Lisanne Elisabeth Maria Koomen , Ilona Hendrika Theodora van de Meent , Jeroen Deenik , Edwin van Dellen , Hugo Gerard Schnack , Cornelis Hendrikus van Werkhoven , Wilma Elisabeth Swildens , Berno van Meijel , Wouter Staal , Frederike Jörg , Floortje Scheepers , Wiepke Cahn
{"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 , Ilona Hendrika Theodora van de Meent , Jeroen Deenik , Edwin van Dellen , Hugo Gerard Schnack , Cornelis Hendrikus van Werkhoven , Wilma Elisabeth Swildens , Berno van Meijel , Wouter Staal , Frederike Jörg , Floortje Scheepers , 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=<0.01) and independent competence (p=<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":"26 ","pages":"Article 100601"},"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}
Lydia Helene Rupp, Lena Schindler-Gmelch, Lea Rogge, Matthias Berking
{"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, Lena Schindler-Gmelch, Lea Rogge, 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":"26 ","pages":"Article 100600"},"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}
Shania J.E. Kelly, Sydney L. Churchill, Angelique G. Brellenthin, Jeni E. Lansing, Jacob D. Meyer
{"title":"Associations of physical activity and sedentary time with craving and mental health in individuals with alcohol use disorder","authors":"Shania J.E. Kelly, Sydney L. Churchill, Angelique G. Brellenthin, Jeni E. Lansing, 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 < 0.0001), anxiety (−3.5 points, p = 0.02), and stress scores (−3.1 points, p < 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":"26 ","pages":"Article 100589"},"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 , Stéphanie Girard , Chantal Plourde , 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":"26 ","pages":"Article 100590"},"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}
Jian Yi , I-Hua Chen , Hsin-Pao Chen , I-Ching Lin , Jung-Sheng Chen , Po-Ching Huang , Kerry S. O'Brien , Mark D. Griffiths , Chung-Ying Lin
{"title":"Tendency to avoid physical activity mediates the association between perceived weight stigma and physical activity levels among university students","authors":"Jian Yi , I-Hua Chen , Hsin-Pao Chen , I-Ching Lin , Jung-Sheng Chen , Po-Ching Huang , Kerry S. O'Brien , Mark D. Griffiths , Chung-Ying Lin","doi":"10.1016/j.mhpa.2024.100584","DOIUrl":"10.1016/j.mhpa.2024.100584","url":null,"abstract":"<div><h3>Background and aims</h3><p>The World Health Organization recently announced an action plan to increase global physical activity (PA) levels due to individuals' increasingly inactive lifestyle. Perceived weight stigma (PWS) is a psychosocial factor that may reduce individuals’ PA, and PA avoidance may be involved in this association. Therefore, the present study conducted a cross-sectional survey to investigate the mediating effect of tendency to avoid PA in the association between PWS and PA among Chinese university physical education (PE) students and non-PE students.</p></div><div><h3>Methods</h3><p>Responses from non-PE (<em>n</em> = 2877) and PE (<em>n</em> = 2286) students were collected via an online survey comprising the Perceived Weight Stigma Scale, Tendency to Avoid Physical Activity and Sport Scale, and International Physical Activity Questionnaire Short Form.</p></div><div><h3>Results</h3><p>Results of moderated atemporal mediation analysis showed a significant association between PWS and PA mediated by tendency to avoid PA among the two groups (<em>B</em>[SE] = 0.94[0.08], <em>p</em> < .001). In addition, compared to non-PE students, PE students were significantly less affected by tendency to avoid PA (<em>B</em>[SE] = -2.61[0.29], <em>p</em> < .001). However, when affected, PE students showed a larger reduction in moderate PA levels than non-PE students (<em>B</em>[SE] = −9.14[4.51], <em>p</em> = .043).</p></div><div><h3>Conclusion</h3><p>The present study's findings showed that PWS negatively affected PA via the atemporal mediation of tendency to avoid PA among university PE and non-PE students. Additionally, compared to non-PE students, PE students showed a larger reduction in moderate PA levels when affected by the tendency to avoid PA. Strategies aimed at reducing weight stigma or promoting PA enjoyment could be adopted to facilitate PA engagement and maintain a physically active lifestyle.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100584"},"PeriodicalIF":4.7,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139892569","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":"Associations between physical activity and subcategories of mental health: A propensity score analysis among a global sample of 341,956 adults","authors":"Christopher Huong, Denver M.Y. Brown","doi":"10.1016/j.mhpa.2024.100586","DOIUrl":"https://doi.org/10.1016/j.mhpa.2024.100586","url":null,"abstract":"<div><h3>Background</h3><p>Evidence indicates that physical activity (PA) can be a clinically useful and low-cost option for preventing and managing many mental health problems. Further investigation into which specific aspects of mental health are most influenced by PA can help to elucidate the differential effects that PA may confer.</p></div><div><h3>Purpose</h3><p>This study used cross-sectional data from the Global Mind Project to investigate the association of PA on overall mental well-being and various subcategories of mental health across different adult age groups.</p></div><div><h3>Methods</h3><p>Participants completed the 47-item Mental Health Quotient (MHQ) and reported how frequently they engaged in daily bouts of PA for 30 min or more. Weighted propensity score models were used to estimate the Average Treatment effect on the Control (ATC) of PA engagement on overall mental well-being as well as six subcategories of mental health.</p></div><div><h3>Results</h3><p>An estimated ATC of 17.41 was found for overall MHQ, corresponding to a standardized mean difference (SMD) of 0.25. Among the mental health subcategories, PA engagement was estimated to have the largest ATC for Mind-Body Connection (ATC = 18.90; SMD = 0.30), followed by Adaptability and Resilience (ATC = 17.09; SMD = 0.26), Core Cognition (ATC = 16.00; SMD = 0.24), Drive and Motivation (ATC = 15.43; SMD = 0.24), Mood and Outlook (ATC = 14.81; SMD = 0.21), and Social Self (ATC = 12.53; SMD = 0.17).</p></div><div><h3>Conclusion</h3><p>Our findings support the existing literature demonstrating an association of PA engagement on overall mental well-being, and builds on this work by revealing consistent effects that exist across various mental health subcategories and the adult lifespan.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100586"},"PeriodicalIF":4.7,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139748807","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}
Raphael H.O. Araujo , André O. Werneck , Diego G.D. Christofaro , Danilo R.P. Silva
{"title":"Participation in physical education classes and social isolation among adolescents: A harmonized analysis with 266,156 participants from 69 countries","authors":"Raphael H.O. Araujo , André O. Werneck , Diego G.D. Christofaro , Danilo R.P. Silva","doi":"10.1016/j.mhpa.2024.100583","DOIUrl":"10.1016/j.mhpa.2024.100583","url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the association between participation in physical education (PE) classes and social isolation among adolescents.</p></div><div><h3>Methods</h3><p>We used data from the Global School-based Health Survey, comprising 266,156 adolescents from 69 countries/territories. Participation in PE classes (days/week) was reported by the students. Social isolation was assessed through questions regarding the number of friends and loneliness perception. Poisson regression models were used to identify the association of weekly participation in PE classes with social isolation, and harmonized meta-analyses were used to estimate a summary association. Results were expressed through prevalence ratios (PR) and their respective confidence intervals (95%CI).</p></div><div><h3>Results</h3><p>Adolescents who participated in PE classes on one [PR:0.87 (95%CI:0.83; 0.92)], two [0.84 (0.79; 0.89)], and three or more days per week [0.77 (0.73; 0.82)] had a lower prevalence of having a low number of friends than their peers with no PE classes. The loneliness perception was lower among those who participated in PE classes on one [0.86 (0.81; 0.90)], two [ 0.93 (0.87; 0.98)], and three or more days per week [0.94 (0.90; 0.98)] than among those who did not participate in PE classes. Participation in PE classes was also associated with lower social isolation (combined indicator: a low number of friends + loneliness perception) [1 PE day/wk: 0.88 (0.85; 0.92); 2PE days/wk: 0.88 (0.84; 0.92); ≥3 PE days/wk: 0.85 (0.82; 0.89)].</p></div><div><h3>Conclusions</h3><p>Participating in at least one PE class per week is associated with a lower perception of social isolation among adolescents. Countries should seek to promote student participation in PE classes as a way of reducing social isolation.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100583"},"PeriodicalIF":4.7,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816735","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}
Rebecca Nicole Martland , Ruimin Ma , Vigneshwar Paleri , Lucia Valmaggia , Simon Riches , Joseph Firth , Brendon Stubbs
{"title":"The efficacy of physical activity to improve the mental wellbeing of healthcare workers: A systematic review","authors":"Rebecca Nicole Martland , Ruimin Ma , Vigneshwar Paleri , Lucia Valmaggia , Simon Riches , Joseph Firth , Brendon Stubbs","doi":"10.1016/j.mhpa.2024.100577","DOIUrl":"https://doi.org/10.1016/j.mhpa.2024.100577","url":null,"abstract":"<div><h3>Introduction</h3><p>Clinical staff who work in healthcare settings experience work-related stress which can lead to emotional and physical burnout, anxiety, depression, and poorer mental wellbeing. In the general population, exercise and physical activity are associated with greater mental wellbeing, reduced incidence of depression, improvements in mood and sleep quality, and reductions in stress. The aim of this systematic review was to investigate the effects of exercise and physical activity interventions, delivered both in the workplace and outside of work, on mental wellbeing, stress, burnout, depression, anxiety, and sleep in healthcare professionals.</p></div><div><h3>Methods</h3><p>Major databases were searched from inception to June 2023 for intervention studies investigating aerobic, non-aerobic exercise and resistance training, or interventions designed to increase physical activity amongst healthcare workers. Study quality was assessed using Cochrane and Effective Public Health Practice Project (EPHPP) checklists.</p></div><div><h3>Results</h3><p>The search retrieved 16 intervention studies, including 11 randomised controlled trials (RCTs). There was consistent evidence of a reduction in psychological stress (3/3, 100% of RCTs) and improvement of sleep quality (3/4, 75%) following exercise compared to non-active controls. There was inconclusive evidence regarding the effects of exercise and physical activity on mental wellbeing, depression severity, burnout, traumatic stress, and fatigue. Neither exercise nor physical activity appeared to reduce symptoms of anxiety.</p></div><div><h3>Discussion</h3><p>Exercise and interventions to increase physical activity may be a viable and effective intervention to improve some aspects of mental wellbeing in healthcare professionals, although more large-scale, high-quality trials are needed to establish the full range of benefits.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100577"},"PeriodicalIF":4.7,"publicationDate":"2024-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1755296624000024/pdfft?md5=7415b8aa79147367c5e7ec8727d33dce&pid=1-s2.0-S1755296624000024-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139743459","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}
Chia-Liang Tsai , Chien-Yu Pan , Tsai-Chiao Wang , Yu-Ting Tseng , Jozef Ukropec , Barbara Ukropcová , Tsu-Kung Lin
{"title":"Effects of acute aerobic exercise with different intensities on cerebral dopamine/norepinephine/serotonin metabolites and executive-related oculomotor control in individuals with Parkinson's disease","authors":"Chia-Liang Tsai , Chien-Yu Pan , Tsai-Chiao Wang , Yu-Ting Tseng , Jozef Ukropec , Barbara Ukropcová , Tsu-Kung Lin","doi":"10.1016/j.mhpa.2024.100582","DOIUrl":"https://doi.org/10.1016/j.mhpa.2024.100582","url":null,"abstract":"<div><p>The present study aimed to investigate the acute effects of aerobic exercise with different intensities on executive-related oculomotor control and cerebral dopamine/serotonin/norepinephrine metabolite concentrations in individuals with Parkinson's disease (PD). Twenty-eight PD individuals completed acute bouts of high-intensity interval exercise (HIIE), moderate-intensity continuous exercise (MICE), and REST sessions. The order of the three sessions was counterbalanced. We assessed the concentrations of homovanillic acid (HVA), 5-hydroxyindoleacetic acid (5-HIAA), and methoxyhydroxyphenylglycol (MHPG), as well as neuropsychological and oculomotor performance indices in the saccade paradigm at baseline and following each session. The present study found that there was no significant effect of acute HIIE or MICE on the coefficient of variation of reaction time (RT) in individuals with PD. However, HIIE resulted in significantly shorter RTs in the antisaccade condition, and MICE achieved the same in both the prosaccade and antisaccade conditions. For oculomotor performance, we observed a change in saccade peak velocity only following MICE but not HIIE. Neither of the two aerobic exercise modes significantly affected saccade amplitude and latency. In addition, concentrations of HVA and MHPG, but not 5-HIAA, significantly increased following both MICE and HIIE in individuals with PD. Notably, MICE had a greater impact on HVA compared to HIIE. We also found significant correlations between the changes in MHPG concentration, but not HVA and 5-HIAA, and RTs before and after the two aerobic exercise interventions. These results suggest that although acute HIIE and MICE protocols could not improve oculomotor control, the two aerobic exercise modes induced distinct beneficial effects on executive function and cerebral neurotransmitter concentrations in individuals with PD.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100582"},"PeriodicalIF":4.7,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731779","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}
Nikola Schoofs , Anima Pieper , Kristina Meyer , Sarah Herrmann , Annabell Jäger , Felix Wülfing , Maximilian Grummt , Bernd Wolfarth , Andreas Ströhle , Kathlen Priebe
{"title":"High-intensity interval training in individuals with posttraumatic stress disorder: A randomized controlled pilot trial","authors":"Nikola Schoofs , Anima Pieper , Kristina Meyer , Sarah Herrmann , Annabell Jäger , Felix Wülfing , Maximilian Grummt , Bernd Wolfarth , Andreas Ströhle , Kathlen Priebe","doi":"10.1016/j.mhpa.2024.100579","DOIUrl":"https://doi.org/10.1016/j.mhpa.2024.100579","url":null,"abstract":"<div><h3>Background</h3><p>Exercise interventions have become more important in the treatment of mental disorders. High-intensity interval training (HIIT) has achieved promising results in the treatment of different mental disorders, like depression or panic disorder. To our knowledge, no study investigated the efficacy of HIIT as a sole treatment in a sample of individuals with fully diagnosed PTSD.</p></div><div><h3>Methods</h3><p>40 participants with PTSD were randomized to either HIIT or a control group (low intensity training, LIT). They underwent a 12-day training period. The primary outcome were PTSD symptoms as assessed by the Clinician-Administered PTSD Scale (CAPS). Secondary outcome were self-reported posttraumatic, depressive and dissociative symptoms and overall psychological distress assessed at baseline, post treatment (one week after training) and follow up (six weeks post treatment). We used linear mixed models to assess the differential effects of the two trainings on clinical symptoms.</p></div><div><h3>Results</h3><p>In both HIIT and LIT group, clinician- and self-rated PTSD symptom severity as well as depressive and dissociative symptoms and overall psychological distress decreased significantly from baseline to follow up with medium effect sizes related to PTSD symptomatology (Cohen’s d = 0.76, p < .001) and small effect sizes related to depressive (Cohen’s d = 0.45, p < .001), dissociative symptoms (Cohen’s d = 0.42, p < .001) and overall psychological distress (Cohen’s d = 0.43, p < .001). There were no differences in symptom change between groups.</p></div><div><h3>Conclusion</h3><p>In our pilot study, HITT did not seem to be superior to LIT in a sample of individuals with PTSD.</p></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"26 ","pages":"Article 100579"},"PeriodicalIF":4.7,"publicationDate":"2024-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731849","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}