Abstract:
:The prevalence of depression appears to have increased over the past three decades. While this may be an artefact of diagnostic practices, it is likely that there are factors about modernity that are contributing to this rise. There is now compelling evidence that a range of lifestyle factors are involved in the pathogenesis of depression. Many of these factors can potentially be modified, yet they receive little consideration in the contemporary treatment of depression, where medication and psychological intervention remain the first line treatments. "Lifestyle Medicine" provides a nexus between public health promotion and clinical treatments, involving the application of environmental, behavioural, and psychological principles to enhance physical and mental wellbeing. This may also provide opportunities for general health promotion and potential prevention of depression. In this paper we provide a narrative discussion of the major components of Lifestyle Medicine, consisting of the evidence-based adoption of physical activity or exercise, dietary modification, adequate relaxation/sleep and social interaction, use of mindfulness-based meditation techniques, and the reduction of recreational substances such as nicotine, drugs, and alcohol. We also discuss other potential lifestyle factors that have a more nascent evidence base, such as environmental issues (e.g. urbanisation, and exposure to air, water, noise, and chemical pollution), and the increasing human interface with technology. Clinical considerations are also outlined. While data supports that some of these individual elements are modifiers of overall mental health, and in many cases depression, rigorous research needs to address the long-term application of Lifestyle Medicine for depression prevention and management. Critically, studies exploring lifestyle modification involving multiple lifestyle elements are needed. While the judicious use of medication and psychological techniques are still advocated, due to the complexity of human illness/wellbeing, the emerging evidence encourages a more integrative approach for depression, and an acknowledgment that lifestyle modification should be a routine part of treatment and preventative efforts.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
Sarris J,O'Neil A,Coulson CE,Schweitzer I,Berk Mdoi
10.1186/1471-244X-14-107subject
Has Abstractpub_date
2014-04-10 00:00:00pages
107issn
1471-244Xpii
1471-244X-14-107journal_volume
14pub_type
杂志文章,评审相关文献
BMC Psychiatry文献大全abstract:BACKGROUND:Depression is a commonly occurring disorder linked to diminished role functioning and quality of life. The development of treatments that overcome barriers to accessing treatment remains an important area of clinical research as most people delay or do not receive treatment at an appropriate time. The workpl...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究
doi:10.1186/s12888-018-1752-5
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Excessive alcohol use has been associated with health, social and legal problems. Alcohol-related problems have been studied primarily in problem-drinker patients, with few studies on their family members, particularly about their own hazardous or harmful alcohol-drinking behaviours. METHOD:In this qualitat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1348-5
更新日期:2017-05-18 00:00:00
abstract:BACKGROUND:Adolescents treated for self-poisoning with medication have a high prevalence of mental health problems and constitute a high-risk population for self-harm repetition. However, little is known about whether this population is also prone to injuries of other forms. METHODS:Data were extracted from the Norweg...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1778-8
更新日期:2018-06-18 00:00:00
abstract:BACKGROUND:The aim of the present study was to examine the internal structure and reliability of the Attachment Insecurity Screening Inventory (AISI) 6-12. The AISI 6-12 years is a parent-report questionnaire for assessing the parents' perspective on the quality of the attachment relationship with their child aged betw...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1608-z
更新日期:2018-02-05 00:00:00
abstract:BACKGROUND:To review the prevalence and impact of generalized anxiety disorder (GAD) below the diagnostic threshold and explore its treatment needs in times of scarce healthcare resources. METHODS:A systematic literature search was conducted until January 2013 using PUBMED/MEDLINE, PSYCINFO, EMBASE and reference lists...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/1471-244X-14-128
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:Although it is well established that prostate cancer (PCa) patients are more likely to experience clinical depression than their age-matched non-prostate cancer peers, and that such depression can have negative effects upon survival, little is known about the underlying nature of the depressive symptomatolog...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-11-201
更新日期:2011-12-20 00:00:00
abstract:BACKGROUND:Inmates on preventive detention are a small and select group sentenced to an indefinite term of imprisonment. Mood disorders and substance abuse are risk factors for inmate violence and recidivism, so the prevalence of depression, anxiety, and substance abuse was examined in this cohort using psychometric te...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-11-40
更新日期:2011-03-10 00:00:00
abstract:BACKGROUND:Despite the high prevalence of co-morbid substance use among mental health service users (dual diagnosis), very few mental health workers in the UK have had training and/or clinical experience to equip them to deliver targeted interventions to this client group. METHOD:In a randomised controlled trial of tr...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-8-12
更新日期:2008-02-27 00:00:00
abstract:BACKGROUND:Patients with schizophrenia have the highest known rates of cigarette smoking, but less is known about their smoking behavior and the differences across geographical regions, including Croatia. The aim of this study was to compare patterns of nicotine dependence between patients with schizophrenia and health...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1606-1
更新日期:2018-01-22 00:00:00
abstract:BACKGROUND:Mood and anxiety and related disorders (AD) account for a significant proportion of mental health conditions, with close to 30 % of the population (28.8 %) suffering from an AD at some time in their life, and over fifteen percent (16.2 %) suffering from a mood disorder. The existing empirical literature leav...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0526-6
更新日期:2015-08-25 00:00:00
abstract:BACKGROUND:Schizophrenia and bipolar depression trials suggest that quetiapine may have an antidepressant effect. OBJECTIVES:This meta-analysis aimed to determine the efficacy, acceptability and tolerability of quetiapine treatment for major depressive disorder (MDD). Only the randomized controlled trials (RCTs) compa...
journal_title:BMC psychiatry
pub_type: 杂志文章,meta分析
doi:10.1186/1471-244X-12-160
更新日期:2012-09-27 00:00:00
abstract:BACKGROUND:Child maltreatment poses a risk to children and adolescents' mental health and may also affect cognitive functioning. Also harsh discipline has been frequently associated with mental health problems. However, within societies in which harsh disciplinary methods are culturally normed and highly prevalent less...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0828-3
更新日期:2016-04-29 00:00:00
abstract:BACKGROUND:Studies suggest that immigrants have higher rates of anxiety-depression than compatriots in low-middle income countries and lower rates than populations in host high income countries. Elucidating the factors that underlie these stepwise variations in prevalence may throw new light on the pathogenesis of anxi...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-329
更新日期:2013-12-02 00:00:00
abstract:BACKGROUND:Sleep disturbance is a prominent and common complaint in people with cocaine use disorder (CUD), either during intake or withdrawal. Repetitive transcranial magnetic stimulation (rTMS) has shown promise as a treatment for CUD. Thus, we evaluated the relationship between self-perceived sleep quality and cocai...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02568-2
更新日期:2020-04-06 00:00:00
abstract:BACKGROUND:Frequent users of the psychiatric emergency service (PES) place a heavy burden upon the mental health care delivery system. The aim of this study was to identify distinct temporal or geographical patterns of PES use by these patients as potential markers for their early detection. METHODS:Diagnostic profile...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-7-60
更新日期:2007-10-29 00:00:00
abstract:BACKGROUND:Attitude towards psychiatric patients among healthcare workers has an impact on quality of medical care and rehabilitation of patients. In China, primary healthcare workers play an important role in mental health care, but little is known about the attitude of them towards psychiatric patients. This study ai...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1215-4
更新日期:2017-02-08 00:00:00
abstract:BACKGROUND:Hypercortisolism as a sign of hypothamamus-pituitary-adrenocortical (HPA) axis overactivity and sleep EEG changes are frequently observed in depression. Closely related to the HPA axis is the renin-angiotensin-aldosterone system (RAAS) as 1. adrenocorticotropic hormone (ACTH) is a common stimulus for cortiso...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-3-15
更新日期:2003-10-29 00:00:00
abstract:BACKGROUND:Information technologies such as websites, mobile phone applications, and virtual reality programs have been shown to deliver innovative and effective treatments for mental illness. Much of the research studying electronic mental health interventions focuses on symptom reduction; however, to facilitate the i...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0614-7
更新日期:2015-10-14 00:00:00
abstract:BACKGROUND:There have been previous reported deaths due to clozapine-induced constipation. In all these cases patients have experienced prior abdominal symptoms over a period of weeks or months. CASE PRESENTATION:We report the sudden death due to constipation of a healthy young male patient on clozapine without any kn...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-6-43
更新日期:2006-10-19 00:00:00
abstract:BACKGROUND:Children of parents with a mental illness or substance use disorder (COPMI) have an increased risk of developing social-emotional problems themselves. Fear of stigmatisation or unawareness of problems prevents children and parents from understanding each other. Little is known about COPMI with mild intellect...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0698-0
更新日期:2015-12-24 00:00:00
abstract:BACKGROUND:Strong longitudinal evidence exists that psychological distress is associated with a high morbidity and mortality risk in type 2 diabetes. Little is known about the biological and behavioral mechanisms that may explain this association. Moreover, the role of personality traits in these associations is still ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0722-z
更新日期:2016-01-27 00:00:00
abstract:BACKGROUND:Abnormalities in heart rate during sleep linked to impaired neuro-cardiac modulation may provide new information about physiological sleep signatures of depression. This study assessed the validity of an algorithm using patterns of heart rate changes during sleep to discriminate between individuals with depr...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2152-1
更新日期:2019-06-07 00:00:00
abstract:BACKGROUND:Internet-based cognitive behavioural therapy (ICBT) is a promising approach to the prevention and reduction of depressive symptoms among adolescents. This study aimed to evaluate the feasibility and efficacy of disseminating a self-directed internet-based mental health intervention (MoodGYM) in senior high s...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-244X-14-14
更新日期:2014-01-21 00:00:00
abstract:BACKGROUND:The prevalence of anxiety/depression is quite high during the perinatal period but unfortunately its detection and treatment have been less than satisfactory. Moreover, many women are reluctant to take pharmacotherapy for fear of excretion of drugs into their breast milk. This study assesses the effectivenes...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-10-57
更新日期:2010-07-19 00:00:00
abstract:BACKGROUND:Severe mental disorders like psychotic disorders including schizophrenia and schizoaffective disorders have a 12-month-prevalence of 2.6, bipolar disorders of 1.5% in Germany. The relapse risk is high; so many patients need intensive monitoring and lifelong treatment. A high medication adherence is essential...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12888-015-0659-7
更新日期:2015-11-04 00:00:00
abstract:BACKGROUND:For around a third of people with a diagnosis of schizophrenia, the condition proves to respond poorly to treatment with many typical and atypical antipsychotics. This is commonly referred to as treatment-resistant schizophrenia. Clozapine is the only antipsychotic with convincing efficacy for people whose s...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-016-0983-6
更新日期:2016-08-05 00:00:00
abstract:BACKGROUND:The Collaborative Care Model (CoCM) for mental healthcare, where a consulting psychiatrist supports primary care and behavioral health workers, has the potential to address the large unmet burden of mental illness worldwide. A core component of this model is that the psychiatrist reviews treatment plans for ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-2464-1
更新日期:2020-02-05 00:00:00
abstract:BACKGROUND:Although there is some quantitative evidence to suggest the benefits of group psychoeducation for people with bipolar disorder, patients' perspectives and experiences of group psychoeducation require in-depth exploration to enable us to better understand the feasibility, acceptability and impact of these int...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0556-0
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:Ego defense mechanisms (or factors), defined by Freud as unconscious resources used by the ego to reduce conflict between the id and superego, are a reflection of how an individual deals with conflict and stress. This study assesses the prevalence of various ego defense mechanisms employed by medical student...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-10-12
更新日期:2010-01-29 00:00:00
abstract:BACKGROUND:Adolescent non-suicidal self-injury (NSSI) is associated with altered sensitivity to experimentally induced pain. Adolescents engaging in NSSI report greater pain threshold and pain tolerance, as well as lower pain intensity and pain unpleasantness compared to healthy controls. The experience of pain is asso...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0544-4
更新日期:2015-07-07 00:00:00