Mental Health and Physical Activity最新文献

{"title":"Exercise snacks improve cognitive function and alleviate anxiety, depression, and stress in adolescents with childhood trauma","authors":"Benke Xu,&nbsp;Mingqi Wang,&nbsp;Guangyi Liu,&nbsp;Guoxiao Sun","doi":"10.1016/j.mhpa.2025.100745","DOIUrl":"10.1016/j.mhpa.2025.100745","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the effects of the 6-week exercise snacks (ES) intervention on anxiety, depression, stress, and cognitive function in adolescents with childhood trauma (CT), and to explore its underlying neural mechanisms.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted, enrolling 43 CT-screened adolescents (15–18 years) allocated to an ES group (n = 22) or a control group (n = 21). The ES group completed a 6-week high-intensity interval program (three 30-s bursts of exercise, thrice daily on three non-consecutive weekly days), while controls maintained routine activities. Cognitive performance was assessed via the Stroop task, while emotional states were evaluated using the Children's Depression Inventory (CDI), Chinese Perceived Stress Scale (CPSS), and Screen for Child Anxiety Related Emotional Disorders (SCARED). Activation of the prefrontal cortex was monitored using fNIRS.</div></div><div><h3>Results</h3><div>Linear mixed models revealed significant improvements in congruent-task RT (β = −0.727, p = 0.001), incongruent-task RT (β = −1.247, p &lt; 0.001), congruent-task EFS (β = 0.664, <em>p</em> = 0.007), and incongruent-task EFS (β = 0.676, <em>p</em> = 0.048) in the ES group. Reductions in SCARED, CPSS, and CDI scores were also observed. Neuroimaging demonstrated enhanced activation in the L-DLPFC during congruent (β = 0.862, <em>p</em> = 0.008) and incongruent-tasks (β = 0.960, <em>p</em> = 0.003) in the ES group, whereas controls exhibited increased R-OFC activation (congruent: β = −0.785, <em>p</em> = 0.021; incongruent: β = −0.894, <em>p</em> = 0.017)</div></div><div><h3>Conclusions</h3><div>The 6-week exercise snacks intervention significantly improved cognitive function and alleviated negative emotions in adolescents with childhood trauma. The improvement in cognitive function was associated with enhanced activation in the L-DLPFC and a suppression of aberrant activation in the R-OFC.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"30 ","pages":"Article 100745"},"PeriodicalIF":2.6,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of moderate to vigorous physical activity with cognitive performance and risk of cognitive impairment: A cross-sectional study and Mendelian randomization analysis","authors":"Qifeng Han ,&nbsp;Sung Min Kim","doi":"10.1016/j.mhpa.2025.100744","DOIUrl":"10.1016/j.mhpa.2025.100744","url":null,"abstract":"<div><h3>Background</h3><div>Cognitive performance and cognitive impairment are critical indicators of brain health in older adults, with moderate-to-vigorous physical activity (MVPA) suggested as protective, though its causal relationship remains unclear.</div></div><div><h3>Methods</h3><div>Using data from the National Health and Nutrition Examination Survey (NHANES), weighted linear and logistic regression assessed associations between MVPA, cognitive performance, and cognitive impairment risk. Restricted cubic spline and subgroup analyses examined dose–response and robustness. Additionally, genome-wide association study (GWAS) data were used for two-sample Mendelian randomization to explore causality.</div></div><div><h3>Results</h3><div>Cross-sectional analysis showed that moderate MVPA was associated with better cognitive performance (β = 0.35, <em>p</em> = 0.015) and exhibited a nonlinear trend. High levels of MVPA were significantly associated with a reduced risk of cognitive impairment (OR = 0.44, <em>p</em> = 0.009). Subgroup analysis indicated consistent associations between physical activity and cognitive outcomes across different populations without significant interactions. The MR analysis demonstrated a negative effect of MVPA on cognitive performance (β = −0.54, <em>p</em> &lt; 0.001). However, no significant causal relationship was found between MVPA and the risk of cognitive impairment.</div></div><div><h3>Conclusion</h3><div>MVPA was associated with better cognitive performance and a lower risk of cognitive impairment in cross-sectional analyses, but MR findings did not support a protective causal effect and indicated a potential negative association with cognitive performance. These mixed results suggest that the causal impact of MVPA on cognitive health in later life remains uncertain, and that the potential benefits and optimal dose of MVPA should be clarified in future large-scale longitudinal and intervention studies using objective and age appropriate assessments of activity.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"30 ","pages":"Article 100744"},"PeriodicalIF":2.6,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145790741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal well-being for working mothers in the U.S. who participate in Peloton™ exercise","authors":"Bethany Fleck Dillen ,&nbsp;Michael Rhoads ,&nbsp;Isabel Kool","doi":"10.1016/j.mhpa.2025.100743","DOIUrl":"10.1016/j.mhpa.2025.100743","url":null,"abstract":"<div><h3>Statement of purpose</h3><div>This study addresses the mental and physical well-being of working mothers from the United States who used Peloton™ during the COVID-19 pandemic. The objective is to investigate the relationship between exercise behavior and maternal well-being, focusing on parenting stress, parental self-efficacy, and guilt. Research questions explore whether Peloton use moderates these factors.</div></div><div><h3>Method</h3><div>This study involved 144 working mothers whose children's ages ranged from birth to 18. Mothers participated in an online survey.</div></div><div><h3>Results</h3><div>Parenting stress was linked to lower quality of life, self-efficacy, and happiness, and higher shame. High-intensity Peloton use related positively to psychological and social quality of life, but negatively to self-efficacy.</div></div><div><h3>Conclusions</h3><div>Encouraging regular physical activity may support maternal well-being, especially under high stress. Online platforms like Peloton offer accessible options for busy mothers.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"30 ","pages":"Article 100743"},"PeriodicalIF":2.6,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators of evidence-based exercise therapy as adjunct treatment for major depressive disorder in specialized mental health care","authors":"Laura Shields-Zeeman ,&nbsp;Michele Schmitter ,&nbsp;Joelle Vilé ,&nbsp;Annelot van Geffen ,&nbsp;Tessa van Doesum ,&nbsp;Ben Wijnen ,&nbsp;Peter Oostelbos ,&nbsp;Jasper A.J. Smits ,&nbsp;Jan Spijker ,&nbsp;Janna N. Vrijsen","doi":"10.1016/j.mhpa.2025.100742","DOIUrl":"10.1016/j.mhpa.2025.100742","url":null,"abstract":"<div><h3>Purpose</h3><div>Major Depressive Disorder (MDD) is a pervasive public health challenge, and although exercise therapy shows promise as an adjunct treatment, its integration into routine mental health care remains limited. This study examines the barriers and facilitators to implementing evidence-based exercise therapy for MDD in Dutch specialized mental health care settings.</div></div><div><h3>Methods</h3><div>We explored implementation processes alongside the <em>Exercise Enhances</em> randomized controlled trial. Data were collected through semi-structured interviews with patients (N = 6) and with professionals through focus group discussions (N = 8) and a questionnaire exploring barriers and facilitators to implementation (N = 12).</div></div><div><h3>Results</h3><div>Results indicate that both patients and professionals perceive exercise therapy as beneficial for mood and overall well-being. Key facilitators include the intervention's adaptability, its alignment with existing clinical routines, and the patient-centered support provided by exercise therapists. However, barriers included limited exercise modalities, challenges in adherence to home-based sessions, interprofessional communication gaps, and insufficient organizational resources.</div></div><div><h3>Conclusions</h3><div>While integrating exercise as an adjunct treatment for MDD is feasible and well received, sustained implementation requires enhanced flexibility in program design, improved interdisciplinary collaboration, and dedicated implementation coordination. These insights contribute to the evidence base for scaling exercise interventions within specialized mental health care and underscore the need for structural adjustments and targeted funding.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"30 ","pages":"Article 100742"},"PeriodicalIF":2.6,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145685274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a non-conventional physical activity intervention on lifestyle indicators in adults with depressive symptoms: a randomized clinical trial","authors":"Samara Mendes de Sousa,&nbsp;Cecília Bertuol,&nbsp;Edú Fiorin Schopf,&nbsp;Luciene Rafaela Franco dos Santos,&nbsp;Josefina Bertoli,&nbsp;Giovani Firpo Del Duca","doi":"10.1016/j.mhpa.2025.100732","DOIUrl":"10.1016/j.mhpa.2025.100732","url":null,"abstract":"<div><h3>Background</h3><div>Adults with depressive symptoms often exhibit health-risk behaviors, including physical inactivity, poor diet, alcohol consumption, and poor sleep Thus, the aim of this study was to evaluate the effectiveness of a physical activity intervention on lifestyle indicators in adults with depressive symptoms.</div></div><div><h3>Methods</h3><div>Adults aged 20–59 years with depressive symptoms were randomly assigned to an intervention group (IG; n = 39) or control group (CG; n = 39). The 16-week intervention combined diverse physical activities with psychoeducational sessions based on Self-Determination Theory. Lifestyle was assessed using the Fantastic Lifestyle Questionnaire, applied pre- and post-intervention. Generalized Estimating Equations (GEE) were used for both per-protocol (PP) and intention-to-treat (ITT) analyses.</div></div><div><h3>Results</h3><div>Among the 78 participants (76.9 % women; mean age 38.27 ± 10.46 years), the PP analysis showed significant group∗time interaction effects for the total lifestyle score (p = 0.026), as well as for the indicators of sleep quality, seatbelt use, stress management, safe sex (p &lt; 0.001), and introspection (p = 0.027), favoring the IG over time and when compared to the CG at post-intervention. The ITT analysis revealed positive group∗time interactions for sleep, seatbelt use, stress, and safe sex (p = 0.009), with improvements observed in both groups over time. Additionally, improvements in behavior type were found only in the IG (p = 0.069). However, a worsening was detected in the alcohol-related domain (p = 0.037) for the IG over time.</div></div><div><h3>Conclusion</h3><div>The intervention demonstrated promising but mixed effects on lifestyle outcomes among adults with depressive symptoms.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"30 ","pages":"Article 100732"},"PeriodicalIF":2.6,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145618329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Screen use, physical activity, and sleep among adolescents: A latent class analysis of 4,421 Danish adolescents’ movement patterns and the correlation with mental health","authors":"Mette Nygaard ,&nbsp;Susan Andersen ,&nbsp;Mette Toftager ,&nbsp;Mette Rasmussen ,&nbsp;Katrine Rich Madsen ,&nbsp;Christina Bjørk Petersen","doi":"10.1016/j.mhpa.2025.100726","DOIUrl":"10.1016/j.mhpa.2025.100726","url":null,"abstract":"<div><h3>Background and aims</h3><div>Screen use, physical activity, and sleep independently impact adolescents’ mental health, yet further exploration is needed to understand its dynamic impact. This study aimed to examine how movement behaviour cluster in Danish adolescents and how these movement patterns correlate with mental health.</div></div><div><h3>Methods</h3><div>Data were collected among Danish adolescents as part of the cross-sectional Health Behaviour in School-Aged Children (HBSC) study in 2018 and 2022. Study population comprised 4421 adolescents (51.5 % girls, age 11, 13 and 15). Latent class analysis was performed separately for boys and girls based on self-reported screen time (5 items), physical activity level (2 items), and sleep duration (1 item). Associations between classes and mental health (mental wellbeing, psychosomatic complaints, and body image) were evaluated using adjusted regression models stratified on sex.</div></div><div><h3>Results</h3><div>Three movement patterns were identified. Class 1 represented medium screen users with high physical activity (34.3 % of boys; 28.1 % of girls); class 2 represented medium screen users with low physical activity (41.8 %; 42.5 %); and class 3 represented high screen users with short sleep duration (23.8 %; 29.3 %). Compared to class 1, adolescents in class 2 and 3 reported substantially poorer mental wellbeing, more psychosomatic complaints, and poorer body image, especially girls in class 3.</div></div><div><h3>Conclusion</h3><div>Screen use, sleep, and physical activity behaviour tend to group in three movement patterns among Danish adolescents. The identified patterns were associated with notable differences in mental health outcomes. Results emphasize the benefits of high physical activity, low screen time and sufficient sleep, supporting interventions targeting multiple movement behaviours at once.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"30 ","pages":"Article 100726"},"PeriodicalIF":2.6,"publicationDate":"2025-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145600406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and effects of high-intensity interval training for improving depressive symptoms in older adults: a systematic review and meta-analysis of randomized controlled studies","authors":"Yanping Wang ,&nbsp;Yanping Duan ,&nbsp;Dehiwala Liyanage Ishanka Harshani Kusum Peiris ,&nbsp;Wei Liang","doi":"10.1016/j.mhpa.2025.100731","DOIUrl":"10.1016/j.mhpa.2025.100731","url":null,"abstract":"<div><h3>Background</h3><div>High-intensity interval training (HIIT) is an emerging and cost-effective exercise to reduce depressive symptoms. However, there is a lack of overview of HIIT for depressive symptoms among older adults. The objective of this study was to synthesise the feasibility and effects of HIIT on depressive symptoms among older adults.</div></div><div><h3>Methods</h3><div>This study followed the PRISMA guideline. Eight electronic databases (PubMed, EMBASE, Medline, PsycINFO, SPORTDiscus, Web of Science, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL)) were searched to screen eligible studies. Cochrane's risk of bias tool and GRADE approaches were used to evaluate the methodology and evidence quality. Random effects meta-analyses were performed for adverse events and depressive symptoms. Sub-group meta-analyses were performed on depressive symptoms based on characteristics of participants and the HIIT protocol.</div></div><div><h3>Results</h3><div>A total of 18 studies were identified in the systematic review. The retention and attendance rates of the HIIT group ranged from 59 % to 100 % and 74 % to 97 %, respectively. No significant differences were found in adverse events between HIIT and other exercises (RR = 1.34 [95 % CI 0.92, 1.95]; <em>p</em> = 0.13; I² = 0 %; n = 5). Depressive symptoms were significantly reduced immediately after HIIT (SMD = −0.19 [95 % CI -0.36, −0.02]; <em>p</em> = 0.03; I² = 47 %; n = 17). HIIT had a similar effect on depressive symptoms compared to other exercises (SMD = 0.06 [95 % CI -0.08, 0.20]; <em>p</em> = 0.41; I² = 0 %; n = 13) and non-exercise control groups (SMD = −0.08 [95 % CI -0.43, 0.27]; <em>p</em> = 0.64; I² = 75 %; n = 9).</div></div><div><h3>Conclusion</h3><div>HIIT demonstrated feasible attendance and retention, as well as a similar possibility of adverse events to conventional exercises among older adults. Depressive symptoms were reduced immediately after HIIT, while there was no superiority over other control groups among older adults. Future studies with high-quality evidence are needed to examine the effect of HIIT for improving depressive symptoms among older adults.</div></div><div><h3>Prospero registration number</h3><div>CRD42023443913.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100731"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The timing or accumulation of physical activity during adolescence: which better predicts positive mental health and quality of life in early adulthood?","authors":"Pierre Philippe Wilson Registe ,&nbsp;Salma Jemaa ,&nbsp;Saïd Mekari ,&nbsp;Marie-Pierre Sylvestre ,&nbsp;Magaly Brodeur ,&nbsp;Mathieu Bélanger","doi":"10.1016/j.mhpa.2025.100727","DOIUrl":"10.1016/j.mhpa.2025.100727","url":null,"abstract":"<div><h3>Background</h3><div>While adolescent physical activity (PA) is thought to positively impact future mental health and quality of life (QoL), no research has assessed whether the timing of exposure to PA in adolescence matters. This study aims to investigate whether total exposure to PA, or PA at specific periods during adolescence, is more strongly associated with these two health outcomes in early adulthood.</div></div><div><h3>Methods</h3><div>We used data from the MATCH longitudinal study, conducted from 2011 to 2024, which included eight years of PA measurement during adolescence and four yearly measures of positive mental health and QoL during early adulthood. Adolescent PA history was summarized with a Cumulative Index of Exposure (CIE) to represent total adolescent PA and with a Weighted Cumulative Exposure (WCE) approach to differentiate PA accumulated at each age. PA history variables were incorporated into linear mixed models to assess their associations with positive mental health (<em>n</em> = 536) and QoL (<em>n</em> = 541).</div></div><div><h3>Results</h3><div>During the four years of early adulthood, positive mental health declined slightly, while QoL remained stable. Total PA during adolescence (CIE) was positively associated with the initial level of positive mental health (β=0.29; 95% CI: 0.19 to 0.40) and QoL (0.37; 0.24 to 0.51) in early adulthood. The WCE further showed that it is PA in later adolescence that is most strongly associated with better health outcomes in early adulthood.</div></div><div><h3>Conclusions</h3><div>The volume of PA accumulated during adolescence, particularly in late adolescence, is predictive of young adults’ positive mental health and QoL.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100727"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the long-term sustainability of lifestyle therapy for reducing depressive symptoms: A mixed methods study of the Curbing Anxiety and depression using Lifestyle Medicine (CALM) non-inferiority trial at 9-month follow-up","authors":"Megan Turner ,&nbsp;Melissa O'Shea ,&nbsp;Lily Thurston ,&nbsp;Rachael Jinnette ,&nbsp;Alexander Beaconsfield ,&nbsp;Sophie Mahoney ,&nbsp;Deborah N. Ashtree ,&nbsp;Marita Bryan ,&nbsp;Dean Saunders ,&nbsp;Tayla John ,&nbsp;Lauren M. Young ,&nbsp;Megan Teychenne ,&nbsp;Felice Jacka ,&nbsp;Lara K. Radovic ,&nbsp;Adrienne O'Neil","doi":"10.1016/j.mhpa.2025.100730","DOIUrl":"10.1016/j.mhpa.2025.100730","url":null,"abstract":"<div><h3>Background and aims</h3><div>Lifestyle therapies targeting nutrition and exercise are emerging as effective treatments for a range of mental health conditions. However, less is known about their longer-term effects. The Curbing Anxiety and Depression Using Lifestyle Medicine (CALM) trial showed that remotely delivered lifestyle therapy (exercise and nutritional counselling with a dietitian and exercise physiologist) is as clinically and cost-effective as psychotherapy (with psychologists) of similar intensity and frequency for reducing depressive symptoms in Australian adults. We aimed to assess reductions in PHQ-9 (Patient Health Questionnaire-9) scores were maintained at 9-month follow-up (primary aim) and to identify which factors contribute to the maintenance of lifestyle therapy practices compared with psychotherapy (secondary aim).</div></div><div><h3>Methods</h3><div>A mixed methods design was used. For the primary aim, a generalized equation model fit PHQ-9 scores across baseline, 8-weeks, and 9-months. Analyses were run using intention-to-treat (ITT; N = 182), per protocol (PP; N = 135), and complete case (CC; N = 64). Verbatim responses to interview questions about barriers and facilitators of maintaining practices were analysed using a descriptive qualitative approach.</div></div><div><h3>Results</h3><div>Both treatment arms showed significant reductions in PHQ-9 scores between baseline and 9 months (CC: lifestyle therapy MD = −3.76, 95 %CI-5.71,-1.80; psychotherapy MD = −3.24, 95 %CI -4.63,-1.86). Non-inferiority was established for the PP and ITT samples. However, between arm differences were observed in the CC sample at 9-month follow-up, with the lifestyle arm showing higher scores than psychotherapy (β: 2.68; 95 %CI:0.84,4.52, <em>p</em> = 0.004). This possibly reflected the significantly lower baseline PHQ-9 scores in the psychotherapy CC sample, which was explored using post-hoc analysis. Facilitators for maintaining lifestyle practices included the ease of incorporating nutritional changes into everyday life. Barriers included physical and mental health challenges.</div></div><div><h3>Conclusion</h3><div>If replicated within a larger sample, these findings suggest that lifestyle therapy has comparable longer-term effects on depressive symptoms as psychotherapy.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100730"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145570990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing activity and reducing sedentary behaviour for people with severe mental illness: what are the active ingredients for behaviour change? A systematic review","authors":"Gemma Traviss-Turner ,&nbsp;Rebecca J. Beeken ,&nbsp;Gareth Jones ,&nbsp;Laura Bailey ,&nbsp;Eleanor Bowes ,&nbsp;Trys Burke ,&nbsp;Katarzyna K. Machaczek ,&nbsp;Katie Pickering ,&nbsp;Robert Copeland ,&nbsp;Cindy Cooper ,&nbsp;Garry Tew ,&nbsp;Scott Weich ,&nbsp;Emily Peckham","doi":"10.1016/j.mhpa.2025.100713","DOIUrl":"10.1016/j.mhpa.2025.100713","url":null,"abstract":"<div><div>Increasing physical activity (PA) and reducing sedentary behaviour (SB) can improve health outcomes and reduce rates of premature mortality for people with severe mental illness (SMI). In this systematic review we aimed to explore the active ingredients of existing PA interventions for people with SMI. We reviewed intervention functions, behaviour change techniques (BCTs), contextual features and underpinning theories. We included 15 PA interventions, of which 4 were classed as effective (effect size &gt;0.273). We identified the frequency of intervention functions and BCTs that were used in each study and compared the number of effective studies that featured a particular BCT or intervention function with the total number that featured those components. We used the TIDieR checklist to document contextual features that might be important within effective interventions including the theories that guided the development of interventions. The most frequently used functions were education and environmental restructuring, both of which were identified in effective interventions. The BCTs that were identified as potentially useful were framing and reframing, feedback on behaviour and self-monitoring. No discernible contextual features were unique to the effective interventions, but combinations of some features seemed to be (PA tracking, educational components and support delivered by community health teams). More high quality and better reported studies are required to strengthen this evidence base.</div></div><div><h3>Prospero registration</h3><div>PROSPERO 2024 CRD42024541859</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100713"},"PeriodicalIF":2.6,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}