An Exploratory Randomized Controlled Study of a Healthy Living Intervention in Early Intervention Services for Psychosis

Abstract

www.isrctn.org identifier: ISRCTN22581937.

Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis

“…Several studies described efforts to tailor evidence-based nutrition education information and physical activity guidelines to specifically meet the needs and cognitive abilities of people with serious mental illness. This involved simplifying the lessons plans, applying guiding social cognitive and behavioral theories, combining psychiatric rehabilitation and skill building content, integrating materials related to mental health symptoms and how these symptoms can interfere with healthy eating and getting exercise, consideration of the effects of psychiatric medications on weight, and incorporating different strategies to encourage and motivate participants [34,37–39,41,43,48,52]. Many interventions were group-based [38,40,42–46,49,51], combined group and individual sessions [39,41,48,52], or were individually focused [34,37,47,50].…”

“…This involved simplifying the lessons plans, applying guiding social cognitive and behavioral theories, combining psychiatric rehabilitation and skill building content, integrating materials related to mental health symptoms and how these symptoms can interfere with healthy eating and getting exercise, consideration of the effects of psychiatric medications on weight, and incorporating different strategies to encourage and motivate participants [34,37–39,41,43,48,52]. Many interventions were group-based [38,40,42–46,49,51], combined group and individual sessions [39,41,48,52], or were individually focused [34,37,47,50]. A range of different providers delivered the lifestyle interventions including fitness trainers or health coaches with specialized training for working with individuals with serious mental illness [34,37], other providers with basic training for working with people with mental illness [45], trained members of the study staff [39,46–48], mental health counselors [52], trained recovery workers [41], dietitians [47,50], psychiatric nurses [40,42,44], or an exercise physiologist [47].…”

How much physical activity do people with schizophrenia engage in? A systematic review, comparative meta-analysis and meta-regression

“…234 full texts were reviewed and 199 were excluded with reasons (see Fig. 1), with 35 unique studies meeting the eligibility criteria (Arbour-Nicitopoulos et al, 2014;Arbour-Nicitopoulos et al, 2010;Attux et al, 2013;Baker et al, 2014;Beebe et al, 2011;Bredin et al, 2013;Brunero and Lamont, 2010;Curtis et al, 2015;Faulkner et al, 2006;Firth et al, 2016;Gardner-Sood et al, 2015;Gomes et al, 2014Gomes et al, , 2015Gorczynski et al, 2014;Janney, 2012;Janney et al, 2015;Keller-Varady et al, 2015;Kimhy et al, 2014;Leutwyler et al, 2013Leutwyler et al, , 2015Lindamer et al, 2008;Lovell et al, 2014;Masa-Font et al, 2015;McCreadie, 2003;McKibbin et al, 2006;McLeod et al, 2009;Morgan et al, 2014;Ostermann et al, 2012;Scheewe et al, 2013;Snethen et al, 2014;Vancampfort et al, 2013aVancampfort et al, , 2013cVancampfort et al, , 2015aVreeland et al, 2003;Wang et al, 2012) Full details of the search results are summarized in Fig. 1.…”

Antipsychotic-Induced Weight Gain in First-Episode Psychosis Patients: A Meta-Analysis of Differential Effects of Antipsychotic Medications

“…[8][9][10][11] In first-episode and psychosis prodrome patients, the lifestyle factors are more similar to their peers in the general population, which may explain contrary findings with lifestyle interventions to improve weight and metabolic diseases in this population. 12,13 Although first-episode psychosis (FEP) patients may benefit from the lifestyle interventions, a recent negative study in a first-episode programme to improve weight and metabolic status 13 underlines the importance of AP medication use and choice gain for prevention of weight gain.…”