Mental Health and Physical Activity最新文献_第4页

Physical activity and wellbeing: Domain specific associations demonstrating the importance of leisure-time activity in Aotearoa New Zealand 体育活动和健康：特定领域的关联表明休闲时间活动在新西兰奥特罗阿的重要性

IF 2.6 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-09-05 DOI: 10.1016/j.mhpa.2025.100718

Jennifer T. Gale , Adrian Bauman , Justin Richards

Background

Many adults do not accumulate sufficient physical activity (PA) to meet recommendations. While PA is associated with mental health and wellbeing, different domains of PA may have distinct associations with mental wellbeing. This study describes the associations between total, and domain specific PA, with self-reported mental wellbeing using data from the Active New Zealand survey 2019/2020.

Methods

Overall, 13197 adult respondents completed the International Physical Activity Questionnaire-Long form and WHO-5 wellbeing questionnaire. Logistic regression models were employed to examine associations between categories of total and domain specific PA (work, leisure, household and transport) and the odds of having high mental wellbeing.

Results

For total PA, compared to inactive people, those who were sufficiently active had 36 % greater odds of having high wellbeing (OR = 1.36, 95 %CI 1.06–1.73). Meeting PA guidelines in the leisure (OR = 1.65, 95 %CI 1.47–1.84), household (OR = 1.28, 95 %CI 1.13–1.47) and transport (OR = 1.30, 95 %CI 1.16–1.45) domains was associated with significantly greater odds of high mental wellbeing. For the leisure domain, participating in any amount of PA was associated with significantly greater odds of high mental wellbeing compared to being inactive (insufficiently active OR = 1.16, 95 %CI 1.04–1.29; sufficiently active OR = 1.65, 95 %CI 1.47–1.84; highly active OR = 2.46, 95 %CI 2.26–2.74). For the work domain, a significant positive association with wellbeing was only observed for highly active people (OR = 1.43, 95 %CI 1.31–1.56).

Conclusion

Meeting PA guidelines through leisure, transport or household, but not work-related activities is positively associated with mental wellbeing. Being highly active in any domain is associated with wellbeing. Given much stronger associations for leisure physical activity, this domain is the most promising target to support mental health promotion.

背景：许多成年人没有积累足够的体力活动（PA）来满足建议。虽然PA与心理健康和幸福有关，但PA的不同领域可能与心理健康有不同的联系。本研究使用2019/2020年活跃新西兰调查的数据，描述了总PA和特定领域PA与自我报告的心理健康之间的关联。方法共有13197名成人受访者完成了国际身体活动问卷-长表格和WHO-5健康问卷。采用逻辑回归模型来检验总PA和特定领域PA（工作、休闲、家庭和交通）类别与拥有高心理健康的几率之间的关系。结果就总PA而言，与不运动的人相比，那些充分运动的人拥有高幸福感的几率高出36% （OR = 1.36, 95% CI 1.06-1.73）。在休闲（OR = 1.65, 95% CI 1.47-1.84）、家庭（OR = 1.28, 95% CI 1.13-1.47）和交通（OR = 1.30, 95% CI 1.16-1.45）领域满足PA指南与高心理健康的几率显著增加相关。在休闲领域，与不运动相比，参加任何数量的PA与高心理健康的几率显著增加（不充分运动OR = 1.16, 95% CI 1.04-1.29；充分运动OR = 1.65, 95% CI 1.47-1.84；高度运动OR = 2.46, 95% CI 2.26-2.74）。在工作领域，只有高度活跃的人才能观察到与幸福感的显著正相关（OR = 1.43, 95% CI 1.31-1.56）。结论通过休闲、交通或家庭活动来满足PA指南，而不是与工作相关的活动与心理健康呈正相关。在任何领域高度活跃都与健康有关。鉴于与休闲体育活动有更强的联系，这一领域是支持心理健康促进的最有希望的目标。

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引用次数: 0

Better together: Service user and delivery staff experiences of the SPACES physical activity intervention for people with severe mental illness - a qualitative study of a feasibility trial 更好地在一起：服务用户和交付人员对严重精神疾病患者的空间身体活动干预的经验-可行性试验的定性研究

IF 2.6 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-09-03 DOI: 10.1016/j.mhpa.2025.100717

Eleanor Bowes , Trys Burke , Matthew Faires , Gareth Jones , Kasia Machaczek , Helen Quirk , Gemma Traviss-Turner , Rebecca Beeken , Emily Peckham

Background

Life expectancy is reduced by around 15–20 years for people with severe mental illness (SMI) compared to those without SMI, and this gap is widening. Increased physical activity is one way to reduce this mortality gap. The SPACES programme was designed to develop and test an intervention that supports people with SMI in increasing their physical activity. This paper presents the findings of a qualitative study conducted within the SPACES feasibility trial, which explores the experiences of both participants who received the SPACES intervention and those who delivered it.

Methods

Qualitative semi-structured interviews were conducted with thirteen people with SMI who participated in the intervention, as well as six Physical Activity Coordinators (PACs) who delivered the intervention within the NHS. The interviews explored the participants’ perceptions of the intervention, including its feasibility, acceptability, potential benefits and insights into its implementation. The transcripts were analysed, and themes were generated using Framework analysis.

Results

The SPACES physical activity intervention was perceived positively. Both PACs and people with SMI identified key enablers and barriers to implementation and continued engagement in physical activity. Key enablers were primarily social and included aspects such as social connectedness, personalised one-on-one support from professionals, and the welcoming and accepting atmosphere of community venues. Barriers included small group sizes, which did not lead to social connections, logistical challenges, inconvenient venue locations and travel issues. The PACs who delivered the intervention felt well-equipped to anticipate and address potential challenges in future intervention implementations.

Conclusion

The co-designed SPACES physical activity intervention was acceptable to people with SMI and was considered feasible by PACS delivering the intervention. The results have wider implications for understanding how to achieve and maintain engagement in physical activity for this population. They further highlight the need for more holistic approaches to physical activity programmes tailored for people with SMI. Such approaches should emphasise social connectedness, foster welcoming community-based centres, and provide ongoing personalised support and guidance to help individuals with SMI integrate into community-based physical activity opportunities.

与没有严重精神疾病的人相比，患有严重精神疾病（SMI）的人的预期寿命减少了大约15-20年，而且这一差距正在扩大。增加身体活动是缩小这种死亡率差距的一种方法。空间项目旨在开发和测试一种干预措施，支持重度精神障碍患者增加身体活动。本文介绍了在空间可行性试验中进行的一项定性研究的结果，该研究探讨了接受空间干预的参与者和提供干预的参与者的经验。方法对13名参与干预的重度精神障碍患者以及6名在NHS内提供干预的身体活动协调员（pac）进行定性半结构化访谈。访谈探讨了参与者对干预措施的看法，包括其可行性、可接受性、潜在利益和对其实施的见解。对转录本进行分析，并使用框架分析生成主题。结果对空间体育活动干预有积极的认知。pac和重度精神障碍患者都确定了实施和持续参与体育活动的关键促成因素和障碍。关键的促成因素主要是社会因素，包括社会联系、专业人士的个性化一对一支持以及社区场所的欢迎和接受氛围等方面。障碍包括小组规模小，这不会导致社会联系，后勤挑战，不方便的场地位置和旅行问题。提供干预措施的pac认为自己有能力预测和应对未来实施干预措施时可能面临的挑战。结论共同设计的空间体育活动干预对重度精神障碍患者是可接受的，PACS认为该干预是可行的。研究结果对了解如何实现和保持这一人群的体育活动具有更广泛的意义。他们进一步强调，需要针对重度精神障碍患者制定更全面的体育活动方案。这些方法应强调社会联系，建立社区欢迎中心，并提供持续的个性化支持和指导，帮助重度精神障碍患者融入社区体育活动机会。

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引用次数: 0

Episodic memories bias contextual threat inferences after aerobic and mind-body exercise 有氧运动和身心运动后情景记忆偏向情境威胁推断

IF 2.6 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-08-20 DOI: 10.1016/j.mhpa.2025.100715

John Leri , Kevin M. Crombie , Joseph E. Dunsmoor , Josh M. Cisler

Background and aim

Contextual threat inference is the process by which latent environmental threat is recognized, a key component of memory which guides decision making. This study sought to interrogate the contribution of episodic memory towards contextual threat inference and determine if acute exercise, an intervention which impacts memory, could magnify the effects of memory on contextual threat inferences.

Methods

Participants (N = 88) underwent two study visits, which each included a contextual threat learning- and inference-task interspersed with 30-min of exercise. Memory probes were embedded during the learning task and manipulated during the inference task. Participants were randomized to complete either moderate- and low-intensity aerobic exercise or yoga and stretching. Linear mixed effect models were used to assess learning outcomes, the impact of episodic memory probes on contextual threat inferences, and the impact of exercise on episodic memory probe recognition and threat inferences.

Results

Participants learned to differentiate contexts based on the unique combinations of conditioned stimuli and threat probabilities. During the threat inference task, recognized episodic memory probes biased contextual threat inferences, but only after participants completed moderate-intensity aerobic exercise or yoga. Recognition of the episodic memory probes was equal across exercise conditions.

Conclusion

These findings provide novel support for the role of episodic memory on contextual threat inferences. There was evidence that moderate-intensity aerobic exercise and yoga impact associative ties between episodic memories and context. These results support neurocomputational models which integrate episodic memory with reinforcement learning and inform the cognitive processes through which exercise may impact contextual threat inference.

背景和情境威胁推理是识别潜在环境威胁的过程，是指导决策的记忆的重要组成部分。本研究试图探究情景记忆对情境威胁推理的贡献，并确定急性运动（一种影响记忆的干预措施）是否会放大记忆对情境威胁推理的影响。方法88名参与者接受了两次研究访问，每次访问包括一个情境威胁学习和推理任务，并穿插30分钟的锻炼。记忆探针在学习任务中被嵌入，在推理任务中被操纵。参与者被随机分配完成中等和低强度的有氧运动或瑜伽和伸展运动。采用线性混合效应模型评估学习结果、情景记忆探针对情境威胁推理的影响，以及运动对情景记忆探针识别和威胁推理的影响。结果实验对象学会了根据条件刺激和威胁概率的独特组合来区分情境。在威胁推断任务中，已识别情景记忆探测有偏见的情境威胁推断，但只有在参与者完成中等强度的有氧运动或瑜伽之后。在不同的运动条件下，情景记忆探针的识别是相同的。结论本研究结果为情景记忆在情境威胁推理中的作用提供了新的支持。有证据表明，中等强度的有氧运动和瑜伽会影响情景记忆和情境之间的联系。这些结果支持将情景记忆与强化学习结合起来的神经计算模型，并为锻炼可能影响情境威胁推理的认知过程提供信息。

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引用次数: 0

Adaptation of the subjective effort induction scale (SEIS-3) for strength training: A clinical application for older adults with dementia syndrome 主观努力诱导量表（seis3）在力量训练中的适应性：老年痴呆综合征的临床应用

IF 2.6 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-08-20 DOI: 10.1016/j.mhpa.2025.100714

Luciana Aparecida Coutinho , Camila Cristina Fonseca Bicalho , Camila Fernanda Costa e Cunha Moraes Brandão , Olga Lucia Montoya-Hurtado , Bruno Costa Teixeira , Henrique Nunes Pereira Oliva , Renato Sobral Monteiro-Junior

Objective

This study aimed to adapt and validate the Subjective Effort Induction Scale (SEIS-3) for advise strength training prescription in older adults with dementia, examining its reliability and stratifying results by dementia stage.

Methods

This is a cross-sectional study conducted in two phases: Phase 1 involved reviewing the SEIS-3 instrument development and making necessary adaptations based on international guidelines. Phase 2 included testing the adapted SEIS-3 instrument in older adults with diagnosis of dementia syndrome. A sample size of 32 individuals aged between 62 and 90 years was selected based on previous work. Participants were diagnosed with dementia. The SEIS-3D was proposed. Effort assessment involved grip strength measurements using an electronic hand dynamometer, with intra- and inter-rater reliability assessed through Intraclass Correlation Coefficient calculations. The Bland-Altman method was used to examine agreement and systematic bias, while Standard Error of Measurement calculations determined measurement precision.

Results

The study validated the effort gradations (weak, medium, strong) with significant differences in grip strength. High intra- and inter-rater reliability was demonstrated across all effort levels, particularly at strong effort levels. Although most measurements indicated consistent agreement, systematic bias was observed in specific intra- and inter-rater assessments.

Conclusion

The SEIS-3D has been validated and shown to be a reliable tool, effective for use in determining strength training intensity to elderly with mild to moderate dementia. For severe dementia, its reliability improves with stronger prescribed effort levels.

目的采用主观努力诱导量表（seis3）对老年痴呆患者的力量训练处方进行调整和验证，检验其可靠性，并按痴呆分期对结果进行分层。这是一项分两个阶段进行的横断面研究：第一阶段涉及审查seis3仪器的开发并根据国际指南进行必要的调整。第二阶段包括在诊断为痴呆综合征的老年人中测试适应性的seis3仪器。根据之前的工作，选择了32名年龄在62岁至90岁之间的人作为样本。参与者被诊断患有痴呆症。提出了seisd - 3d。努力评估包括使用电子手测力仪测量握力，通过类内相关系数计算评估组内和组间可靠性。Bland-Altman方法用于检验一致性和系统偏差，而测量标准误差计算确定测量精度。结果验证了握力等级（弱、中、强）在握力上的显著差异。在所有的努力水平上，特别是在强烈的努力水平上，都表现出很高的内部和内部可靠性。虽然大多数测量结果显示一致的一致性，但在特定的评分者内部和评分者之间的评估中观察到系统性偏差。结论：seis3d已被证实是一种可靠的工具，可以有效地用于确定老年轻度至中度痴呆患者的力量训练强度。对于严重的痴呆症，其可靠性随着规定的努力水平的提高而提高。

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引用次数: 0

Adherence to 24-hour movement guidelines: Cognitive effects in Australian preschoolers 坚持24小时运动指南：澳大利亚学龄前儿童的认知影响

IF 2.6 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-08-05 DOI: 10.1016/j.mhpa.2025.100712

Myrto F. Mavilidi , Liye Zou , Jinming Li , Dylan P. Cliff , Caterina Pesce , Chalchisa Abdeta , Fred Paas , Steven J. Howard

Background

Regular engagement in physical activity (PA), reduced screen-based sedentary time, or adequate sleep duration is independently linked to cognitive benefits, but such associations in an integrated manner have been rarely investigated with longitudinal design, especially among preschoolers.

Methods

This longitudinal study explored associations between 24-hour movement guideline adherence and cognitive outcomes in 157 Australian preschoolers (M = 4.48 years, SD = 0.35, 52.2 % female). Using baseline parent-reported movement behaviours and direct cognitive assessments at 7-month and 1-year follow-up, we applied linear mixed regression models, adjusted for age, sex, maternal education, family income, and continuous PA, sleep, and screen time measures.

Results

Meeting PA guidelines alone significantly predicted higher school readiness at 7 months (Estimate = 22.42, 95 % CI 9.56–35.28, p = 0.001, d = 1.40) and 1-year follow-up (Estimate = 22.54, 95 % CI 13.29–31.78, p < 0.001, d = 1.41), and enhanced cognitive flexibility at 1-year follow-up (Estimate = 4.01, 95 % CI 2.10–5.93, p < 0.001, d = 0.94). Sleep guideline adherence also predicted higher flexibility 1-year follow-up (Estimate = 1.82, 95 % CI 0.66–2.97, p = 0.002, d = 0.43). All other β estimates were non-significant after Bonferroni correction. Only 17.2 % of the involved preschoolers met all guidelines.

Conclusion

Supporting adherence to the 24-Hour Movement Guidelines could enhance school readiness within one academic year.

有规律的身体活动（PA）、减少因屏幕而久坐的时间或充足的睡眠时间与认知益处独立相关，但很少有纵向设计对这些关联进行综合调查，特别是在学龄前儿童中。方法对157名澳大利亚学龄前儿童（M = 4.48岁，SD = 0.35, 52.2%为女性）的24小时运动指南依从性与认知结果的关系进行纵向研究。使用基线父母报告的运动行为和7个月和1年随访时的直接认知评估，我们应用线性混合回归模型，调整年龄、性别、母亲教育、家庭收入、连续PA、睡眠和屏幕时间测量。结果仅满足PA指南可显著预测7个月后（估计值= 22.42,95% CI 9.56-35.28, p = 0.001, d = 1.40）和1年随访(估计值= 22.54,95% CI 13.29-31.78, p <；0.001, d = 1.41)， 1年随访时认知灵活性增强(估计= 4.01,95% CI 2.10-5.93, p <；0.001, d = 0.94)。睡眠指南依从性也预示着1年随访时更高的灵活性（估计值= 1.82,95% CI 0.66-2.97, p = 0.002, d = 0.43）。经Bonferroni校正后，所有其他β估计值均不显著。只有17.2%的学龄前儿童符合所有的指导方针。结论支持遵守24小时运动指南可以在一学年内提高入学准备。

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引用次数: 0

Psychosocial health concerns and physical activity in adults with epilepsy: Cross-sectional analysis from 2022 National Health Interview Survey 成人癫痫患者的社会心理健康问题和身体活动：来自2022年全国健康访谈调查的横断面分析

IF 2.6 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-07-30 DOI: 10.1016/j.mhpa.2025.100711

Sydney L. Churchill , Angelique G. Brellenthin , Jacob D. Meyer

Epilepsy is negatively associated with psychosocial health. Regular physical activity is known to improve psychosocial health, yet population-based studies on the relationship between activity behavior, psychosocial health, and epilepsy are limited. This study aimed to determine the prevalence of psychosocial health concerns among adults with epilepsy compared to the adults without epilepsy and evaluate relationships between physical activity and epilepsy status on psychosocial health using cross-sectional data from the 2022 National Health Interview Survey (n = 26,311). Epilepsy status was coded as adults with: active epilepsy (n = 301), inactive epilepsy (n = 162), and no history of epilepsy (n = 25,848). Aerobic and muscle-strengthening physical activity were coded based on the 2018 Physical Activity Guidelines for Americans from self-reported questions. Psychosocial health concerns (depression, anxiety, concentration/memory difficulties, poor life satisfaction, and social functioning difficulties), were coded into binary variables (yes/no). The weighted mean age was 48.29 years (SE = 0.17), 51 % were female, and 77 % were White. Survey-weighted and IPTW-adjusted logistic regression models showed odds of depression, anxiety, concentration/memory difficulties, and social functioning difficulties were 2–4 times higher in adults with active epilepsy and 1–2 times higher in adults with inactive epilepsy compared to adults without epilepsy. Stratified analyses revealed a similar positive influence of guideline adherence on psychosocial health for adults with and without epilepsy. This study supports the need to improve psychosocial health among adults with epilepsy and suggests both aerobic and muscle-strengthening activities as potential intervention targets. Future exercise intervention trials are warranted to determine causality.

癫痫与社会心理健康负相关。众所周知，有规律的身体活动可以改善社会心理健康，但关于活动行为、社会心理健康和癫痫之间关系的基于人群的研究有限。本研究旨在利用2022年全国健康访谈调查（n = 26311）的横断面数据，确定癫痫成人与非癫痫成人的社会心理健康问题的患病率，并评估体育活动与癫痫状态对社会心理健康的影响之间的关系。癫痫状态被编码为成人：活动性癫痫（n = 301），非活动性癫痫（n = 162），无癫痫史（n = 25,848）。有氧和肌肉强化体力活动是根据2018年美国人身体活动指南的自我报告问题进行编码的。社会心理健康问题（抑郁、焦虑、注意力集中/记忆困难、生活满意度差和社会功能障碍）被编码为二元变量（是/否）。加权平均年龄48.29岁（SE = 0.17），女性占51%，白人占77%。调查加权和iptw调整后的logistic回归模型显示，与无癫痫的成年人相比，活动性癫痫患者的抑郁、焦虑、集中/记忆困难和社会功能困难的几率高2-4倍，非活动性癫痫患者高1-2倍。分层分析显示，遵循指南对患有和不患有癫痫的成年人的心理社会健康也有类似的积极影响。这项研究支持改善成人癫痫患者的心理社会健康的必要性，并建议有氧和肌肉强化活动作为潜在的干预目标。未来的运动干预试验有必要确定因果关系。

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引用次数: 0

Effects of different exercise patterns on spatial and verbal working memory updating in women with methamphetamine use disorder 不同运动模式对甲基苯丙胺使用障碍女性空间和言语工作记忆更新的影响

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-07-17 DOI: 10.1016/j.mhpa.2025.100710

Yifan Chen , Chenglin Zhou , Tianze Liu

Objective

To explore the different effects of chronic moderate-intensity cycle ergometer and aerobic calisthenics training on spatial and verbal working memory (WM) updating and brain activity.

Methods

Forty female methamphetamine (MA) users were randomly assigned to receive either moderate-intensity cycle ergometer or aerobic calisthenics training twice a week for 10 weeks. Before and after exercise, a modified 2-back task, which contained the word and position task, was used to assess changes in spatial and verbal WM updating, and functional near-infrared spectroscopy (fNIRS) was used to assess activation of prefrontal cortex.

Results

We found a potentially greater impact on spatial WM than verbal WM after ten weeks of moderate-intensity aerobic calisthenics, evidenced by shorter response times and increased activity in the right dorsolateral prefrontal cortex (DLPFC). Additionally, greater right DLPFC activation during word tasks was observed in the aerobic calisthenics group compared to the cycle ergometer group. Yet both interventions reduced activity in orbitofrontal cortex (OFC).

Conclusion

Exercise interventions should be tailored to specific cognitive needs of patients and women's exercise preferences. For example, both exercise intervention methods are effective for female MUDs with severe spatial WM impairments. However, for those with severe verbal WM impairments, a single type of coordinative exercise may be insufficient, suggesting the need for more comprehensive approaches.

目的探讨慢性中等强度循环力计和有氧健美操训练对空间和语言工作记忆（WM）更新及脑活动的不同影响。方法40例女性甲基苯丙胺（MA）服用者随机分为两组，一组接受中等强度循环力计训练，另一组接受有氧健美操训练，每周2次，持续10周。在运动前和运动后，采用包含单词和位置任务的改良双背任务评估空间和语言WM更新的变化，并使用功能性近红外光谱（fNIRS）评估前额叶皮层的激活情况。结果我们发现，在10周的中等强度有氧体操后，空间脑损伤的影响可能比口头脑损伤更大，反应时间更短，右背外侧前额叶皮层（DLPFC）的活动增加。此外，在单词任务中，有氧健美操组的右DLPFC激活比循环计力器组大。然而，两种干预措施都降低了眶额叶皮层（OFC）的活动。结论运动干预应根据患者的特定认知需求和女性的运动偏好进行调整。例如，这两种运动干预方法对患有严重空间脑损伤的女性mud都有效。然而，对于那些有严重言语脑损伤的人来说，单一类型的协调练习可能是不够的，这表明需要更全面的方法。

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引用次数: 0

Effects of an eight-week yoga intervention on cognitive, mental, and autonomic function in female students with elevated stress: A randomized controlled trial protocol 八周瑜伽干预对压力升高女学生认知、精神和自主神经功能的影响：一项随机对照试验方案

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-07-11 DOI: 10.1016/j.mhpa.2025.100709

Juhi Kumawat, Kashinath G. Metri

Background

Stress has been a highly prevalent mental health issue among the student community, which affects their academic growth by hampering cognitive abilities, and it also increases their future risk of cardiovascular disease. Yoga, a comprehensive mind-body practice, has emerged as a promising non-pharmacological intervention to manage stress and promote overall well-being.

Aim

This study protocol aims to investigate the effects of an eight-week yoga intervention on cognitive functions, mental health, and HRV in female students experiencing elevated stress levels.

Methods

Ninety-six female University students with a perceived stress scale (PSS) score>14 will be randomly allocated to either the yoga intervention group (n = 48) or wait-list control group (n = 48). Students in the yoga group will receive four weekly sessions of a 60-min structured yoga for eight weeks. Control group students will follow their daily activities. All students will be assessed for cognitive functions (selective and sustained attention, planning, visuospatial working memory, processing speed, and cognitive flexibility), heart rate variability (HRV), mental health parameters (stress, anxiety, and depression), and sleep quality at baseline and eight weeks.

Conclusion

This study seeks to provide robust evidence on the efficacy of yoga to improve mental health, cognitive functions, and sleep quality among female university students with elevated stress levels.

压力一直是学生群体中非常普遍的心理健康问题，它通过阻碍认知能力影响他们的学业成长，也增加了他们未来患心血管疾病的风险。瑜伽，一种全面的身心练习，已经成为一种有希望的非药物干预来管理压力和促进整体健康。目的本研究旨在探讨为期8周的瑜伽干预对压力水平升高的女学生认知功能、心理健康和HRV的影响。方法将96名压力感知量表（PSS）得分为14分的女大学生随机分为瑜伽干预组（n = 48）和候补对照组（n = 48）。瑜伽组的学生将接受为期八周、每周四次、每次60分钟的结构化瑜伽训练。对照组的学生将跟随他们的日常活动。所有学生将在基线和八周时接受认知功能（选择性和持续性注意力、计划、视觉空间工作记忆、处理速度和认知灵活性）、心率变异性（HRV）、心理健康参数（压力、焦虑和抑郁）和睡眠质量的评估。结论本研究旨在为瑜伽对高压力女大学生的心理健康、认知功能和睡眠质量的改善提供有力的证据。

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引用次数: 0

Integrating mental health interventions in higher education: An evidence-based umbrella review 高等教育中心理健康干预的整合：基于证据的综合评价

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-07-09 DOI: 10.1016/j.mhpa.2025.100708

García-Pérez Laura, Ubago-Jiménez José Luis, Cepero-González Mar, Padial-Ruz Rosario

University students face increasing mental health challenges, including anxiety, stress, and depression, affecting their well-being and academic performance. This review assessed the effectiveness of physical activity interventions (PAI) combined with mindfulness-based therapy (MBT), mindfulness-based interventions (MBI), and psychoeducational interventions (PPI) in improving mental health. A systematic search was conducted in Scopus, Web of Science, and PubMed, including recent meta-analyses. A total of 24 meta-analyses were included, encompassing a wide range of mental health outcomes in university students. Statistical analyses included the DerSimonian and Laird random-effects model, heterogeneity tests (I²), and Egger's regression test for publication bias. Results showed that combined Findings indicate that had the strongest and most consistent effects, particularly for reducing stress (SMD = −1.37) and depression (SMD = −0.79). MBI produced moderate effects on anxiety (SMD = −0.45), while PPI and MBI + PPI yielded limited improvements. These findings support the prioritization of PAI + MBT programs in university mental health strategies. Future research should aim to standardize protocols and explore intervention effectiveness across diverse student subgroups.

大学生面临着越来越多的心理健康挑战，包括焦虑、压力和抑郁，影响着他们的健康和学习成绩。本综述评估了身体活动干预（PAI）联合正念治疗（MBT）、正念干预（MBI）和心理教育干预（PPI）在改善心理健康方面的有效性。在Scopus， Web of Science和PubMed中进行了系统搜索，包括最近的荟萃分析。共纳入了24项荟萃分析，涵盖了广泛的大学生心理健康结果。统计分析包括DerSimonian和Laird随机效应模型、异质性检验（I2）和Egger发表偏倚回归检验。结果表明，综合研究结果表明，具有最强和最一致的效果，特别是在减轻压力（SMD = - 1.37）和抑郁（SMD = - 0.79）方面。MBI对焦虑产生中等影响（SMD = - 0.45），而PPI和MBI + PPI的改善有限。这些发现支持PAI + MBT项目在大学心理健康策略中的优先级。未来的研究应着眼于标准化的方案，并探索不同学生群体的干预效果。

{"title":"Integrating mental health interventions in higher education: An evidence-based umbrella review","authors":"García-Pérez Laura, Ubago-Jiménez José Luis, Cepero-González Mar, Padial-Ruz Rosario","doi":"10.1016/j.mhpa.2025.100708","DOIUrl":"10.1016/j.mhpa.2025.100708","url":null,"abstract":"<div><div>University students face increasing mental health challenges, including anxiety, stress, and depression, affecting their well-being and academic performance. This review assessed the effectiveness of physical activity interventions (PAI) combined with mindfulness-based therapy (MBT), mindfulness-based interventions (MBI), and psychoeducational interventions (PPI) in improving mental health. A systematic search was conducted in Scopus, Web of Science, and PubMed, including recent meta-analyses. A total of 24 meta-analyses were included, encompassing a wide range of mental health outcomes in university students. Statistical analyses included the DerSimonian and Laird random-effects model, heterogeneity tests (I<sup>2</sup>), and Egger's regression test for publication bias. Results showed that combined Findings indicate that had the strongest and most consistent effects, particularly for reducing stress (SMD = −1.37) and depression (SMD = −0.79). MBI produced moderate effects on anxiety (SMD = −0.45), while PPI and MBI + PPI yielded limited improvements. These findings support the prioritization of PAI + MBT programs in university mental health strategies. Future research should aim to standardize protocols and explore intervention effectiveness across diverse student subgroups.</div></div>","PeriodicalId":51589,"journal":{"name":"Mental Health and Physical Activity","volume":"29 ","pages":"Article 100708"},"PeriodicalIF":2.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144632702","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}

引用次数: 0

Physical activity following discharge from inpatient adult mental health settings: Interest-holder perspectives 从住院成人心理健康机构出院后的身体活动：利益持有人的观点

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2025-07-03 DOI: 10.1016/j.mhpa.2025.100707

Philip Hodgson , Michelle Glascott , Wendy Hope , Luke Aston , Nicola Clibbens , Laura Fleming , Alison Innerd , Michael Graham

Background

The transition from inpatient mental health care to the community is a period where individuals frequently face challenges that can hinder their recovery. Physical activity (PA) offers numerous benefits for mental health, yet little is known about PA engagement during this transition.

Aims

This study aimed to explore interest-holder perspectives on PA following discharge from inpatient adult mental health settings, informing the development of effective interventions.

Methods

A qualitative approach using reflexive thematic analysis was employed. Six focus groups were conducted across two NHS mental health trusts in England, involving 34 participants: 14 individuals with lived experience (LEXP) of mental health services and 20 staff members. A topic guide, co-developed by peer researchers and clinicians, facilitated discussions including ideas for post-discharge PA provision. Focus groups were audio-recorded, transcribed, and analysed collaboratively by clinical and peer researchers.

Results

Key themes regarding barriers to PA following discharge included patient-related challenges (socioeconomic pressures, social isolation), acute ward-related obstacles, and community setting limitations. Both LEXP and staff participants highlighted the impact of socioeconomic factors on social inclusion and motivation. Social isolation was a significant barrier identified by LEXP participants.

Conclusions

This study demonstrates the need for tailored PA interventions that address the complex barriers faced by individuals transitioning from inpatient mental health care to community settings. Interest-holder contribution is crucial for designing programmes that can promote sustained engagement in PA post-discharge, improving patient outcomes. Future practice should consider socioeconomic factors, address social isolation, and ensure continuity of support from inpatient to community care.

从住院精神卫生保健到社区的转变是一个个人经常面临阻碍他们康复的挑战的时期。体育活动（PA）为心理健康提供了许多好处，但在这一转变过程中，人们对PA的参与知之甚少。目的本研究旨在探讨兴趣持有人对成人精神卫生机构住院患者出院后PA的看法，为制定有效的干预措施提供信息。方法采用反身性主题分析的定性方法。在英格兰的两个NHS精神健康信托机构进行了六个焦点小组研究，涉及34名参与者：14名有精神健康服务生活经验的个人（LEXP）和20名工作人员。由同行研究人员和临床医生共同制定的主题指南促进了讨论，包括出院后PA提供的想法。由临床和同行研究人员对焦点小组进行录音、转录和分析。结果出院后PA障碍的关键主题包括患者相关挑战（社会经济压力、社会隔离）、急性病房相关障碍和社区环境限制。LEXP和工作人员与会者都强调了社会经济因素对社会包容和激励的影响。社会孤立是LEXP参与者确定的一个重要障碍。结论：本研究表明，需要有针对性的PA干预措施，以解决个人从住院精神卫生保健过渡到社区环境所面临的复杂障碍。利益持有人的贡献对于设计方案至关重要，这些方案可以促进出院后PA的持续参与，改善患者的预后。未来的实践应考虑社会经济因素，解决社会隔离问题，并确保从住院病人到社区护理的持续支持。

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引用次数: 0