Social Dysfunction and Diet Outcomes in People with Psychosis

• Published in: Nutrients Vol. 9; no. 1; p. 80
• Main Authors: Mucheru, Doreen, Hanlon, Mary-Claire, Campbell, Linda E, McEvoy, Mark, MacDonald-Wicks, Lesley
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 19.01.2017; MDPI
• Subjects: Adolescent; Adult; Australia; Breakfast; Catchments; Cohort Studies; Cross-Sectional Studies; diet; Feeding behavior; Feeding Behavior - psychology; Female; Food intake; Food security; Food supply; Food Supply - economics; fruit intake; Healthy Diet - economics; Healthy Diet - psychology; Humans; Male; Middle Aged; Nutrition Surveys; Patient Compliance - psychology; Phobia, Social - economics; Phobia, Social - etiology; Phobia, Social - prevention & control; Phobia, Social - psychology; Psychosis; Psychotic Disorders - economics; Psychotic Disorders - physiopathology; Psychotic Disorders - psychology; Psychotic Disorders - therapy; Retrospective Studies; Social behavior; Social Behavior Disorders - economics; Social Behavior Disorders - etiology; Social Behavior Disorders - prevention & control; Social Behavior Disorders - psychology; social dysfunction; social isolation; Social Isolation - psychology; Socioeconomic Factors; Statistical analysis; Stress, Psychological - economics; Stress, Psychological - etiology; Stress, Psychological - prevention & control; Stress, Psychological - psychology; vegetable intake; Vegetables; Young Adult; social isolation; social dysfunction; food security; vegetable intake; fruit intake; diet; psychosis
• ISSN: 2072-6643; 2072-6643
• DOI: 10.3390/nu9010080

This analysis aimed to examine the association of social dysfunction with food security status, fruit intake, vegetable intake, meal frequency and breakfast consumption in people with psychosis from the Hunter New England (HNE) catchment site of the Survey of High Impact Psychosis (SHIP). Social dysfunction and dietary information were collected using standardised tools. Independent binary logistic regressions were used to examine the association between social dysfunction and food security status, fruit intake, vegetable intake, meal frequency and breakfast consumption. Although social dysfunction did not have a statistically significant association with most diet variables, participants with obvious to severe social dysfunction were 0.872 (95% CI (0.778, 0.976)) less likely to eat breakfast than those with no social dysfunction < 0.05. Participants with social dysfunction were therefore, 13% less likely to have breakfast. This paper highlights high rates of social dysfunction, significant food insecurity, and intakes of fruits and vegetables below recommendations in people with psychosis. In light of this, a greater focus needs to be given to dietary behaviours and social dysfunction in lifestyle interventions delivered to people with psychosis. Well-designed observational research is also needed to further examine the relationship between social dysfunction and dietary behaviour in people with psychosis.