Comparing time use in individuals at different stages of psychosis and a non-clinical comparison group

Hodgekins, Joanne; French, Paul; Birchwood, Max; Mugford, Miranda; Christopher, Rose; Marshall, Max; Everard, Linda; Lester, Helen; Jones, Peter B.; Amos, Tim; Singh, Swaran P.; Sharma, Vimal; Morrison, Anthony P.; Fowler, David

doi:10.1016/j.schres.2014.12.011

Cited by 73 publications

(87 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The TUS is a semi‐structured interview assessing hours per week spent in a range of structured activities (work, education, voluntary work, childcare, housework, leisure, and sports) over the past month. On average, a non‐clinical group aged between 16 and 36 years engage in 63.49 hr of structured activity per week, and activity levels below 30 hr are indicative of poor social functioning (Hodgekins et al ., ). The TUS is suitable for use with both children and adults.…”

Section: Methodsmentioning

confidence: 97%

“…Scores below 50 are indicative of poor functioning. Clinicians also completed the Time Use Survey (TUS; Hodgekins et al ., ) in relation to their clients. The TUS is a semi‐structured interview assessing hours per week spent in a range of structured activities (work, education, voluntary work, childcare, housework, leisure, and sports) over the past month.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Clinician‐rated and self‐reported psychotic‐like experiences in individuals accessing a specialist Youth Mental Health Service

Hodgekins

Lower

Wilson

et al. 2018

British J Clinic Psychol

Self Cite

View full text Add to dashboard Cite

Clinical Implications Psychotic-like experiences are common in young people with severe non-psychotic mental health problems and should be routinely screened in mental health services. Psychotic-like experiences were found to be more prevalent when using a self-report screening tool compared to a clinician-rated measure. The presence of psychotic-like experiences may reflect more severe and complex mental health problems and may also cause delays in young people accessing the right kind of support. ;Limitations This study only assessed the presence or absence of psychotic-like experiences. Further studies should use more detailed assessments to understand more about the nature of such experiences and how they are appraised and responded to. This study is cross-sectional, and therefore, the direction of the relationships between psychotic-like experiences and depression, anxiety, functioning, and trauma cannot be specified. Longitudinal studies are needed to examine the impact of psychotic-like experiences on long-term outcomes.

show abstract

Section: Methodsmentioning

confidence: 97%

Section: Methodsmentioning

confidence: 99%

Clinician‐rated and self‐reported psychotic‐like experiences in individuals accessing a specialist Youth Mental Health Service

Hodgekins

Lower

Wilson

et al. 2018

British J Clinic Psychol

Self Cite

View full text Add to dashboard Cite

show abstract

“…In addition, UHR individuals may also perceive less benefits or more barriers to getting exercise, and may not engage in exercise that requires social interaction compared to healthy individuals [100]. Another cross sectional study found that UHR and first episode schizophrenia patients spend less time in structured physical activities, and that this is related to greater social withdrawal [101]. A large review and meta-analysis suggests that adolescents at risk for psychosis are less physically active and often engage in poor health behaviors compared to typically developing adolescents, including an increased rate of tobacco and alcohol use [14].…”

Section: Exercise In Risk Populationsmentioning

confidence: 99%

Exercise Treatments for Psychosis: a Review

Mittal

Vargas

Osborne

et al. 2017

Curr Treat Options Psych

View full text Add to dashboard Cite

Opinion Statement Schizophrenia is a devastating mental illness that has profound effects on a person’s health and quality of life. Exercise represents a promising new treatment option that may supplement current psychosocial and pharmacological interventions for psychosis. A large body of work suggests that exercise can improve cardio-metabolic and health behavior and facilitate neurogenesis in areas of the brain that are notably impacted by psychosis. Recent efforts to incorporate exercise as either stand-alone or adjunctive treatment for individuals with schizophrenia range from yoga and light stretching to moderately intense walking, bike riding, or team sports. These interventions suggest that moderately intense exercise may be beneficial for improving both positive and negative symptomatology, cognition and functioning. Indeed, exercise may be beneficial for decreasing risk factors for a wide range of health problems often observed in patients with schizophrenia, including weight gain and metabolic syndrome as well as tobacco and substance use. Given the positive results from interventions in schizophrenia patients, there is an impetus for incorporating exercise in the early stages of the disorder. Notably, individuals at ultrahigh risk (UHR) for psychosis report more sedentary behavior and perceive less benefit from exercise; interventions prior to the onset of the disorder may be helpful for increasing health behaviors, perhaps delaying or preventing the onset of psychosis. Taken together, for individuals with psychosis, exercise may provide holistic benefits for the neural to the social impairments.

show abstract

“…14,15,16 In addition, UHR individuals report less motivation for getting exercise, and engage in exercise that requires little social interaction compared to healthy individuals. 17,18 Adolescents at risk for psychosis are less physically active and often engage in poor health behaviors compared to typically developing adolescents, including an increased rate of tobacco and alcohol use. 19 Taken together, individuals at risk for psychosis appear to be less physically active than typically developing young adults and this may have an impact on other markers of health and functioning.…”

Section: Introductionmentioning

confidence: 99%

A Supervised Exercise Intervention for Youth at Risk for Psychosis

Dean

Bryan

Newberry

et al. 2017

J. Clin. Psychiatry

View full text Add to dashboard Cite

Objective A rapidly accumulating body of research suggests that exercise can improve symptoms and wellbeing in patients suffering from psychosis. Exercise may also promote neurogenesis in the hippocampus, a structure that plays an important role in the pathophysiology of psychosis. To date, there has not been an intervention focused on exercise prior to the onset of psychosis, a critical time for prevention of more serious illness. Method In this pilot study, 12 young adults at ultrahigh risk (UHR) for psychosis were enrolled in a 12-week open-label exercise intervention. Participants were randomized to exercise 2 or 3 times each week and exercised between 65–85% of maximal oxygen capacity (VO2max) for 30 minutes each session under the supervision of an exercise physiologist. Positive and negative symptoms, social and role function, performance on neurocognitive tests, cardiovascular fitness, and hippocampal structure and functional connectivity were evaluated before and after the trial. Results A total of 9 participants completed the exercise intervention. Participants showed improved positive and negative symptoms and social and role functioning; improvement in multiple areas of cognition; and increased functional connectivity between the left hippocampus and occipital cortex after 12 weeks of exercise. Conclusion The results of this study suggest that exercise interventions are feasible in an UHR sample and may promote improvement in clinical, social, and cognitive domains as well as changes to brain function in regions impacted by the development of psychosis. These findings set the stage for an ongoing phase-II randomized controlled trial. Clinical Trials Registration (https://clinicaltrials.gov/ct2/show/NCT02155699)

show abstract

Comparing time use in individuals at different stages of psychosis and a non-clinical comparison group

Cited by 73 publications

References 25 publications

Clinician‐rated and self‐reported psychotic‐like experiences in individuals accessing a specialist Youth Mental Health Service

Clinician‐rated and self‐reported psychotic‐like experiences in individuals accessing a specialist Youth Mental Health Service

Exercise Treatments for Psychosis: a Review

A Supervised Exercise Intervention for Youth at Risk for Psychosis

Contact Info

Product

Resources

About