Ist-Stand der Fachliteratur zu Effekten des therapeutischen Kletterns auf die psychische Gesundheit – Fazit: viel zu tun

Frühauf, Anika; Sevecke, Kathrin; Kopp, Martin

doi:10.1007/s40211-018-0283-0

Cited by 12 publications

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References 28 publications

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“…However, study designs in which different exercise program effects are compared are rare, although the importance of this comparison is increasingly recognized ( 12 , 24 , 25 ). To the best of our knowledge, no study is available that assessed immediate affective responses of different exercise programs in patients with anxiety disorders or PTSD.…”

Section: Introductionmentioning

confidence: 99%

Affective Responses to Both Climbing and Nordic Walking Exercise Are Associated With Intermediate-Term Increases in Physical Activity in Patients With Anxiety and Posttraumatic Stress Disorder - A Randomized Longitudinal Controlled Clinical Pilot Trial

et al. 2022

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BackgroundExercise programs have shown anxiolytic effects in psychiatric patients. Adherence to exercise programs and subsequent long-term lifestyle change is influenced by acute affective responses of the exercise programs. This research aimed to assess acute affective responses of two different exercise modalities compared to a non-exercise control program and its effects on persisting physical activity behavior change.MethodsSixty-six outpatients diagnosed with an anxiety disorder or posttraumatic stress disorder were randomly allocated to one of three groups in a randomized longitudinal controlled clinical pilot trial: climbing (n = 26), nordic walking (n = 19), social contact control (n = 21). Affective responses were assessed pre, during, and post activity. General physical activity behavior was recorded prior to participation in the program, post program, and at follow-ups three and six months after the program.ResultsMultilevel modeling analyzes of 1,066 individual data points revealed increases in affective valence in the exercise sessions compared to the social contact sessions. State anxiety decreased in the climbing group compared to the social contact group. Physical activity behavior was increased immediately following the program as well as at six months follow-up in both exercise groups. A larger increase in affective valence during and after the sessions was associated with higher physical activity post program.ConclusionsClimbing and conventional nordic walking exercise sessions revealed positive affective changes in outpatients indicating therapeutic potential of both modalities for acute emotion regulation. In accordance with theoretical models of human behavior change, it was judged that the experience of a more pleasant affective state following the exercise sessions induced more persisting effects on physical activity behavior after the exercise programs.Trial Registrationhttps://www.clinicaltrials.gov/ct2/show/NCT03758599, identifier: NCT03758599.

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Section: Introductionmentioning

confidence: 99%

Affective Responses to Both Climbing and Nordic Walking Exercise Are Associated With Intermediate-Term Increases in Physical Activity in Patients With Anxiety and Posttraumatic Stress Disorder - A Randomized Longitudinal Controlled Clinical Pilot Trial

et al. 2022

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Section: Introductionmentioning

confidence: 99%

“…However, taking advantage of the positive effects of physical activity in general, climbing therapy (CT) for people with mental or behavioral disorders has been established for several years in clinical settings [ 31 , 32 , 33 , 34 ]. CT is widely used but only partially researched in the field of psychosomatics, and there are no studies investigating the effects of climbing therapy on mental-health-related outcomes in an inpatient setting with adults yet [ 32 ]. Some studies have examined the efficacy of CT over a multiple-week intervention (>6 weeks) in outpatients with mental health disorders compared with a waitlist control group with the main outcome of symptom change [ 33 , 34 , 35 , 36 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although scientific research regarding CT in patients with mental health disorder is still very limited [ 32 ], recent studies investigating the effects of therapeutic climbing have shown improved mental health and changes in anxiety, affective responses, and self-efficacy in CT compared with a control group [ 33 , 35 , 40 , 41 ]. Luttenberger and colleagues even postulated that climbing in an outpatient setting has the same effect as cognitive behavioral therapy [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…An improvement of the current mental state and mood-lifting effects through NW have been observed frequently in depressed persons [ 43 , 44 , 45 ]. Since CT is characterized by a higher economic cost compared with most PA group therapies (e.g., infrastructure and equipment, high staff-to-patient ratio), Frühauf and colleagues call for a randomized controlled trial with the three interventions—climbing, aerobic exercise, and social contact group—in a homogeneous group of patients [ 32 ]. To be able to place the effectiveness of climbing in the context of exercise therapies, climbing should be compared with another PA.…”

Section: Introductionmentioning

confidence: 99%

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A Comparison of Acute Effects of Climbing Therapy with Nordic Walking for Inpatient Adults with Mental Health Disorder: A Clinical Pilot Trial

Thaller

Frühauf

Heimbeck

et al. 2022

IJERPH

Self Cite

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As climbing therapy is increasingly used for mental health disorders, the present study aimed to compare acute effects of a therapeutic climbing intervention (CT) on affective responses, anxiety, and self-efficacy with those of Nordic walking (NW) and a sedentary control condition (SC) in an inpatient setting with persons with depression, anxiety, or obsessive–compulsive disorders. A total of 21 inpatients (32 ± 12.2 years) participated in a clinical trial in all interventions using an experimental within-subject design. Anxiety and self-efficacy were assessed preintervention (t0) and postintervention (t2) using the State-Trait Anxiety Inventory and the General Self-Efficacy Scale, and affective responses were additionally evaluated during (t1) and 180 min after the intervention (t3) using the Feeling Scale, Felt Arousal Scale, and Positive and Negative Affect Schedule. Statistical evaluation was performed with a 3 × 2 or 3 × 4 repeated measures ANOVA. Significant interaction effects were found for affective responses regarding positive affect, affective valence, and perceived activation (p < 0.015) favoring CT over NW and SC. For anxiety, a significant interaction effect was found (F(2.40) = 6.603; p = 0.003; η2 = 0.248), and also perceived self-efficacy increased significantly (F(2.40) = 6.046; p = 0.005; η2 = 0.232). Single CT sessions may enhance affective responses and self-efficacy and reduce anxiety in inpatients with mental health disorders to a higher extent than NW. CT as part of an inpatient therapy program may help to improve key affective mechanisms and should be further studied in comparison with other exercise interventions with comparable intensity.

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Paraclimbing coach: a qualitative needs analysis of competencies and skills from the perspective of elite paraclimbers

Hubmann,

Kiselev,

Hirt

et al. 2024

Sports Psychiatry

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Background: Despite the exponential growth of Paraclimbing as a sports discipline in recent years, there is a significant gap in research concerning the specific training needs of paraclimbing coaches(PC). The unique challenges posed by the athletes’ disabilities require coaches to possess specialized knowledge and competencies in both physical training and psychological support. Objective: This study aims to explore the elite paraclimbing athletes (EPCA) expectations and perceived training needs regarding their coaches to understand better how coaching can be optimized for this emerging sport. Methods: A qualitative, cross-sectional study design was employed, utilizing semi-structured interviews with six ( N = 6) EPCA from German-speaking countries. The interview guide was developed based on the expertise from the field and competence model by Zeuner and Hummel (2006), focusing on four domains: professional, methodological, self-expertise, and social skills. Interviews were analyzed through thematic analysis. Results: The findings reveal that while general climbing training covers many relevant aspects, it inadequately addresses the specific needs of athletes with disabilities. Key areas identified for improvement include integrating disability-specific knowledge into training programs, including mental health support strategies, and the need for better coordination with external professionals such as psychologists and medical experts. Moreover, the athletes emphasized the importance of social and professional expertise. Conclusion: This study highlights the need for specialized training programs for paraclimbing coaches incorporating disability-specific knowledge and mental health competencies. Addressing these gaps and needs is essential for supporting the development and success of para-athletes, and for ensuring that coaching in paraclimbing evolves alongside the sport’s growing demands.

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Ist-Stand der Fachliteratur zu Effekten des therapeutischen Kletterns auf die psychische Gesundheit – Fazit: viel zu tun

Cited by 12 publications

References 28 publications

Affective Responses to Both Climbing and Nordic Walking Exercise Are Associated With Intermediate-Term Increases in Physical Activity in Patients With Anxiety and Posttraumatic Stress Disorder - A Randomized Longitudinal Controlled Clinical Pilot Trial

Affective Responses to Both Climbing and Nordic Walking Exercise Are Associated With Intermediate-Term Increases in Physical Activity in Patients With Anxiety and Posttraumatic Stress Disorder - A Randomized Longitudinal Controlled Clinical Pilot Trial

A Comparison of Acute Effects of Climbing Therapy with Nordic Walking for Inpatient Adults with Mental Health Disorder: A Clinical Pilot Trial

Paraclimbing coach: a qualitative needs analysis of competencies and skills from the perspective of elite paraclimbers

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