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首页> 外文期刊>Revista Brasileira de Psiquiatria >Superwellness Program: a cognitive-behavioral therapy-based group intervention to reduce weight gain in patients treated with antipsychotic drugs
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Superwellness Program: a cognitive-behavioral therapy-based group intervention to reduce weight gain in patients treated with antipsychotic drugs

机译：超级健康计划：一种基于认知行为疗法的团体干预措施，以减少接受抗精神病药物治疗的患者的体重增加

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Objective: To assess the effectiveness of a cognitive-behavioral therapy-based intervention (Superwellness Program) on weight gain compared with a treatment-as-usual (TAU) approach in patients treated with antipsychotics, and to evaluate the relationship between body mass index (BMI) variation and clinical variables. Method: Eighty-five patients treated with antipsychotics were allocated across two groups, experimental (n=59) and control (n=26). The Superwellness Program (experimental group) consisted of 32 twice-weekly 1-hour sessions, conducted by a psychologist and a nutritionisturse, concurrently with moderate food intake and moderate physical activity plans. Sociodemographic, clinical, and biological variables were collected at baseline, at the end of intervention (16 weeks), and after 6 months. Results: BMI change from baseline differed significantly between the experimental and control groups, with a larger decrease in the experimental group (F = 5.5, p = 0.021). Duration of illness moderated the effect of treatment on BMI (p = 0.026). No significant (p = 0.499) effect of intervention during the follow-up period was found. Interestingly, the intervention indirectly induced a significant (p = 0.024) reduction in metabolic risk by reducing BMI. Conclusion: A cognitive-behavioral therapy-based intervention could be useful in reducing weight in a clinical population taking antipsychotics, with consequent benefit to physical and mental health.
机译：目的：评估以认知行为疗法为基础的干预措施（超健康计划）与常规治疗（TAU）方法相比，抗精神病药物治疗患者体重增加的有效性，并评估体重指数之间的关系（ BMI）变异和临床变量。方法：将八十五例接受抗精神病药治疗的患者分为两组，分别为实验组（n = 59）和对照组（n = 26）。超级健康计划（实验组）包括32位，每周两次，每次1小时，由心理学家和营养学家/护士进行，同时有适度的食物摄入和适度的体育锻炼计划。在基线，干预结束时（16周）和6个月后收集社会人口统计学，临床和生物学变量。结果：实验组和对照组之间的BMI从基线的变化差异显着，实验组中的下降幅度更大（F = 5.5，p = 0.021）。疾病持续时间减轻了对BMI的治疗效果（p = 0.026）。在随访期间未发现干预的显着效果（p = 0.499）。有趣的是，该干预措施通过降低BMI间接导致代谢风险显着降低（p = 0.024）。结论：基于认知行为疗法的干预措施可能有助于减轻服用抗精神病药的临床人群的体重，从而有益于身心健康。

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