Lifestyle risk factors for obsessive-compulsive symptoms and related phenomena: What should lifestyle interventions target?

Author:

Brierley Mary-Ellen E1ORCID,Albertella Lucy1,Christensen Erynn1,Rotaru Kristian12,Jacka Felice N3,Segrave Rebecca A1,Richardson Karyn E1,Lee Rico SC1,Kayayan Edouard1,Hughes Sam1,Yücel Murat1,Fontenelle Leonardo F145ORCID

Affiliation:

1. BrainPark, Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash Biomedical Imaging Facility, Monash University, Clayton, VIC, Australia

2. Monash Business School, Monash University, Caulfield, VIC, Australia

3. Institute for Mental and Physical Health and Clinical Translation (IMPACT), Food and Mood Centre, Deakin University, Geelong, VIC, Australia

4. Obsessive, Compulsive, and Anxiety Spectrum Research Program, Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil

5. D’Or Institute for Research and Education, Rio de Janeiro, Brazil

Abstract

Objective: Understanding the impact of lifestyle on mental illness symptoms is important for informing psycho-education and developing interventions which target mental and physical comorbidities. Obsessive-compulsive and related disorders can have a significant impact on health-related quality of life and physical health. However, our understanding of the impact of lifestyle on obsessive-compulsive symptoms and broader compulsive and impulsive problematic repetitive behaviours is limited. Aims: We investigated whether lifestyle factors predicted change in obsessive-compulsive symptoms and problematic repetitive behaviours in a general population sample over a 3-month period. Methods: Eight hundred thirty-five participants completed an online questionnaire battery assessing lifestyle and mental health. Of these, 538 participants completed the same battery 3 months later. We conducted negative binomial regressions to analyse the association of lifestyle factors at baseline with future (1) obsessive-compulsive symptoms, (2) compulsive problematic repetitive behaviours and (3) impulsive problematic repetitive behaviours, adjusting for baseline obsessive-compulsive symptoms and problematic repetitive behaviours. Results: Lower vegetable ( p = 0.020) and oily fish ( p = 0.040) intake and lower moderate intensity physical activity ( p = 0.008) predicted higher obsessive-compulsive symptoms at follow-up. Higher intake of high-fat foods ( p < 0.001) predicted higher compulsive problematic repetitive behaviours at follow-up. No lifestyle factors significantly predicted impulsive problematic repetitive behaviours at follow-up. Conclusion: Our results speak to the potential importance of lifestyle quality screening, education and lifestyle interventions (e.g. an anti-inflammatory diet) for individuals experiencing compulsivity-related behaviours and/or symptoms. Further research into potential mechanisms of action will allow for more targeted approaches to lifestyle interventions for transdiagnostic compulsive behaviours.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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