健康生活方式行为群与抑郁、焦虑和心理困扰症状相关：观察性研究的系统回顾和荟萃分析

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2025-04-11 DOI:10.1016/j.cpr.2025.102585

Matthew Bourke , Hiu Fei Wendy Wang , Sarah A. McNaughton , George Thomas , Joseph Firth , Mike Trott , John Cairney

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引用次数: 0

摘要

参与健康和不健康的生活方式行为与一系列心理健康结果有关。大多数现有的研究都集中在个人的生活方式行为上，因此尚不清楚健康生活方式行为在多大程度上与心理健康结果有关。因此，本研究旨在系统回顾和定量综合研究，这些研究已经检查了生活方式行为集群与抑郁、焦虑和心理困扰症状之间的关系。对五个电子数据库进行了系统搜索，以确定采用以人为中心的方法（例如，聚类分析、潜在类分析）的研究，根据至少两种独特的生活方式行为（即，身体活动/久坐行为、饮食、睡眠、酒精/烟草/药物使用）确定参与者的亚组，并检查聚类之间抑郁、焦虑或心理困扰症状的差异。采用相关和分层随机效应荟萃分析来综合结果。共有81项研究报告了近100万个体参与者被纳入该综述。结果表明，与从事不太健康的生活方式行为组合的参与者相比，从事最健康的生活方式行为群的参与者报告的抑郁（SMD = - 0.41）、焦虑（SMD = - 0.43）和心理困扰（SMD = - 0.34）症状显著减少，并且在各个结果中观察到剂量反应关系。这些结果表明，参与一系列健康生活方式行为与心理健康结果之间存在中等到强烈的关系，并表明将健康生活方式视为一个整体而不是单个部分的重要性。

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Clusters of healthy lifestyle behaviours are associated with symptoms of depression, anxiety, and psychological distress: A systematic review and meta-analysis of observational studies

Engagement in healthy and unhealthy lifestyle behaviours are related to a range of mental health outcomes. Most existing research has focussed on individual lifestyle behaviours, so it is not clear the extent to which clusters of healthy lifestyle behaviours relate to mental health outcomes. Therefore, this study aimed to systematically review and quantitatively synthesise research which have examined the association between clusters of lifestyle behaviours with symptoms of depression, anxiety, and psychological distress. A systematic search of five electronic databases were conducted to identify studies which used person-centred approaches (e.g., cluster analysis, latent class analysis) to identify subgroups of participants based on at least two unique lifestyle behaviours (i.e., physical activity/sedentary behaviours, diet, sleep, alcohol/tobacco/drug use) and examined differences in symptoms of depression, anxiety, or psychological distress between clusters. A correlated and hierarchical random effects meta-analysis was used to synthesise the results. A total of 81 studies reporting on nearly one-million individual participants were included in the review. Results demonstrated that participants who engaged in the healthiest clusters of lifestyle behaviours reported significantly fewer symptoms of depression (SMD = −0.41), anxiety (SMD = −0.43) and psychological distress (SMD = −0.34) compared to participants engaging in less healthy combinations of lifestyle behaviours, and a dose response relationship was observed across outcomes. These results demonstrate that there is a moderate-to-strong relationship between engaging in clusters of healthy lifestyle behaviours and mental health outcomes and demonstrate the importance of considering healthy lifestyle as a whole instead of as individual parts.

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.