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臺北醫學大學 全球衛生暨衛生安全博士學位學程 CHIOU, HUNG-YI、CHIU, YA-WEN所指導 BUI KIM CHUNG的 ASSOCIATION BETWEEN UNHEALTHY BEHAVIORS AND MENTAL HEALTH AMONG ADOLESCENTS IN TAIWAN （2021），提出srg global關鍵因素是什麼，來自於adolescents、emotional eating、clustering of unhealthy behaviors、Insufficient physical activity、Screen-based sedentary behaviors、Frequent Sugar-sweetened beverage consumption。
而第二篇論文高雄醫學大學 護理學系碩士班 謝秀芬所指導 陳靖瑛的 以智慧型手機服藥提醒APP探討思覺失調症病人之精神症狀、社會功能與生活品質 （2021），提出因為有 思覺失調症、手機應用程式、服藥信守、社會功能、生活品質的重點而找出了 srg global的解答。
ASSOCIATION BETWEEN UNHEALTHY BEHAVIORS AND MENTAL HEALTH AMONG ADOLESCENTS IN TAIWAN
為了解決srg global 的問題，作者BUI KIM CHUNG 這樣論述：
IntroductionMental health issue in adolescents is a rising public health challenge in Taiwan. Among adolescents, how eating behavior, physical and sedentary activity reciprocally relate to mental health issue remains unclear. Therefore, our first study determined how clustering of unhealthy behavio
rs including frequent sugar-sweetened beverage consumption, screen-based sedentary behaviors, and insufficient physical activity associate with depression symptom. The second study investigated the association between emotional eating and frequent unhealthy food consumption.Material and methodsData
was retrieved from the baseline survey of Taiwan Adolescent to Adult Survey (TAALS), a longitudinal nationwide school-based surveillance in comprehensive health-related issues in Taiwanese adolescents from 2015 to 2020. We characterized the participants on individual factors, social determinants, un
healthy behaviors and depressive symptoms.In study I, probability of depressive symptom occurrences were predicted, given exhibiting clustering of unhealthy behaviors by multiple logistic regression models. In study II, multiple logistic regression analyses were conducted to assess the association
between emotional eating and frequent unhealthy food consumption as well as to reveal the associated effect modifiers.ResultsThe first study showed that, among the 18,509 participants (48.5% male and 51.5% female), depressive symptom were common (31.4%), particularly in female and older adolescents.
After adjustments for covariats including sex, school type, other lifestyle factors and social determinants, individuals exhibiting clustering of unhealthy behaviors were more likely (aOR = 1.56, 95% CI: 1.43-1.70) to exhibit depressive symptoms than those who have no or only one unhealthy behavior
. Stratified results indicated the modified effects of sex on the association between unhealthy behaviors and depressive symptoms. Insufficient physical activity significantly predicted depressive symptom among male, while screen based sedentary behavior was a crucial factor for depressive symptom a
mong female. The second study demonstrated that males were more likely than females to report frequent consumption of fast food (19.2% vs. 12.9%, p < 0.001), high-fat snacks (28.8% vs. 24.3%, p < 0.001), processed meat products (35.5% vs. 24.5%, p < 0.001), and SSBs (64.7% vs. 55.8%, p < 0.001). Tho
se exhibiting emotional eating were more likely to consume fast food (Odds ratio (OR) = 2.40, 95% Confidence interval (CI): 2.18–2.64), high-fat snacks (OR = 2.30, 95% CI: 2.12–2.49), processed meat products (OR = 1.92, 95% CI: 1.78–2.08), dessert foods (OR = 2.49, 95% CI: 2.31–2.69), and sugar-swee
tened beverages (OR = 1.83, 95% CI: 1.70–1.98). Factors that were positively associated with unhealthy food consumption included eating while doing other activities, binge drinking, smoking, and sedentary lifestyle. Among all the covariates, nutrition label reading was the only factor that was inver
sely associated with frequent unhealthy food consumption. Sex and school type may moderate the effect of emotional eating on the frequent consumption of specific unhealthy food groups.ConclusionThe first study demonstrated that clustering of unhealthy behaviors were commonly occurred in adolescents,
and were positively associated with depressive symptom. The findings highlight the importance of strengthening public health interventions to improve physical activity and decrease sedentary behavior.The second study indicated a positive association between emotional eating and unhealthy food cons
umption among adolescents. Eating while doing other activities and living a sedentary lifestyle were the two factors significantly associated with increased unhealthy food consumption across all five unhealthy food groups, while nutrition label reading may decrease the consumption of unhealthy food.
以智慧型手機服藥提醒APP探討思覺失調症病人之精神症狀、社會功能與生活品質
為了解決srg global 的問題，作者陳靖瑛 這樣論述：
背景:思覺失調症的復發與藥物信守息息相關，根據研究顯示有高達 60％的思覺失調症病人有難配合服藥信守的問題，容易導致病情惡化 或者對抗精神病藥物產生耐受性，造成病情更難控制及困難治療，不僅有較高的疾病復發率，反覆發病容易造成病人認知功能受損，影響個人社會功能及生活品質，還會增加住院次數而提高醫療費用，造成家庭以及社會的負擔。在社區中的思覺失調症病人，有較高的復健潛能，規則服藥信守可以避免精神症狀惡化，減少個人認知及社會功能下降等問題。目前國內尚未見以智慧型手機應用程式改善思覺失調症個案服藥信守之相關研究。 目的:本研究以發展服藥APP應用程式提醒及維持病人服藥信守為主，期望服藥APP，能提升
病人服藥信守、社會功能及其生活品質。 方法:本研究為類實驗性研究，在南部某二家醫學中心精神科日間留 院病房、社區復健中心，收集持有智慧型手機之思覺失調症個案，採用結構式量表包括簡易心智量表、正性與負性症狀評量表、圖像化個人與社會功能自我評估量表、台灣簡明版世界衛生組織生活問卷，進行資料收集，提供服藥APP後，以單組前、後測方式(one-group pre and pos-test design)共使用8週，分別在第0週、第8週進行測量評估差異。 結果:本研究共收案 25 人，發現 8 周期間病人服藥 APP 使用率達 80％ 以上。另外手機服藥 APP 介入，思覺失調症病人 8 週後發現，精神
症狀中的正性症狀(t 值:-3.823, p 值:0.001)與負性症狀(t 值:-2.296, p 值:0.033)、一般功能(t 值:-3.450, p 值:0.003)可達顯著差異。 社會功能、生活品質部分，沒有顯著差異。 討論:本研究發現使用服藥 APP 8 週後，可提升思覺失調症病人服藥達 8 成以上，不僅可以改善精神症狀中的正症狀，負性症狀、一般精神病理都得到改善，主要因為服藥 APP 是透過病人臉部與藥物辨識、提醒病人服藥、醫療聯盟群組交流、問卷系統、放鬆技巧、相關網站 連結等多元功能，也是過去研究未曾討論的部分;社會功能沒有顯著效果，可能因為社區思覺失調症病人主動性、現實感及執
行功能以及自我照顧能力較優於急性病房病人，病情穩定不會有干擾及攻擊行為，且精神科社區是職業功能重建、提升社會功能為目標的半結構治療性環境，推論因此沒有顯著差異;參與本研究個案年齡低、高學歷、與家人同住、反覆住院率低，這些人口學特性與較佳的生活品質相關，病人對於自我能力理解與主觀生活品質可能與現實有落差，推論與本研究生活品質沒有顯著相關。