyle in secure psychiatric settings? A review of the evidence for an integrated programme that targets modifiable health risk behaviours." Journal of Forensic Practice 18, no. 3 (August 8, 2016): 204–15. http://dx.doi.org/10.1108/jfp-12-2015-0055.
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Purpose – The purpose of this paper is to describe healthy lifestyle initiatives in a secure psychiatric facility and the evidence base for these interventions. Design/methodology/approach – Following a detailed review of the literature on the physical health of psychiatric inpatients, a trans-diagnostic approach to behaviour change is advocated in selected areas. Findings – Lifestyle strategy proposals were produced that incorporate the principle of “libertarian paternalism” in making changes to eating and exercise behaviour; a programme of motivational and reinforcement strategies; and facility-specific environmental restructuring to include maximising the therapeutic use of green space. Practical implications – Instituting described changes needs to be accompanied by a programme of evaluation to assess intervention-specific physical health changes. Originality/value – This paper provides a synthesis of findings in key areas of behaviour change relevant to improving the physical health of psychiatric patients in secure settings. It is a co-ordinated and interlinked lifestyle strategy that has applicability to similar services.
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Robertson, Tasha, Garry Walter, Nerissa Soh, Glenn Hunt, Michelle Cleary, and Gin Malhi. "Medical Students’ Attitudes Towards a Career in Psychiatry before and after Viewing a Promotional DVD." Australasian Psychiatry 17, no. 4 (January 1, 2009): 311–17. http://dx.doi.org/10.1080/10398560902874298.
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Objectives: The objectives were, first, to determine attitudes towards psychiatry as a career among medical students currently enrolled at the University of Sydney and, second, to establish the immediate impact on those attitudes of a promotional DVD, released by the Royal Australian and New Zealand College of Psychiatrists. Method: Medical students enrolled in the University of Sydney in 2008 were invited to complete a voluntary online questionnaire, in which their attitudes towards psychiatry were explored, and the immediate effects of a 15-minute DVD were ascertained. Results: A total of 123 students participated. Only one student identified psychiatry as their chosen career. Medical students viewed psychiatry as the least attractive specialty for the degree to which patients are helped effectively and in terms of having a reliable scientific foundation. However, it rated well in regard to being intellectually challenging, a rapidly advancing field of medicine, and providing research opportunities and a good lifestyle. Psychiatry is less respected than most other specialties by students and they perceive this discipline to be poorly respected by other medical students and current medical practitioners. After viewing the DVD, there were improved student ratings of the benefits of a career in psychiatry, especially in relation to the specialty being enjoyable, offering effective treatment and having a scientific foundation. There was also enhanced understanding of the role of a psychiatrist in just over half of the participants and increased interest in psychiatry in about 30% of participants. The DVD was most effective in increasing awareness of the diversity of subspecialties available within psychiatry, good lifestyle factors, and the training involved. Conclusion: Among medical students, psychiatry is perceived as unattractive and fails to command the respect afforded other specialties. The viewing of a promotional DVD by medical students was found to be effective in improving their attitudes towards psychiatry and increasing their interest in pursuing a career in the specialty. However, the long-term impact of this modest improvement is unknown and the low survey response rate limits the extent to which the results can be generalized.
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Shah, Pankaj B., Vijaya Srinivasan, Ramanathan Sathianathan, S. Poonguzhali, Shalini Lakshmanan, K. Maheshkumar, Padmavathi Ramaswamy, and Santhi Silambanan. "Supplementation of minerals in effective management of refractory major depressive disorders." Sri Ramachandra Journal of Health Sciences 1 (December 24, 2021): 3–9. http://dx.doi.org/10.25259/srjhs_6_2021.
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In the past two decades, rapid urbanization and globalization have adversely changed our lifestyle and diet habits. Our traditional healthy food habits have been replaced by processed foods with low nutritive value. These measures also saw a high prevalence of depression and other psychiatric disorders not only in western, urbanized countries but also in other developing countries as well. Long-term undernutrition due to deficiency of micronutrients such as iodine and iron can lead to increased chances of physical and mental disabilities. Undernourished children have less energy, decreased curiosity, and less interest in physical activities as well as they lack communication skills. These factors impair their physical, mental, and cognition. The aim of this article was to find the association of micronutrients especially minerals in patients with major depressive disorders. An adequate supply of nutrients is essential to regulate microbiome health and to improve the efficacy of other psychotherapeutic and psychopharmacological interventions. Lifestyle interventions in the form of dietary coaching could be used as promising, cost-effective, and practical intervention in depressed individuals. Nutritional interventions should be integrated in the multifactorial and treatment-resistant psychiatry patients.
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Taylor, Avril. "Needlework: The Lifestyle of Female Drug Injectors." Journal of Drug Issues 28, no. 1 (January 1998): 77–90. http://dx.doi.org/10.1177/002204269802800105.
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Participant observation was used to study the lifestyles of female drug injectors in Glasgow. Twenty-six women were interviewed in-depth at the end of the observation period. The results reveal how women become involved in drug use, the ways in which they finance their drug use, and their relationships with friends, partners and children. The efforts the women made to give up their use of drugs is discussed along with the difficulties involved in their attempts to do so. Overall, the findings refute the stereotypical view of women drug users as inadequate individuals. The evidence provided indicates that the lifestyle which evolves from the use of drugs offers an arena in which the women are able to find a degree of independence and purpose otherwise missing from their lives and which makes their drug-using lifestyle attractive even when disadvantages become apparent.
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Ward, David D., Janice M. Ranson, Lindsay M. K. Wallace, David J. Llewellyn, and Kenneth Rockwood. "Frailty, lifestyle, genetics and dementia risk." Journal of Neurology, Neurosurgery & Psychiatry 93, no. 4 (December 21, 2021): 343–50. http://dx.doi.org/10.1136/jnnp-2021-327396.
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ObjectiveTo optimise dementia prevention strategies, we must understand the complex relationships between lifestyle behaviours, frailty and genetics.MethodsWe explored relationships between frailty index, healthy lifestyle and polygenic risk scores (all assessed at study entry) and incident all-cause dementia as recorded on hospital admission records and death register data.ResultsThe analytical sample had a mean age of 64.1 years at baseline (SD=2.9) and 53% were women. Incident dementia was detected in 1762 participants (median follow-up time=8.0 years). High frailty was associated with increased dementia risk independently of genetic risk (HR 3.68, 95% CI 3.11 to 4.35). Frailty mediated 44% of the relationship between healthy lifestyle behaviours and dementia risk (indirect effect HR 0.95, 95% CI 0.95 to 0.96). Participants at high genetic risk and with high frailty had 5.8 times greater risk of incident dementia compared with those at low genetic risk and with low frailty (HR 5.81, 95% CI 4.01 to 8.42). Higher genetic risk was most influential in those with low frailty (HR 1.31, 95% CI 1.22 to 1.40) but not influential in those with high frailty (HR 1.09, 95% CI 0.92 to 1.28).ConclusionFrailty is strongly associated with dementia risk and affects the risk attributable to genetic factors. Frailty should be considered an important modifiable risk factor for dementia and a target for dementia prevention strategies, even among people at high genetic risk.
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Morriss, Richard, and Faizal Amir Mohammed. "Metabolism, lifestyle and bipolar affective disorder." Journal of Psychopharmacology 19, no. 6_suppl (November 2005): 94–101. http://dx.doi.org/10.1177/0269881105058678.
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Lifestyle, illness and treatment factors in people with bipolar disorder (BD) may confer additional risk of morbidity and mortality to the increasing rates of obesity, metabolic syndrome, diabetes mellitus and cardiovascular mortality in the general population. The aim of this review is to examine whether the risk of obesity and related morbidity and mortality are raised in BD, and possible contributory effects of lifestyle, illness and treatment factors to this risk. Systematic search of Medline and Cochrane Collaboration for relevant studies followed by a critical review of literature was carried out. Mortality from cardiovascular causes and pulmonary embolism (standardized mortality ratio approximately 2.0), and morbidity from obesity and type 2 diabetes mellitus may be increased in BD compared to the general population. Reduced exercise and poor diet, frequent depressive episodes, comorbidity with substance misuse and poor quality general medical care contribute to the additional risk of these medical problems in people with BD. There is no evidence that patients with BD are more sensitive than other patients to weight gain and medical problems associated with long-term use of psychotropic medication; in fact long-term treatment with lithium, antipsychotics and tricyclic antidepressants may reduce overall mortality. Psychiatrists, general practitioners and other health professionals should work together to systematically assess and manage weight gain and related medical problems to reduce the morbidity and mortality associated with obesity in BD. There is insufficient evidence to associate any of these factors with specific drug treatments. More research is required to understand how BD changes the risk for physical health comorbidity.
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Valenzuela, Michael J., Fiona E. Matthews, Carol Brayne, Paul Ince, Glenda Halliday, Jillian J. Kril, Marshall A. Dalton, Kathryn Richardson, Gill Forster, and Perminder S. Sachdev. "Multiple Biological Pathways Link Cognitive Lifestyle to Protection from Dementia." Biological Psychiatry 71, no. 9 (May 2012): 783–91. http://dx.doi.org/10.1016/j.biopsych.2011.07.036.
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Gatz, Margaret, Carol A. Prescott, and Nancy L. Pedersen. "Lifestyle Risk and Delaying Factors." Alzheimer Disease & Associated Disorders 20, Supplement 2 (July 2006): S84—S88. http://dx.doi.org/10.1097/00002093-200607001-00013.
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Haryani, Siti Dinda, Auliya Syaf, and Muhammad Fadhli. "Hubungan Gaya Hidup Hedonis Dengan Kecenderungan Impulsive Buying Pada Remaja." ANFUSINA: Journal of Psychology 5, no. 1 (April 23, 2022): 25–34. http://dx.doi.org/10.24042/ajp.v5i1.14018.
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Impulsive buying is an irrational purchase that occurs quickly without any consideration and there is no process of searching for information about the product purchased so that the purchase occurs because of an emotional impulsive. One of the factors that influence impulsive buying is a hedonic lifestyle. The hedonic lifestyle is a lifestyle or lifestyle that is expressed with activities, interests and opinions that prioritize emotional properties rather than logic and is a lifestyle that leads to pleasure which is the goal of life. This study aims to determine the relationship between hedonic lifestyle and impulsive buying in adolescents. This study uses a quantitative method with Pearson's product moment analysis. The subjects in this study were 360 adolescents aged 12-23 years in the city of Pekanbaru which were taken using quota sampling. Based on the results of research conducted that there is a positive relationship between the hedonic lifestyle and the impulsive buying tendency of teenagers in the city of Pekanbaru with a significance value of 0.000 and a correlation coefficient of 0.735, which means the higher the hedonic lifestyle, the higher the tendency of impulsive buying in adolescents, and conversely the lower the hedonic lifestyle. hedonic lifestyle, the lower the tendency of impulsive buying in adolescents in Pekanbaru. Thus, the hedonic lifestyle carried out by teenagers in Pekanbaru has a relationship with the tendency of impulsive buying.Keywords: Impulsive Buying, Hedonic Lifestyle, Teenagers
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Chatterjee, Indrajit, Matthew Cordiner, and Naomi Booker. "Reviewing Interventions to Ensure Management of Cholesterol Levels in Psychiatry Inpatients." BJPsych Open 8, S1 (June 2022): S152. http://dx.doi.org/10.1192/bjo.2022.432.
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AimsStudies have been done to suggest an increased risk of mortality in patients with mental illness, from cardiovascular diseases. This may be a result of factors ranging from lifestyle choices in the patient group, access to health-care facilities, side-effects of antipsychotic use etc. As a suitable predictor of cardiovascular risk, this audit reviews and attempts to improve the management of cholesterol levels in this patient group based on local trust guidelines.Methods116 and 120 patients from general adult psychiatry wards were included in two cycles of the audit respectively. Blood results, discharge letters were obtained from the Clinical portal database; drug prescriptions from the ‘Hospital Electronic Prescribing and Medicines Administration (HEPMA)’ database. As per local trust guidelines, it was verified if ‘ASSIGN’ (indicator of cardiovascular risk developed in Scotland) scores were calculated and a statin was prescribed accordingly, lifestyle modification advice provided or blood results communicated to GP in the discharge letter. An email with a flyer was distributed among doctors with trust guidelines, as intervention after the first cycle of the audit, and the results were presented in internal teaching. This was followed by a reaudit in a few months.ResultsIn the first cycle, 85 out of 116 patients had a lipid profile done on admission out of which 29 had abnormal levels without a prescription of statin. 6 patients had their abnormal lipid results mentioned in their discharge letter in the absence of an ASSIGN score calculation or lifestyle modification advice. In the second cycle, it was noted that only 35 patients out of 120 had a lipid profile done on admission and a total of 12 patients had abnormal lipid results without a statin prescription. Only 1 patient had their ASSIGN score calculated and 7 patients had their abnormal lipid results documented to the GP.ConclusionUnfortunately, considering both cycles of the audit, only a minority of patients had been managed in accordance with trust guidelines and no significant improvement was noted in the results of the reaudit. The importance of efficient management of cholesterol can be highlighted in a relevant forum and any barriers to change in practice may be explored. QRISK3, an alternative to ASSIGN may be suggested, which includes factors like severe mental illness and atypical antipsychotic use.