The Mediating Role of Health-Promoting Behaviors on the Association between Symptom Severity and Quality of Life among Chinese Individuals with Mental Illness: A Cross-Sectional Study.

IF 1.9 3区医学 Q3 PSYCHIATRY Psychopathology Pub Date : 2023-01-01 DOI:10.1159/000525495

Phoenix K H Mo, Georgina Y K So, Zhihui Lu, Winnie W S Mak

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引用次数: 1

Abstract

Introduction: Research has shown that people with mental illnesses (PMI) are found to show poorer lifestyle than the general population. Yet, the effect of their psychiatric symptoms in the association between gender difference, health-promoting behaviors, and quality of life have received little attention. The present study examined the association between symptom severity, health-promoting behaviors, and quality of life among PMI in Hong Kong. Gender difference on the association between these variables was also examined.

Method: A cross-sectional survey was conducted among 591 individuals with DSM-IV-TR Axis 1 diagnosis recruited from the community.

Results: Results from MANOVA showed that PMI with more severe psychiatric symptoms engaged in a significantly lower level of health-promoting behaviors and reported a lower level of quality of life. Results from structural equation modeling showed that health-promoting behaviors mediated the association between psychiatric symptoms and quality of life. Multigroup analyses showed that the association between psychiatric symptoms and health-promoting behaviors was stronger among female participants, while the association between health-promoting behaviors and quality of life was stronger among male participants.

Discussion/conclusion: Despite clear evidence suggesting symptom severity to be negatively correlated with quality of life, the underlying mechanism has been less clear. There is a need to promote health-promoting behaviors in order to improve the quality of life of PMI. Gender-specific interventions are warranted.

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健康促进行为在中国精神疾病患者症状严重程度与生活质量关系中的中介作用:一项横断面研究

引言:研究表明，患有精神疾病(PMI)的人的生活方式比一般人群更差。然而，他们的精神症状在性别差异、促进健康行为和生活质量之间的作用却很少受到关注。本研究探讨了香港PMI患者的症状严重程度、促进健康行为和生活质量之间的关系。性别差异对这些变量之间的关联也进行了检验。方法:采用横断面调查方法，对从社区中招募的591名DSM-IV-TR轴1诊断的个体进行调查。结果:方差分析结果显示，精神症状更严重的PMI参与促进健康行为的水平明显较低，报告的生活质量水平较低。结构方程模型结果显示，健康促进行为在精神症状和生活质量之间起中介作用。多组分析显示，精神症状与健康促进行为之间的相关性在女性参与者中更强，而健康促进行为与生活质量之间的相关性在男性参与者中更强。讨论/结论:尽管有明确的证据表明症状严重程度与生活质量呈负相关，但其潜在机制尚不清楚。有必要通过促进健康行为来提高PMI人群的生活质量。有必要采取针对性别的干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychopathology 医学-精神病学

CiteScore

5.10

自引率

5.60%

发文量

审稿时长

>12 weeks

期刊介绍： ''Psychopathology'' is a record of research centered on findings, concepts, and diagnostic categories of phenomenological, experimental and clinical psychopathology. Studies published are designed to improve and deepen the knowledge and understanding of the pathogenesis and nature of psychopathological symptoms and psychological dysfunctions. Furthermore, the validity of concepts applied in the neurosciences of mental functions are evaluated in order to closely bring together the mind and the brain. Major topics of the journal are trajectories between biological processes and psychological dysfunction that can help us better understand a subject’s inner experiences and interpersonal behavior. Descriptive psychopathology, experimental psychopathology and neuropsychology, developmental psychopathology, transcultural psychiatry as well as philosophy-based phenomenology contribute to this field.