Exercise and Schizophrenia

Bueno‐Antequera, Javier

doi:10.1007/978-981-15-1792-1_21

Cited by 29 publications

(16 citation statements)

References 87 publications

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“…A recent umbrella review has demonstrated that an exercise intervention may be potentially effective in reducing the incidence of anxiety 174 in the general young population. Universal exercise interventions have also been suggested for psychotic 175 and bipolar 176 disorder. Interventions promoting positive lifestyle behaviours are under development (see below).…”

Section: Evidence Supporting Primary Prevention and Mental Health Promotion In Young Peoplementioning

confidence: 99%

Preventive psychiatry: a blueprint for improving the mental health of young people

et al. 2021

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Preventive approaches have latterly gained traction for improving mental health in young people. In this paper, we first appraise the conceptual foundations of preventive psychiatry, encompassing the public health, Gordon's, US Institute of Medicine, World Health Organization, and good mental health frameworks, and neurodevelopmentally‐sensitive clinical staging models. We then review the evidence supporting primary prevention of psychotic, bipolar and common mental disorders and promotion of good mental health as potential transformative strategies to reduce the incidence of these disorders in young people. Within indicated approaches, the clinical high‐risk for psychosis paradigm has received the most empirical validation, while clinical high‐risk states for bipolar and common mental disorders are increasingly becoming a focus of attention. Selective approaches have mostly targeted familial vulnerability and non‐genetic risk exposures. Selective screening and psychological/psychoeducational interventions in vulnerable subgroups may improve anxiety/depressive symptoms, but their efficacy in reducing the incidence of psychotic/bipolar/common mental disorders is unproven. Selective physical exercise may reduce the incidence of anxiety disorders. Universal psychological/psychoeducational interventions may improve anxiety symptoms but not prevent depressive/anxiety disorders, while universal physical exercise may reduce the incidence of anxiety disorders. Universal public health approaches targeting school climate or social determinants (demographic, economic, neighbourhood, environmental, social/cultural) of mental disorders hold the greatest potential for reducing the risk profile of the population as a whole. The approach to promotion of good mental health is currently fragmented. We leverage the knowledge gained from the review to develop a blueprint for future research and practice of preventive psychiatry in young people: integrating universal and targeted frameworks; advancing multivariable, transdiagnostic, multi‐endpoint epidemiological knowledge; synergically preventing common and infrequent mental disorders; preventing physical and mental health burden together; implementing stratified/personalized prognosis; establishing evidence‐based preventive interventions; developing an ethical framework, improving prevention through education/training; consolidating the cost‐effectiveness of preventive psychiatry; and decreasing inequalities. These goals can only be achieved through an urgent individual, societal, and global level response, which promotes a vigorous collaboration across scientific, health care, societal and governmental sectors for implementing preventive psychiatry, as much is at stake for young people with or at risk for emerging mental disorders.

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Section: Evidence Supporting Primary Prevention and Mental Health Promotion In Young Peoplementioning

confidence: 99%

Preventive psychiatry: a blueprint for improving the mental health of young people

et al. 2021

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“…There are also some studies on the relationship between coping styles and schizophrenia relapse. To cope with dealing with problems, some patients with schizophrenia may develop hobbies (such as exercise) as a positive strategy to help stabilize the disease (Bueno‐Antequera & Munguía‐Izquierdo 2020 ). Personalized treatment with the goal of enhancing positive coping can buffer against symptoms and promote disease stability in patients with schizophrenia (Chen et al .…”

Section: Introductionmentioning

confidence: 99%

Relationship between stressful life events, coping styles, and schizophrenia relapse

Wang

Zhu

Xiao-jian

et al. 2021

Int J Mental Health Nurs

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This study aimed to explore the relationship between stressful life events, coping styles, and schizophrenia relapse. The sample for this study included 248 patients with schizophrenia from a psychiatric outpatient clinic in Hunan Province, China. Stressful life events, occurrence of schizophrenia relapse, and coping style were assessed by the Scale for the Social Readjustment Rating, Brief Psychiatric Rating Scale, and Simplified Coping Style Questionnaire, respectively. Spearman correlation analysis and binary logistic regression analysis were adopted to explore the relationships among coping styles, schizophrenia relapse, and stressful life events. Stressful life events and negative coping exhibited significant positive association with schizophrenia relapse, while positive coping exhibited a significant negative association with schizophrenia relapse. Stressful life events and positive coping exerted significant effects on schizophrenia relapse, while negative coping did not. We also found that both positive coping and negative coping have moderating effects on the relationship between stressful life events and schizophrenia relapse, but the relationship is weak. The study highlighted the importance of interventions designed to reduce stressful life events, promote positive coping, and address negative coping in patients with schizophrenia.

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“…This body of evidence suggests that exercise can result in significant benefits across multiple cardiometabolic outcomes (e.g. fasting glucose and waist circumference), as well as improve clinical symptoms (including negative symptoms), quality of life, global functioning and depressive symptoms in people with schizophrenia [ 44 – 47 ]. In addition, effect on cognition has not been demonstrated but may be present for low-intensity exercise (e.g.…”

Section: Discussionmentioning

confidence: 99%

Exercise training complementary to specialised early intervention in patients with first-episode psychosis: a feasibility randomised trial

Midtgaard

Schnor

Bjerre

et al. 2021

Pilot Feasibility Stud

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Background The aim of this study was to examine feasibility of trial processes and group-based, structured exercise training in patients with first-episode psychosis. Methods Twenty-five patients with first-episode psychosis took part in a two-arm randomised feasibility trial. They were individually randomised (1:1) via a computer-generated randomisation sequence and allocated to either an exercise intervention group (INT) or a control group (CON). Patients allocated to INT completed a physical exercise training programme at moderate-to-vigorous intensity, 1 h three times weekly for 8 weeks. CON patients were encouraged to continue their usual level of activity and were offered the training programme after 8 weeks. Primary outcomes included screening rate, recruitment rate, retention rate, attendance and adverse events. Secondary outcomes included heart rate response during training, cardiovascular health (VO2max, resting heart rate, blood pressure), body composition (muscle mass, fat percentage), muscle strength (sit-to-stand, grip strength, jump height) and balance. Results Recruitment lasted 6 weeks and 86 out of 324 patients (27%) were screened, 71 of whom (83%) were deemed eligible. Twenty-five (35%) accepted inclusion (mean age 25.5; mean body mass index 25.1) and were subsequently randomised (INT = 13, CON = 12). Retention of patients was 76% and 52% at the 8-week and 16-week follow-up, respectively. Attendance was 43% (min. 9%, max. 96%). No significant changes were observed between groups in secondary physiological outcome measures. Conclusions Feasibility was challenged by limited recruitment and retention rates, suggesting that modifications are required if a large-scale randomised controlled trial is to be conducted. Recommendations for modifications are presented and discussed. Trial registration Clinicaltrials.gov, NCT03409393. Retrospectively registered.

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Exercise and Schizophrenia

Cited by 29 publications

References 87 publications

Preventive psychiatry: a blueprint for improving the mental health of young people

Preventive psychiatry: a blueprint for improving the mental health of young people

Relationship between stressful life events, coping styles, and schizophrenia relapse

Exercise training complementary to specialised early intervention in patients with first-episode psychosis: a feasibility randomised trial

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