title: Social Dysfunction and Diet Outcomes in People with Psychosis.
abstract: 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 dysfunctionp< 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.
authors.affiliation: Faculty Health and Medicine, The University of Newcastle, Callaghan 2308, Australia. Doreen.Mucheru@uon.edu.au.
authors.forename: Doreen
authors.initials: D
authors.lastname: Mucheru
authors.affiliation: Faculty Health and Medicine, The University of Newcastle, Callaghan 2308, Australia. Mary-Claire.Hanlon@uon.edu.au.|Brain and Mental Health Program, Hunter Medical Research Institute, New Lambton 2305, Australia. Mary-Claire.Hanlon@uon.edu.au.|Priority Research Centre for Brain and Mental Health, Mater Hospital, Waratah 2298, Australia. Mary-Claire.Hanlon@uon.edu.au.|Department of Radiation Oncology, Calvary Mater Newcastle, Waratah 2298, Australia. Mary-Claire.Hanlon@uon.edu.au.|Hunter Cancer Research Alliance, The University of Newcastle, Callaghan 2308, Australia. Mary-Claire.Hanlon@uon.edu.au.
authors.forename: Mary-Claire
authors.initials: MC
authors.lastname: Hanlon
authors.affiliation: Brain and Mental Health Program, Hunter Medical Research Institute, New Lambton 2305, Australia. linda.e.campbell@newcastle.edu.au.|Faculty of Science, The University of Newcastle, Callaghan 2308, Australia. linda.e.campbell@newcastle.edu.au.|Priority Research Centre GrowUpWell, The University of Newcastle, Callaghan 2308, Australia. linda.e.campbell@newcastle.edu.au.
authors.forename: Linda E
authors.initials: LE
authors.lastname: Campbell
authors.affiliation: Faculty Health and Medicine, The University of Newcastle, Callaghan 2308, Australia. mark.mcevoy@newcastle.edu.au.|Centre for Clinical Epidemiology & Biostatistics, Hunter Medical Research Institute, New Lambton 2305, Australia. mark.mcevoy@newcastle.edu.au.
authors.forename: Mark
authors.initials: M
authors.lastname: McEvoy
authors.affiliation: Faculty Health and Medicine, The University of Newcastle, Callaghan 2308, Australia. lesley.wicks@newcastle.edu.au.|Brain and Mental Health Program, Hunter Medical Research Institute, New Lambton 2305, Australia. lesley.wicks@newcastle.edu.au.|Priority Research Centre for Physical Activity and Nutrition, The University of Newcastle, Callaghan 2308, Australia. lesley.wicks@newcastle.edu.au.
authors.forename: Lesley
authors.initials: L
authors.lastname: MacDonald-Wicks
mesh_terms: D000293:Adolescent; D000328:Adult; D001315:Australia; D062408:Breakfast; D015331:Cohort Studies; D003430:Cross-Sectional Studies; D000072001:Diet, Healthy / Q000191:economics / Q000523:psychology; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D005523:Food Supply / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009749:Nutrition Surveys; D010349:Patient Compliance / Q000523:psychology; D000072861:Phobia, Social / Q000191:economics / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D011618:Psychotic Disorders / Q000191:economics / Q000503:physiopathology* / Q000523:psychology / Q000628:therapy; D012189:Retrospective Studies; D012920:Social Behavior Disorders / Q000191:economics / Q000209:etiology* / Q000517:prevention & control / Q000523:psychology; D012934:Social Isolation / Q000523:psychology; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000191:economics / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D055815:Young Adult
keywords: diet; food security; fruit intake; psychosis; social dysfunction; social isolation; vegetable intake