Mental Health and Physical Activity最新文献

{"title":"The effects of mind body exercise on anxiety: A systematic review and meta-analysis of randomized controlled trials","authors":"Xuan Lin ,&nbsp;Jiaxin Zheng ,&nbsp;Qian Zhang ,&nbsp;Youfa Li","doi":"10.1016/j.mhpa.2024.100587","DOIUrl":"10.1016/j.mhpa.2024.100587","url":null,"abstract":"<div><h3>Objective</h3><p>To make a comprehensive evaluation of the anxiolytic effects of Mind body exercise (MBE) therapy and potential variations in demographic and intervention characteristics.</p></div><div><h3>Methods</h3><p>Based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, the Web of Science, PsycINFO, PubMed, and Google Scholar databases were systematically searched for randomized controlled trials (RCTs) published before 1 May 2023. Pooled standardized mean differences (SMDs) and moderator analysis were used.</p></div><div><h3>Results</h3><p>A total of 61 studies (k = 76) were included in the meta-analysis. Compared with the control groups (<em>n</em> = 2972), the MBE intervention groups (<em>n</em> = 2984) had significantly reduced anxiety with a small effect (SMD = 0.454, 95% CI: 0.353 to 0.556, <em>p</em> &lt; 0.001, <em>I</em>^<em>2</em> = 73.949%). Moderator analysis showed that research area, sex, age, health status, session duration, and research quality played moderating roles. Interventions lasting over 60 min were most effective in reducing anxiety.</p></div><div><h3>Conclusion</h3><p>MBE is an effective alternative or adjuvant intervention for anxiety across participant characteristics and research area. Future research should improve the quality and design and compare the anxiolytic effects between different types of MBE interventions or between MBE interventions and other intervention types. It is also necessary to analyze the dose effects of MBE interventions.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140035800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity levels and sedentary behavior in people who have experienced gender-based violence: A systematic review","authors":"Lauren Wheatley ,&nbsp;Chiara Mastrogiovanni ,&nbsp;Michelle Pebole ,&nbsp;Grace McKeon ,&nbsp;Simon Rosenbaum ,&nbsp;Susan Rees ,&nbsp;Scott B. Teasdale","doi":"10.1016/j.mhpa.2024.100596","DOIUrl":"https://doi.org/10.1016/j.mhpa.2024.100596","url":null,"abstract":"<div><h3>Background and aims</h3><p>Experiencing gender-based violence (GBV) is a risk factor for numerous noncommunicable diseases, many of which are associated with physical inactivity. This systematic review aims to determine if physical activity levels and sedentary behavior differ between people who have experienced GBV and people who have not been exposed to GBV.</p></div><div><h3>Methods</h3><p>Five databases were searched from inception to May 2023. Eligible studies were original research publications that reported a quantitative measure of physical activity and/or sedentary behavior for people who have experienced GBV and a comparator group. Synthesis without meta-analysis was performed due to inconsistent measures of physical activity.</p></div><div><h3>Results</h3><p>Eleven studies with 38,679 people who have experienced GBV and 159,103 comparators were included. Most studies were conducted in the United States (<em>k</em> = 9, 82%) with exclusively female participants (<em>k</em> = 9, 82%). All studies reported on mean time in physical activity or proportion of people engaging in certain levels of physical activity and sedentary behavior. No study used a validated tool to measure physical activity levels. Nineteen comparisons between a GBV population group and comparator were identified in the 11 studies. Findings were mixed, with 10 comparisons (52.5%) finding no significant difference, six comparisons (32%) finding lower physical activity engagement in the GBV-exposed population group, and three comparisons (15.5%) reporting similar values in both groups (without a between group test). The overall quality of studies was poor-fair.</p></div><div><h3>Conclusion</h3><p>There is mixed evidence for whether physical activity levels differ among people who have experienced GBV compared to individuals who have not. High quality studies using validated assessment methods are needed.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S175529662400022X/pdfft?md5=a48eb69eb66c96f6d4e0ae4eea1b0e5b&pid=1-s2.0-S175529662400022X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140618246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The longitudinal reciprocal association between depression and physical activity in old age: The role of lifetime cumulative adversity","authors":"Michal Levinsky","doi":"10.1016/j.mhpa.2024.100591","DOIUrl":"10.1016/j.mhpa.2024.100591","url":null,"abstract":"<div><h3>Objective</h3><p>This study investigated the reciprocal nature of the depression–physical activity relationship with reference to lifetime cumulative adversity (LCA), over a period of 8 years across 5 time points in aging.</p></div><div><h3>Method</h3><p>Based on data from the Survey of Health Ageing and Retirement in Europe (SHARE), the sample included 21,996 participants between the ages of 50 and 100 years (M = 65.5, SD = 9.1). The analysis was designed as a random intercept cross-lagged panel model. The trajectories measured were depression and physical activity. The independent variable, LCA, was created by the sum of stressful events, and the analyses controlled for background characteristics.</p></div><div><h3>Results</h3><p>The findings revealed that physical activity significantly reduced the risk for depression at two time points along the study, whereas depression significantly reduced future physical activity during the entire period examined. Further, a higher level of LCA was associated with lower baseline levels of physical activity and higher levels of depression (<em>β</em> = −0.04, p &lt; 0.001; <em>β</em> = 0.12, p &lt; 0.001; respectively).</p></div><div><h3>Conclusions</h3><p>The results support a bidirectional relation between physical activity and depression, with stronger evidence for depression to physical activity. Interventions targeting the vulnerable population with a history of cumulative adversity, and utilizing techniques to mitigate depressive symptoms, may help to decrease the risk for physical inactivity and other health consequences in this population.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140098711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of 24-hour movement behavior guidelines among youth with prescribed eyeglasses/contact lenses and anxiety","authors":"Xin Liu ,&nbsp;Fabian Herold ,&nbsp;André O. Werneck ,&nbsp;Yanxia Chen ,&nbsp;Zijun Liu ,&nbsp;Alyx Taylor ,&nbsp;Arthur F. Kramer ,&nbsp;Liye Zou","doi":"10.1016/j.mhpa.2024.100597","DOIUrl":"10.1016/j.mhpa.2024.100597","url":null,"abstract":"<div><h3>Background</h3><p>This study examined the prevalence of meeting 24-h movement behavior (24-HMB: physical activity [PA], screen time [ST], and sleep duration [SL]) guidelines in U.S. children and adolescents (youth) with prescribed eyeglasses/contact lenses and anxiety, followed by an investigation on its associated prevalence across specific demographic variables (e.g., ethnicity, highest level of education of household members).</p></div><div><h3>Methods</h3><p>Youth (N = 1729) who were prescribed eyeglasses/contact lenses and had anxiety were included in this cross-sectional study. A multinomial logistic regression analysis was used to examine the odds ratio of meeting 24-HMB guidelines when considering specific sociodemographic factors.</p></div><div><h3>Results</h3><p>Most participants met some proportion of 24-HMB guidelines, with 407 participants (23.54%) meeting two guidelines (PA + ST, PA + SL, and ST + SL), while 103 participants (5.96%) met three guidelines (PA + ST + SL). Furthermore, youth with prescribed eyeglasses/contact lenses and anxiety demonstrated a significantly lower prevalence of meeting the combined guidelines (PA + SL, ST + SL, and PA + ST + SL) in relative to the age-matched group without prescribed eyeglasses/contact lenses and anxiety (<em>ps</em> &lt; 0.001).</p></div><div><h3>Conclusions</h3><p>Only a small percentage of the U.S. youth with prescribed eyeglasses/contact lenses and anxiety met the combined components of 24-HMB guidelines (especially compared with participants without prescribed eyeglasses/contact lenses and anxiety). Thus, there is a strong need for public health initiatives to promote healthy lifestyle behaviors in this vulnerable population including higher levels of regular physical activity, lower time spent sedentary and appropriate sleep duration.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140794593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sedentary activity, sedentary bouts, and patterns of total daily sedentary activity, and their relationship with stress and well-being in individuals with diabetes and prediabetes: The Lolland-Falster Health Study","authors":"Sofie Rath Mortensen ,&nbsp;Anders Grøntved ,&nbsp;Jan Christian Brønd ,&nbsp;Mathias Ried-Larsen ,&nbsp;Therese Lockenwitz Petersen ,&nbsp;Lars Bo Jørgensen ,&nbsp;Randi Jepsen ,&nbsp;Lars Hermann Tang ,&nbsp;Søren T. Skou","doi":"10.1016/j.mhpa.2024.100588","DOIUrl":"https://doi.org/10.1016/j.mhpa.2024.100588","url":null,"abstract":"<div><h3>Aims</h3><p>This study aimed to investigate the cross-sectional associations of stress and well-being with the total amount of sedentary activity and sedentary bouts in adults with diabetes and prediabetes. A secondary aim was to explore the sedentary activity pattern during a day in adults with diabetes and prediabetes.</p></div><div><h3>Methods</h3><p>This cross-sectional study from the Danish Lolland-Falster Health Study categorized participants into diabetes (including both type 1 and type 2 diabetes) and prediabetes based on their HbA1c level and self-reported use of diabetes medication. Exposures were Perceived Stress Scale (scores ≥18 = moderate to high stress) and WHO-5 Well-Being Index (scores ≤50 = low well-being). Outcomes were total daily sedentary activity and sedentary bouts assessed with thigh-worn and back-worn accelerometers.</p></div><div><h3>Results</h3><p>Among the 562 included adult participants, 15 % had low well-being and 65 % had moderate to high stress. Higher well-being was associated with lower total sedentary activity in participants with diabetes (−1.1 min/day, 95 % CI -2.0; −0.2, for every 1-point increase in WHO-score) and participants with prediabetes (−0.6 min/day, 95 % CI -1.1; −0.05, for every 1-point increase in WHO-score). No association was found between stress and sedentary activity. During a day, participants with diabetes were more sedentary with a mean difference of −0.7 h/day (95 % CI -1.1; −0.4) when compared with participants with prediabetes.</p></div><div><h3>Conclusions</h3><p>This study found that higher well-being is associated with lower total daily sedentary activity in individuals with diabetes and prediabetes, while no association between stress and sedentary activity was found. These findings imply that individuals with diabetes and prediabetes and low well-being may need additional support to reduce time spent on daily sedentary activity.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296624000139/pdfft?md5=d5ae55b60171cb97b964db45bf2010b9&pid=1-s2.0-S1755296624000139-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140031010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The interplay of depression symptoms and physical activity: Bidirectional insights from 25-years of the Americans' changing lives panel","authors":"Soli Dubash","doi":"10.1016/j.mhpa.2024.100599","DOIUrl":"https://doi.org/10.1016/j.mhpa.2024.100599","url":null,"abstract":"<div><h3>Background</h3><p>Depression symptomology (DSx) and insufficient Physical Activity (PA) are among the leading causes of illness, and major contributors to global public health burden. Reviews and meta-analyses indicate that DSx and PA cause each other, yet most studies conducted use data and analyses which cannot specify their bidirectional associations across the life course.</p></div><div><h3>Method</h3><p>The present study estimates dynamic panel models with fixed effects through structural equation models with full-information maximum likelihood estimation (ML-SEM) based on 5 waves (1986–2011) of the <em>Americans' Changing Lives</em> (ACL) panel. This is a nationally representative probability sample of 3499 non-institutionalized U.S. adults ages 25 and older in 1986. Respondents participated in an average of 3.29 waves, with 67.84% participating in at least 3 waves, and 27.26% participating in all 5 waves. Models adjust for age, partner status, social integration, activity limitations, and serious financial problems. Data are available from the ICPSR (4690).</p></div><div><h3>Results</h3><p>Estimates from ML-SEM reveal negative and significant bidirectional cross-sectional associations between DSx and PA. Models also indicate a negative and significant cross-lagged association from DSx to PA, but not from cross-lagged PA to DSx. On both sides, earlier levels are significantly associated with future levels of PA and DSx.</p></div><div><h3>Conclusions</h3><p>This study is the first to use a causal inference technique which adjusts for all time-invariant confounders while modelling the bidirectional linkages between depression symptoms and physical activity over 25-years of adulthood. It supports literature showing a consistent cross-sectional relationship, and advances understanding on how DSx earlier in the adult life course may influence PA as people age.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296624000255/pdfft?md5=11f9d6f6d69e035e578492f8faa85895&pid=1-s2.0-S1755296624000255-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Walking the Black Dog: A systematic review and meta-analysis on the effect of walking interventions on depressive symptom severity","authors":"Lydia Helene Rupp,&nbsp;Lena Schindler-Gmelch,&nbsp;Lea Rogge,&nbsp;Matthias Berking","doi":"10.1016/j.mhpa.2024.100600","DOIUrl":"10.1016/j.mhpa.2024.100600","url":null,"abstract":"<div><h3>Background and aims</h3><p>Depression is a frequent and debilitating mental illness. The plethora of common practical and psychological barriers to evidence-based care warrant more easily accessible interventions, such as behavioral activation. Walking represents an easy-to-prescribe, highly practicable, and flexible form of behavioral activation. We conducted a systematic review and meta-analysis to assess the effects of walking interventions on depressive symptom severity.</p></div><div><h3>Methods</h3><p>Scopus, PubMed, Web of Science, MEDLINE, APA PsycArticles, and APA PsycInfo were searched to identify German- and English-language randomized-controlled trials involving adults (age ≥18 years), that compared a walking intervention with a control group and employed self-report measures of depressive symptom severity in a pre-post design.</p></div><div><h3>Results</h3><p>Our literature search yielded <em>k</em> = 10,898 records, k = 27 of which were included in the systematic review (<em>n</em> = 1,578, 74.2% female). Study characteristics varied substantially, with overall risk of bias being moderate to high. For the <em>k</em> = 15 studies included in the meta-analysis, the initial effect of SMD = -.33 in favor of walking vs. control conditions lost significance after excluding outliers and studies with high risk of bias. Of all examined moderator variables (e.g., control group type, sample type, intervention delivery frequency, age, percentage of female participants), only baseline depressive symptom status meeting clinical criteria cut-offs emerged as significant.</p></div><div><h3>Conclusion</h3><p>While the heterogeneity in intervention designs and flexible adaptability are clear strengths of walking interventions, rigorous empirical evidence for their beneficial effects on subthreshold and clinically relevant depression remains sparse, providing future research endeavors clear imperatives.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296624000267/pdfft?md5=81ec55798db4e98934595c1258a20fef&pid=1-s2.0-S1755296624000267-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141024501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of physical activity and sedentary time with craving and mental health in individuals with alcohol use disorder","authors":"Shania J.E. Kelly,&nbsp;Sydney L. Churchill,&nbsp;Angelique G. Brellenthin,&nbsp;Jeni E. Lansing,&nbsp;Jacob D. Meyer","doi":"10.1016/j.mhpa.2024.100589","DOIUrl":"10.1016/j.mhpa.2024.100589","url":null,"abstract":"<div><p>Alcohol use disorder (AUD) treatment has high rates of relapse. Relapse likelihood is predicted by poor mental health and high alcohol craving. Moderate to vigorous physical activity (MVPA) and sedentary time (SED) may be modifiable risk factors of these relapse predictors. The purpose of this study was to examine relationships between MVPA and SED with mental health (depression, anxiety and stress) and craving (self-reported and cue-induced) in individuals with AUD.</p><p>Cross-sectional data were collected from individuals upon entering AUD treatment (n = 670) in the US. Participants reported demographics, depression (Center for Epidemiologic Studies Depression Scale), anxiety (Penn State Worry Questionnaire), stress (Perceived Stress Scale-10), MVPA and SED (International Physical Activity Questionnaire-SF). Multiple linear regressions were conducted with MVPA and SED predicting depression, anxiety, and stress, with trend analyses, covarying for demographics and level of care.</p><p>As SED decreases and MVPA increases, depression (−6.7 points, p &lt; 0.0001), anxiety (−3.5 points, p = 0.02), and stress scores (−3.1 points, p &lt; 0.001) are reduced. Neither MVPA nor SED were significant predictors of self-reported craving nor cue-induced craving.</p><p>High SED and, especially, low MVPA may be behavioral risk factors associated with poor mental health during treatment admission in AUD. Improving engagement with these activity-related behaviors during treatment may have the potential to lead to lower relapse rates.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296624000140/pdfft?md5=8b74eb641da4e1d69115a83ea2c16360&pid=1-s2.0-S1755296624000140-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140090370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical activity during a treatment for substance use disorder: A qualitative study","authors":"Florence Piché ,&nbsp;Stéphanie Girard ,&nbsp;Chantal Plourde ,&nbsp;Ahmed Jérôme Romain","doi":"10.1016/j.mhpa.2024.100590","DOIUrl":"10.1016/j.mhpa.2024.100590","url":null,"abstract":"<div><h3>Background</h3><p>Individuals with substance use disorder face a higher mortality rate, attributed in part to the presence of chronic physical conditions. Physical activity emerges as a promising solution, as it could impact on physical conditions as well as on the symptoms of substance use disorder itself. Although there is promising evidence, studies are still needed to fully understand the mechanisms, as well as their acceptability in real life. In order to address these issues, we need to include the perceptions of people who participate in these programs to determine the clinical importance and feasibility of physical activity.</p></div><div><h3>Objective</h3><p>To understand the physical activity perception of people undergoing treatment for substance use disorder.</p></div><div><h3>Methods</h3><p>Thirteen people (69% men; 33.4 ± 8.3 years old) were interviewed after experiencing a physical activity intervention during their treatment.</p></div><div><h3>Results</h3><p>Following the content analysis, three predominant themes emerged: physical activity was (1) a way to take care of themselves, through the perceived improvement of health; (2) used as a protective mechanism against relapse, through the occupation time, behavior replacement and the creation of a healthy network; (3) served as a facilitator of treatment retention because participant developed social support.</p></div><div><h3>Conclusion</h3><p>Physical activity during treatment could improve the therapeutic process for people with substance use disorders, as well as helping to develop healthy lifestyle habits and reinforce confidence in coping with future relapses.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296624000152/pdfft?md5=2e75e7a6e71be1681e5ca418078e4685&pid=1-s2.0-S1755296624000152-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140156206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Muva physical activity intervention improves social functioning in people with a severe mental illness: A pragmatic stepped wedge cluster controlled trial","authors":"Lisanne Elisabeth Maria Koomen ,&nbsp;Ilona Hendrika Theodora van de Meent ,&nbsp;Jeroen Deenik ,&nbsp;Edwin van Dellen ,&nbsp;Hugo Gerard Schnack ,&nbsp;Cornelis Hendrikus van Werkhoven ,&nbsp;Wilma Elisabeth Swildens ,&nbsp;Berno van Meijel ,&nbsp;Wouter Staal ,&nbsp;Frederike Jörg ,&nbsp;Floortje Scheepers ,&nbsp;Wiepke Cahn","doi":"10.1016/j.mhpa.2024.100601","DOIUrl":"https://doi.org/10.1016/j.mhpa.2024.100601","url":null,"abstract":"<div><p>Severe mental illness (SMI) imposes a significant burden on individuals, resulting in long-lasting symptoms, lower social functioning and impaired physical health. Physical activity (PA) interventions can improve both mental and physical health and care workers can serve as healthy role models. Yet, individuals with SMI face barriers to PA participation. This study evaluated the effects of Muva, and assessed if mental health worker's (MHW) characteristics were associated with clients' change in social functioning. Muva, an intervention package primarily created to increase PA of people with SMI, places a special focus on MHWs as they might play a key role in overcoming barriers. Other PA barrier-decreasing elements of Muva were a serious game app, lifestyle education, and optimization of the medication regime.</p></div><div><h3>Method</h3><p>This study is a pragmatic stepped wedge cluster controlled trial. Controls received care as usual. Mixed-effects linear regressions were performed to assess changes in the primary outcome social functioning, and secondary outcomes quality of life, psychiatric symptoms, PA, body mass index, waist circumference, and blood pressure.</p></div><div><h3>Results</h3><p>84 people with SMI were included in three intervention clusters, and 38 people with SMI in the control cluster. Compared to the control condition, there was significant clinical improvement of social functioning in interpersonal communication (p=&lt;0.01) and independent competence (p=&lt;0.01) in people receiving Muva. These outcomes were not associated with MHW's characteristics. There were no changes in the other outcome measures.</p></div><div><h3>Conclusions</h3><p>Muva improved social functioning in people with SMI compared to care as usual.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":null,"pages":null},"PeriodicalIF":4.7,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296624000279/pdfft?md5=5055228224ad8e721a61e7b47e7a823b&pid=1-s2.0-S1755296624000279-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140914266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}