成人癫痫患者的社会心理健康问题和身体活动：来自2022年全国健康访谈调查的横断面分析

IF 2.6 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity Pub Date : 2025-07-30 DOI:10.1016/j.mhpa.2025.100711

Sydney L. Churchill , Angelique G. Brellenthin , Jacob D. Meyer

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引用次数: 0

摘要

癫痫与社会心理健康负相关。众所周知，有规律的身体活动可以改善社会心理健康，但关于活动行为、社会心理健康和癫痫之间关系的基于人群的研究有限。本研究旨在利用2022年全国健康访谈调查（n = 26311）的横断面数据，确定癫痫成人与非癫痫成人的社会心理健康问题的患病率，并评估体育活动与癫痫状态对社会心理健康的影响之间的关系。癫痫状态被编码为成人：活动性癫痫（n = 301），非活动性癫痫（n = 162），无癫痫史（n = 25,848）。有氧和肌肉强化体力活动是根据2018年美国人身体活动指南的自我报告问题进行编码的。社会心理健康问题（抑郁、焦虑、注意力集中/记忆困难、生活满意度差和社会功能障碍）被编码为二元变量（是/否）。加权平均年龄48.29岁（SE = 0.17），女性占51%，白人占77%。调查加权和iptw调整后的logistic回归模型显示，与无癫痫的成年人相比，活动性癫痫患者的抑郁、焦虑、集中/记忆困难和社会功能困难的几率高2-4倍，非活动性癫痫患者高1-2倍。分层分析显示，遵循指南对患有和不患有癫痫的成年人的心理社会健康也有类似的积极影响。这项研究支持改善成人癫痫患者的心理社会健康的必要性，并建议有氧和肌肉强化活动作为潜在的干预目标。未来的运动干预试验有必要确定因果关系。

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Psychosocial health concerns and physical activity in adults with epilepsy: Cross-sectional analysis from 2022 National Health Interview Survey

Epilepsy is negatively associated with psychosocial health. Regular physical activity is known to improve psychosocial health, yet population-based studies on the relationship between activity behavior, psychosocial health, and epilepsy are limited. This study aimed to determine the prevalence of psychosocial health concerns among adults with epilepsy compared to the adults without epilepsy and evaluate relationships between physical activity and epilepsy status on psychosocial health using cross-sectional data from the 2022 National Health Interview Survey (n = 26,311). Epilepsy status was coded as adults with: active epilepsy (n = 301), inactive epilepsy (n = 162), and no history of epilepsy (n = 25,848). Aerobic and muscle-strengthening physical activity were coded based on the 2018 Physical Activity Guidelines for Americans from self-reported questions. Psychosocial health concerns (depression, anxiety, concentration/memory difficulties, poor life satisfaction, and social functioning difficulties), were coded into binary variables (yes/no). The weighted mean age was 48.29 years (SE = 0.17), 51 % were female, and 77 % were White. Survey-weighted and IPTW-adjusted logistic regression models showed odds of depression, anxiety, concentration/memory difficulties, and social functioning difficulties were 2–4 times higher in adults with active epilepsy and 1–2 times higher in adults with inactive epilepsy compared to adults without epilepsy. Stratified analyses revealed a similar positive influence of guideline adherence on psychosocial health for adults with and without epilepsy. This study supports the need to improve psychosocial health among adults with epilepsy and suggests both aerobic and muscle-strengthening activities as potential intervention targets. Future exercise intervention trials are warranted to determine causality.

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来源期刊

Mental Health and Physical Activity PSYCHIATRY-

CiteScore

6.70

自引率

6.40%

发文量

审稿时长

32 days

期刊介绍： The aims of Mental Health and Physical Activity will be: (1) to foster the inter-disciplinary development and understanding of the mental health and physical activity field; (2) to develop research designs and methods to advance our understanding; (3) to promote the publication of high quality research on the effects of physical activity (interventions and a single session) on a wide range of dimensions of mental health and psychological well-being (eg, depression, anxiety and stress responses, mood, cognitive functioning and neurological disorders, such as dementia, self-esteem and related constructs, psychological aspects of quality of life among people with physical and mental illness, sleep, addictive disorders, eating disorders), from both efficacy and effectiveness trials;