双重诊断精神病人需求满足与体力活动的纵向关系

IF 1.4 Q3 PSYCHIATRY
Marte Bentzen, Anders Farholm, A. Ivarsson, M. Sørensen
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引用次数: 1

摘要

包括重度精神疾病(SMI)患者在内的研究报告了身体活动(PA)对精神症状、生活质量和整体功能的有益影响。然而,重要的是要有规律的身体活动来获得这些效果。本研究运用自我决定理论的动机视角,探讨心理需求满意度(自主性、能力、亲缘性)与患者每周心理需求水平之间的动态相互作用。方法:本研究采用纵向设计,对10名双重诊断(重度精神分裂症和成瘾)的住院患者进行了为期12周的跟踪调查,这些患者在精神科病房接受了体育锻炼作为治疗的一部分。采用心理需求满意度问卷收集14次数据,采用加速度计客观计数步数,反映参与者每周平均pa水平。为了分析基本心理需求与pa水平之间的周与周关系,本研究采用贝叶斯动态p-技术分析,探讨了构式之间的横截面效应、自回归效应和交叉滞后效应。结果三种心理需求和pa水平均存在显著的正自回归效应,且三种心理需求与pa水平呈显著的正相关。然而,与pa水平相关的三种心理需求的交叉滞后效应较小且不可信。结论总体而言,本研究结果支持基本心理需求满意度与pa水平之间的正相关关系,但未发现需求满意度与pa水平之间存在预测效应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Longitudinal relations between needs satisfaction and physical activity among psychiatric patients with dual diagnoses
ABSTRACT Objectives Studies including people with severe mental illness (SMI) have reported beneficial effects from physical activity (PA) on psychiatric symptoms, quality of life, and global functioning. However, it is important to be regularly physically active to obtain these effects. Using the motivational lens of self-determination theory, the aim of the current study was to explore the dynamic interplay between satisfaction of psychological needs (autonomy, competence, relatedness) in PA and the patients’ weekly PA level. Methods The study had a longitudinal design, following 10 in-patients with dual diagnoses (SMI and addiction) over 12 weeks at a psychiatric ward offering physical activity as part of treatment. Data were collected 14 times with a questionnaire measuring psychological need satisfaction, while an accelerometer was used to objectively count steps to reflect participants average PA-level each week. To analyse the week-to-week relationships between the basic psychological needs and PA-level, the Bayesian dynamic p-technique analysis was used to explore both cross-sectional-, autoregressive- as well as cross-lagged effects between the constructs. Results The results indicated credible and strong positive autoregressive effects for all three psychological needs as well as for PA-level, and positive credible cross-sectional associations between all three psychological needs and PA-level. However, the cross-lagged effects were small and not credible for all three psychological needs in relation to PA-level. Conclusions In total, these results support the established positive relation between basic psychological need satisfaction and PA-level yet failed in finding any predictive effects between need satisfaction and PA-level.
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来源期刊
CiteScore
3.20
自引率
7.10%
发文量
19
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