成人处方抗抑郁药的最佳体重管理建议:经验的定性访谈研究

IF 3.6 2区 医学 Q1 NURSING
Angela Rodrigues, Nikita Kohli, Charlotte Watson, Katie Boynton
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引用次数: 0

摘要

抗抑郁药被广泛用于治疗抑郁和焦虑,但体重增加等常见副作用会对身体和心理健康产生不利影响,这凸显了为使用者量身定制体重管理策略的必要性。本研究旨在探讨这些经验,确定有效体重管理的障碍和促进因素,评估体重管理服务的可用性,并了解医疗保健专业人员在提供支持方面的作用。我们于2022年5月至8月(女性参与者)和2023年12月至2024年2月(男性参与者)在英国对13名年龄在19-62岁的成年人进行了半结构化访谈。参与者根据年龄、性别、药物类型、处方长度和体重增加/减少进行有目的的抽样调查。我们对每次采访进行录音,逐字抄录,并使用主题分析分析抄本。参与者的经验强调了医疗保健专业人员在支持体重管理方面的重要作用,其影响从有益到适得其反。服用抗抑郁药的成年人面临着独特的实际和心理挑战,使体重管理比典型的减肥努力更加复杂。许多人都在努力平衡心理健康需求和对体重增加的副作用的担忧,这突出了医疗服务提供者在解决与药物相关的体重变化方面提供更全面和积极的支持的强烈需求。本研究确定了支持抗抑郁药使用者体重管理的关键领域:加强积极的医疗保健支持,针对抗抑郁药使用的独特挑战量身定制策略,平衡精神和身体健康优先事项。早期干预和定期监测可以改善体重管理经验,强调需要有针对性的干预和医疗保健提供者的积极作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimising Weight Management Advice for Adults Prescribed Antidepressants: A Qualitative Interview Study of Experiences

Antidepressants are widely prescribed for depression and anxiety, yet common side effects like weight gain can adversely affect physical and psychological health, highlighting the need for tailored weight management strategies for users. This study aims to explore these experiences, identify barriers and facilitators to effective weight management, assess the availability of weight management services, and understand the role of healthcare professionals in providing support. We conducted semi-structured interviews in the United Kingdom between May–August 2022 (female participants) and December 2023–February 2024 (male participants) with 13 adults prescribed antidepressants aged 19–62. Participants were purposively sampled for variation according to age, gender, type of medication, length of prescription and weight gain/loss. We audio recorded each interview, transcribed it verbatim, and analysed transcripts using thematic analysis. Participants' experiences emphasised the significant role of healthcare professionals in supporting weight management, with impacts ranging from helpful to counterproductive. Adults on antidepressants faced unique practical and psychological challenges, making weight management more complex than typical weight loss efforts. Many struggled to balance mental health needs with concerns about weight gain as a side effect, highlighting a strong need for more comprehensive and proactive support from healthcare providers in addressing medication-related weight changes. This study identifies key areas for supporting weight management in antidepressant users: enhancing proactive healthcare support, tailoring strategies to the unique challenges of antidepressant use and balancing mental and physical health priorities. Early intervention and regular monitoring could improve weight management experiences, highlighting the need for targeted interventions and a proactive role for healthcare providers.

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来源期刊
CiteScore
7.60
自引率
8.90%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The International Journal of Mental Health Nursing is the official journal of the Australian College of Mental Health Nurses Inc. It is a fully refereed journal that examines current trends and developments in mental health practice and research. The International Journal of Mental Health Nursing provides a forum for the exchange of ideas on all issues of relevance to mental health nursing. The Journal informs you of developments in mental health nursing practice and research, directions in education and training, professional issues, management approaches, policy development, ethical questions, theoretical inquiry, and clinical issues. The Journal publishes feature articles, review articles, clinical notes, research notes and book reviews. Contributions on any aspect of mental health nursing are welcomed. Statements and opinions expressed in the journal reflect the views of the authors and are not necessarily endorsed by the Australian College of Mental Health Nurses Inc.
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