Participation in leisure activities and quality of life of people with psychosis in England: a multi-site cross-sectional study.

IF 3.6 3区 医学 Q1 PSYCHIATRY
Kayonda Hubert Ngamaba, Martin Webber, Penny Xanthopoulou, Agnes Chevalier, Domenico Giacco
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引用次数: 0

Abstract

Background: Leisure activities can improve quality of life in the general population. For people with psychosis, negative symptoms (e.g. being unmotivated, difficulty in sticking with activities) are often a barrier to engaging in social leisure activities. However, we do not know if participation in leisure activities is associated with quality of life in this group and, whether psychosocial interventions should aim to increase leisure activities.

Aim: This study investigates participation in social leisure activities of people with psychosis and whether their participation is associated with better quality of life.

Methods: A cross-sectional survey was conducted in 6 NHS mental health trusts. Adults aged 18-65 (N = 533) with a diagnosis of a psychosis-related condition (ICD-10 F20-29) were recruited from outpatient secondary mental health services. Several measures were used including an adapted version of the Time Use Survey (TUS), the Social contacts assessment (SCA) and Manchester Short Assessment of Quality of Life (MANSA). A Structural Equation Model (SEM) was used to explore the relationships between participation in leisure activities and quality of life, and whether social contacts mediated the link.

Results: Participants attended an average of 2.42 (SD = 1.47) leisure activities in the last 7 days. Their quality of life increased with the number of leisure activities they attended. Participation in leisure activities was positively associated with quality of life in people with psychosis (B = 0.104, SE = 0.051, p = 0.042, 95% CI [0.003 to 0.204]). Leisure activities predicted social contacts, but the link between social contacts and the quality of life was not significant. After controlling for sociodemographic factors, being female and unemployed were negatively linked with quality of life (B = - 0.101, SE = 0.048, p = 0.036, 95% CI [- 0.196 to - 0.006; B = - 0.207, SE = 0.050, p = 0.001, 95% CI [- 0.305 to - 0.108, respectively].

Conclusion: People with psychosis who attend more leisure activities have a higher quality of life. Quality of life was lower amongst female and unemployed participants who attended leisure activities. Intervention which helps improve participation in leisure activities may be beneficial for people with psychosis. Trial registration number ISRCTN15815862.

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英国精神病患者的休闲活动参与与生活质量:一项多地点横断面研究。
背景:休闲活动可以提高一般人群的生活质量。对于精神病患者来说,负面症状(例如缺乏动力、难以坚持活动)往往是参与社会休闲活动的障碍。然而,我们不知道参加休闲活动是否与这一群体的生活质量有关,也不知道社会心理干预是否应该以增加休闲活动为目标。目的:本研究探讨精神病患者参与社会休闲活动是否与生活质量的提高有关。方法:对6家NHS精神卫生信托机构进行横断面调查。年龄18-65岁(N = 533),诊断为精神病相关疾病(ICD-10 F20-29)的成年人从门诊二级精神卫生服务机构招募。使用了几种测量方法,包括时间使用调查(TUS)的改编版本,社会接触评估(SCA)和曼彻斯特生活质量短期评估(MANSA)。采用结构方程模型(SEM)探讨休闲活动参与与生活质量之间的关系,以及社会交往是否在其中起中介作用。结果:参与者在过去7天内平均参加了2.42次(SD = 1.47)休闲活动。他们的生活质量随着休闲活动的增多而提高。参加休闲活动与精神病患者的生活质量呈正相关(B = 0.104, SE = 0.051, p = 0.042, 95% CI[0.003 ~ 0.204])。休闲活动预测社会交往,但社会交往与生活质量之间的联系不显著。在控制社会人口因素后,女性和失业与生活质量呈负相关(B = - 0.101, SE = 0.048, p = 0.036, 95% CI [- 0.196 ~ - 0.006;SE = 0.050 B = - 0.207, p = 0.001, 95% CI(分别为- 0.305 - 0.108)。结论:多参加休闲活动的精神病患者生活质量较高。参加休闲活动的女性和失业参与者的生活质量较低。帮助改善参与休闲活动的干预措施可能对精神病患者有益。试验注册号为ISRCTN15815862。
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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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