A Longitudinal Examination of Real-World Sedentary Behavior in Adults with Schizophrenia-Spectrum Disorders in a Clinical Trial of Combined Oxytocin and Cognitive Behavioral Social Skills Training

被引:6
|
作者
Browne, Julia [1 ]
Harvey, Philip D. [2 ,3 ]
Buchanan, Robert W. [4 ]
Kelly, Deanna L. [4 ]
Strauss, Gregory P. [5 ]
Gold, James M. [4 ]
Holden, Jason L. [6 ]
Granholm, Eric [6 ,7 ]
机构
[1] Durham VA Hlth Care Syst, Geriatr Res Educ & Clin Ctr, Durham, NC 27705 USA
[2] Univ Miami, Miller Sch Med, Dept Psychiat & Behav Sci, Miami, FL 33136 USA
[3] Bruce W Carter VA Med Ctr, Res Serv, Miami, FL 33125 USA
[4] Univ Maryland, Sch Med, Maryland Psychiat Res Ctr, Dept Psychiat, Baltimore, MD 21228 USA
[5] Univ Georgia, Dept Psychol, Athens, GA 30602 USA
[6] Vet Affairs San Diego Healthcare Syst, San Diego, CA 92161 USA
[7] Univ Calif San Diego, Sch Med, Dept Psychiat, San Diego, CA 92093 USA
基金
美国国家卫生研究院;
关键词
ecological momentary assessment; psychosocial intervention; functioning; physical health; serious mental illness; ECOLOGICAL MOMENTARY ASSESSMENT; DEFEATIST PERFORMANCE ATTITUDES; RANDOMIZED CONTROLLED-TRIAL; PHYSICAL-ACTIVITY; NEGATIVE SYMPTOMS; MENTAL-ILLNESS; PEOPLE; INTERVENTIONS; OUTPATIENTS; IMPROVEMENT;
D O I
10.3390/bs12030060
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Sedentary behavior contributes to a shortened life expectancy in individuals with schizophrenia-spectrum disorders (SSDs), highlighting the need for effective interventions to improve health. This study examined whether reduced ecological momentary assessment (EMA) measures of sedentary activities were observed in individuals with SSDs who participated in a 24-week randomized trial of cognitive behavioral social skills training (CBSST) and either intranasal oxytocin or placebo (NCT01752712). Participants (n = 57) were prompted with EMA surveys seven times per day for seven days during the baseline, 12-week, and 24-week timepoints to sample sedentary behavior ratings, positive and negative affect, interpersonal interactions, and interpersonal interaction appraisals. Results revealed that sedentary behavior and social interactions did not significantly change over the 24-week clinical trial; however, positive and negative affect and defeatist interaction appraisals improved with treatment, and oxytocin produced modest additional improvements in these EMA outcomes. Greater momentary positive affect was significantly associated with greater activity and greater frequency of interactions. Overall, CBSST was effective at improving functioning, momentary affect, and defeatist interaction appraisals, although it did not reduce sedentary behavior; therefore, targeting these factors is not sufficient to reduce sedentary behavior, and adjunct interventions are needed.
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页数:12
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