饮食失调症患者的非运动活动与情绪之间的关系。

IF 5.3 2区 医学 Q1 PSYCHIATRY Acta Psychiatrica Scandinavica Pub Date : 2024-09-07 DOI:10.1111/acps.13757
Robin Olfermann, Sabine Schlegel, Anna Vogelsang, Ulrich Ebner-Priemer, Almut Zeeck, Markus Reichert
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引用次数: 0

摘要

导言:许多饮食失调症(EDs)患者为了调节负面情绪或 "燃烧卡路里",会进行过度和强迫性的体育锻炼(病理性锻炼,PE)。病理性运动会对健康造成负面影响。由于非运动性活动(NEA)与积极情绪效应相关,因此有可能成为抵制 PE 和问题饮食行为的干预目标。然而,迄今为止,尚无研究表明,健康人的 NEA 与情绪之间的积极联系是否也适用于 ED 患者:为了研究 NEA 与 ED 患者情绪之间的潜在联系,我们对 29 名 ED 患者和 35 名健康对照者(HCs)进行了为期 7 天的流动评估研究。我们通过加速度计测量NEA,并通过基于事件、活动和时间的混合采样策略,在电子智能手机日记上反复评估情绪。通过多层次建模分析了NEA对情绪的受试者内和受试者间效应、作为调节因素的PE以及效应的时间过程:NEA 增加了情绪(β = 2.12,p HC = 6.26,p ED = 4.02,p 交互作用 = 2.24,p = 0.0135)。NEA的效应在NEA的大多数时间范围内都是稳健的,并受到PE的显著调节,即较低的PE水平表现出较强的NEA对精力唤醒的效应:结论:ED和HC患者可从NEA中获得情感益处,部分取决于PE水平。如果在日常生活实验研究中得到证实,这一证据可能会为采取便捷的 NEA 干预措施来应对负面情绪铺平道路。如果以适时适应性干预(JITAIs)的方式进行干预,并根据 PE 水平量身定制干预方案,则会特别有前景。
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Relationship between nonexercise activity and mood in patients with eating disorders.

Introduction: Many patients with eating disorders (EDs) engage in excessive and compulsive physical activity (pathological exercise, PE) to regulate negative mood or to "burn calories." PE can lead to negative health consequences. Non-exercise activity (NEA) bears the potential to serve as intervention target to counteract PE and problematic eating behaviors since it has been associated with positive mood effects. However, to date, there is no investigation on whether the positive link between NEA and mood seen in the healthy translates to patients with ED.

Material and methods: To study potential associations of NEA and mood in ED, we subjected 29 ED-patients and 35 healthy controls (HCs) to an ambulatory assessment study across 7 days. We measured NEA via accelerometers and repeatedly assessed mood on electronic smartphone diaries via a mixed sampling strategy based on events, activity and time. Within- and between-subject effects of NEA on mood, PE as moderator, and the temporal course of effects were analyzed via multilevel modeling.

Results: NEA increased valence (β = 2.12, p < 0.001) and energetic arousal (β = 4.02, p < 0.001) but showed no significant effect on calmness. The effects of NEA on energetic arousal where significantly stronger for HCs (βHC = 6.26, p < 0.001) than for EDs (βED = 4.02, p < 0.001; βinteraction = 2.24, p = 0.0135). Effects of NEA were robust across most timeframes of NEA and significantly moderated by PE, that is, Lower PE levels exhibited stronger NEA effects on energetic arousal.

Conclusion: Patients with ED and HC show an affective benefit from NEA, partly depending on the level of PE. If replicated in experimental daily life studies, this evidence may pave the way towards expedient NEA interventions to cope with negative mood. Interventions could be especially promising if delivered as Just-in-time adaptive interventions (JITAIs) and should be tailored according to the PE level.

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来源期刊
Acta Psychiatrica Scandinavica
Acta Psychiatrica Scandinavica 医学-精神病学
CiteScore
11.20
自引率
3.00%
发文量
135
审稿时长
6-12 weeks
期刊介绍: Acta Psychiatrica Scandinavica acts as an international forum for the dissemination of information advancing the science and practice of psychiatry. In particular we focus on communicating frontline research to clinical psychiatrists and psychiatric researchers. Acta Psychiatrica Scandinavica has traditionally been and remains a journal focusing predominantly on clinical psychiatry, but translational psychiatry is a topic of growing importance to our readers. Therefore, the journal welcomes submission of manuscripts based on both clinical- and more translational (e.g. preclinical and epidemiological) research. When preparing manuscripts based on translational studies for submission to Acta Psychiatrica Scandinavica, the authors should place emphasis on the clinical significance of the research question and the findings. Manuscripts based solely on preclinical research (e.g. animal models) are normally not considered for publication in the Journal.
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