The importance of self-determined motivation towards physical activity in patients with schizophrenia

Comprehensive Psychiatry

Hert

Stubbs

et al. 2015

Self Cite

Negative symptoms are associated with lower autonomous motivation towards physical activity in people with schizophrenia, Comprehensive Psychiatry (2014Psychiatry ( ), doi: 10.1016Psychiatry ( /j.comppsych.2014 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.A C C E P T E D M A N U S C R I P T A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT AbstractObjective: This cross-sectional study examined the association between psychiatric symptoms and motivation for physical activity within the self-determination theory (SDT) framework in people with schizophrenia.Method: Over a 4-month period, 55 (17♀) inpatients with a DSM-V diagnosis of schizophrenia were assessed with the Psychosis Evaluation tool for Common use by Caregivers (PECC) and the Behavioural Regulation in Exercise Questionnaire (BREQ-2), that provided separate scores for amotivation, external, introjected and autonomous regulation.Spearman correlations coefficients were examined between these motivation scores and symptom ratings.Results: The BREQ-2 score for autonomous regulations (2.6±1.1) was significantly correlated with the PECC negative symptoms score (10.3±4.1) (r=-0.34, p=0.011). No other significant correlations between BREQ-2 and PECC scores were found. The BREQ-2 score for external regulations (0.7±0.9) was associated with older age (35.2±11.3 years) (r=-0.30, p=0.024).Conclusions: These findings provide evidence that negative symptoms are associated with lower autonomous motivation towards physical activity in inpatients with schizophrenia.Future longitudinal research should confirm the current findings. Such research will guide physical activity approaches aimed at facilitating enhanced physical and mental health outcomes in individuals with schizophrenia.

Section: Accepted M Manuscriptmentioning

confidence: 64%

Negative symptoms are associated with lower autonomous motivation towards physical activity in people with schizophrenia

Comprehensive Psychiatry

Hert

Stubbs

et al. 2015

Self Cite

“…The current study demonstrates that with an appropriately standardised method, the AstrandRhyming test is highly reproducible in patients with schizophrenia or schizoaffective disorder facing motivation problems when performing physical activities (Vancampfort et al, 2013b).…”

Section: Feasibilitymentioning

confidence: 71%

“…However, these test protocols are time-consuming, costly and need highly sophisticated equipment (Vanhees et al, 2005), which is often not available or practical in mental health care settings. Moreover, the maximal nature of the test may be influenced by the motivation of participants (Strassnig et al, 2011;Vancampfort et al, 2013b). Submaximal exercise tests that use measures of heart rate (HR) to estimate V0 2 max are considered to be a reliable and valid measure of aerobic fitness (Lambrick, Faulkner, Rowlands, Eston, 2009).…”

Section: Introductionmentioning

confidence: 99%

Reliability and clinical correlates of the Astrand–Rhyming sub-maximal exercise test in patients with schizophrenia or schizoaffective disorder

Guelinckx

Hert

et al. 2014

Psychiatry Research

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Reliability and clinical correlates of the Astrand-Rhyming sub-maximal exercise test in patients with schizophrenia or schizoaffective disorder, Psychiatry Research, http://dx.doi.org/10.1016/j.psychres. 2014.08.049 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. AbstractCardiovascular fitness is reduced in people with schizophrenia and is related to an increased morbidity and mortality. There is mounting interest in the accurate measurement of cardiovascular fitness in schizophrenia, yet existing measures used in the general population have not been tested on validity and reliability in this high-risk group. Therefore, we examined the reproducibility and feasibility of the Astrand-Rhyming sub-maximal exercise test in patients with schizophrenia or schizoaffective disorder. Secondary aims were to assess minimal detectable changes, practice effects and the presence of clinical symptoms that are associated with cardio-respiratory fitness (expressed as estimated oxygen uptake). From 47 patients with schizophrenia or schizoaffective disorder two trials of the Astrand-Rhyming test, administered within three days, were analysed. The intraclass correlation coefficient for the estimated oxygen uptake between the two tests was 0.92 (95% confidence interval: 0.85 to 0.95). The minimal detectable change was 6.5mlO 2 /min/kg. No practice effect could be detected. A backward regression analysis demonstrated that illness duration, negative symptoms and level of physical activity explained 63.0% of the variance in estimated oxygen uptake. The current study demonstrates that the Astrand-Rhyming test can be recommended for evaluating the aerobic fitness in patients with schizophrenia or schizoaffective disorder.

“…If time permits, the psychiatrist could briefly explore the patient's readiness for change as it relates to their physical activity , and use evidence-based behavior change principles to guide patients toward a more physically active lifestyle (Vancampfort et al, 2013b). When time does not permit, or when patients are confronted with severe depressive or manic symptoms and are consequently struggling to be more physically active (Vancampfort et al, 2013a) and/or those who are suffering from cardiovascular, respiratory, neurological or musculoskeletal conditions, may also benefit from further evaluation by a physical therapist or exercise physiologist .…”

Section: Practical Implicationsmentioning

confidence: 99%

Physical activity as a vital sign in patients with bipolar disorder

Probst

Wyckaert

et al. 2016

Psychiatry Research

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The most significant contributor to premature mortality in patients with bipolar disorder is preventable cardiovascular diseases. This study investigated if the Physical Activity Vital Sign (PAVS) assessment (two questions which clarify if a person meets the recommended 150 minutes of physical activity per week) can identify patients with bipolar disorder at higher risk of cardio-metabolic abnormalities.Clinical differences between those who adhere and those who did not adhere to the physical activity guidelines were investigated using an ANCOVA controlling for age and gender. Sixty-five (29♂) inand outpatients with bipolar disorder (age=45.1±9.8years) completed the PAVS-questions, underwent full-fasting metabolic screening, and performed a six-minute walk test (6MWT).Those patients not meeting the physical activity recommendations had a higher body mass index, performed worse on the 6MWT and were at a significantly higher risk for cardio-metabolic diseases. Relative risks ranged from 1.33 for having dyslipidemia to 5.33 for hyperglycemia. The current data offer the first evidence that the PAVS assessment might be a useful vital sign in the routine assessment of in-and outpatients with bipolar disorder.