Health behaviours of patients with affective disorders: a cross-sectional study

BMC Psychiatry

Research

Janusz K. Rybakowski¹  Krystyna Jaracz²  Renata Szpalik³  Krystyna Górna³ 

[1] Department of Adult Psychiatry, Poznan University of Medical Sciences, Szpitalna 27/33, 60-572, Poznań, Poland;Department of Neurological Nursing, Poznan University of Medical Sciences, Rokietnicka 2A, 60-806, Poznań, Poland;Department of Psychiatric Nursing, Poznan University of Medical Sciences, Rokietnicka 2A, 60-806, Poznań, Poland;

关键词: Affective disorders;    Health behaviours;    Lifestyle;   

DOI  :  10.1186/s12888-023-05056-5

 received in 2023-05-31, accepted in 2023-07-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundSevere mental disorders, including affective disorders (AD), are associated with high rates of physical illnesses that lead to premature patient death. Excess somatic comorbidity may be partially explained by lifestyle factors. This study aimed to investigate the health behaviours (HBs) of patients with AD in comparison to the HBs of patients with type 2 diabetes (T2D) and healthy controls (HCs) and to examine associations among HBs and sociodemographic and clinical factors, subjective quality of life and health status, and health locus of control.MethodsThe sample consisted of 108 patients with AD, including 60 with bipolar disorder (BP) and 48 with unipolar disorder (UAD). Analyses included comparisons with a subgroup of AD individuals, patients with T2D and HCs matched in age and sex. The Health Behaviour Inventory was used to evaluate the overall levels of HBs and 4 HB categories. To identify independent determinants of health behaviours, a multivariate linear regression analysis was performed with factors identified as significant in bivariate analyses.ResultsMost AD patients had a low level of HBs (40%), followed by moderate (35%) and high levels (25%), and there were no significant differences in HBs between the BP and UAD groups. Compared with the T2D and HC groups, the AD group had a significantly lower level of overall HBs and lower levels of HBs in one of the categories. Independent predictors of overall HBs were quality of life (β = 0.28, p < 0.001), age (β = 0.27, p = 0.002), and depressive symptoms (β = 0.23, p = 0.008). A total of 30% of the variance in HBs was explained.ConclusionsThese findings emphasise the need for a systematic assessment of single and multiple health behaviours to provide better care for patients with AD and reduce the potential adverse effects of an unhealthy lifestyle.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023