Coronary heart disease risk reduction intervention among overweight smokers with a psychotic disorder: pilot trial

被引:27
作者
Baker, Amanda [1 ]
Richmond, Robyn [2 ]
Castle, David [3 ,4 ]
Kulkarni, Jayashri [5 ,6 ]
Kay-Lambkin, Frances [1 ]
Sakrouge, Rebecca [1 ]
Filia, Sacha
Lewin, Terry J. [1 ]
机构
[1] Univ Newcastle, Fac Hlth, CBMHR, Callaghan, NSW 2308, Australia
[2] Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia
[3] Univ Melbourne, Melbourne, Vic, Australia
[4] St Vincents Hosp, Dept Psychiat, Melbourne, Vic, Australia
[5] Monash Univ, Alfred Psychiat Res Ctr, Melbourne, Vic 3004, Australia
[6] Monash Univ, Sch Psychol Psychiat & Psychol Med, Melbourne, Vic 3004, Australia
关键词
coronary disease; intervention studies; lifestyle; psychotic disorders; smoking cessation; CARDIOVASCULAR-DISEASE; LIFE-STYLE; SCHIZOPHRENIA; RELIABILITY; ILLNESS; PEOPLE;
D O I
10.1080/00048670802607147
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: The aim of the present pilot study was to test the feasibility and short-term impact of a multi-component risk factor intervention for reducing (i) coronary heart disease (CHD) risk; (ii) smoking; and (iii) weight among smokers with psychosis. Secondary dependent variables included physical activity, unhealthy eating, substance use, psychiatric symptomatology, treatment retention, general functioning, and quality of life. Method: This was a feasibility study utilizing a pre-post-treatment design with no control group (n=43). All participants provided written informed consent and were assessed before treatment and again a mean of 19.6 weeks later. The treatment consisted of nine individual 1 h sessions of motivational interviewing and cognitive behaviour therapy plus nicotine replacement therapy, in addition to treatment as usual. Research assistants who had not been involved in the delivery of the treatment programme conducted post-treatment assessments. Results: The intervention was associated with significant reductions in CHD risk scores, smoking and weight. A significant improvement was also reported in level of moderate physical activity, and a small change in the unhealthy eating index was reported. No improvement in biological measures (cholesterol and blood pressure) was evident. Conclusions: A multi-component CHD risk factor intervention among smokers with psychosis appears to be feasible and effective in the short-term. A randomized controlled trial replicating and extending these findings is warranted.
引用
收藏
页码:129 / 135
页数:7
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