The effects and determinants of exercise participation in first-episode psychosis: a qualitative study

BMC Psychiatry

Research Article

Rebekah Carney¹  Joseph Firth¹  Lauren Jerome¹  Rebecca Elliott²  Alison R. Yung³  Paul French⁴ 

[1] Institute of Brain, Behaviour and Mental Health, University of Manchester, Room 3.306, Jean McFarlane Building, Oxford Road, M13 9PL, Manchester, UK;Institute of Brain, Behaviour and Mental Health, University of Manchester, Room 3.306, Jean McFarlane Building, Oxford Road, M13 9PL, Manchester, UK;Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK;Institute of Brain, Behaviour and Mental Health, University of Manchester, Room 3.306, Jean McFarlane Building, Oxford Road, M13 9PL, Manchester, UK;Psychosis Research Unit, Greater Manchester West Mental Health NHS Foundation Trust, Manchester, UK;Psychosis Research Unit, Greater Manchester West Mental Health NHS Foundation Trust, Manchester, UK;Department of Psychological Sciences, The University of Liverpool, Liverpool, UK;

关键词: Physical activity;    Early intervention;    Aerobic exercise;    Resistance training;    Recovery;    Early psychosis;    Community mental health;    Rehabilitation;   

DOI  :  10.1186/s12888-016-0751-7

 received in 2015-09-10, accepted in 2016-02-15,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundPrevious qualitative studies have found that exercise may facilitate symptomatic and functional recovery in people with long-term schizophrenia. This study examined the perceived effects of exercise as experienced by people in the early stages of psychosis, and explored which aspects of an exercise intervention facilitated or hindered their engagement.MethodsNineteen semi-structured interviews were conducted with early intervention service users who had participated in a 10-week exercise intervention. Interviews discussed people’s incentives and barriers to exercise, short- and long-term effects, and opinions on optimal interventions. A thematic analysis was applied to determine the prevailing themes.ResultsThe intervention was perceived as beneficial and engaging for participants. The main themes were (a) exercise alleviating psychiatric symptoms, (b) improved self-perceptions following exercise, and (c) factors determining exercise participation, with three respective sub-themes for each.ConclusionsParticipants explained how exercise had improved their mental health, improved their confidence and given them a sense of achievement. Autonomy and social support were identified as critical factors for effectively engaging people with first-episode psychosis in moderate-to-vigorous exercise. Implementing such programs in early intervention services may lead to better physical health, symptom management and social functioning among service users.Trial registrationCurrent Controlled Trials ISRCTN09150095. Registered 10 December 2013.

【 授权许可】

CC BY   
© Firth et al. 2016