Mental Health and Physical Activity最新文献_第8页

Potentials and pitfalls of peer support: Experiences and recommendations for peer supported physical activity programmes for mental health service users 同伴支持的潜力和缺陷：针对心理健康服务使用者的同伴支持身体活动规划的经验和建议

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-12-27 DOI: 10.1016/j.mhpa.2024.100669

Kinnafick F.E. , Anthony J.L. , Tweed L.

Background

Volunteers with lived experience of mental health problems can play a valuable role in the delivery of physical activity interventions for mental health service users. However, research has under-explored individuals’ experiences of peer volunteering with mental health service users from the perspective of the peer volunteers (PVs).

Aims

This study explored PV's experiences within a community-based physical activity programme for Mental Health Service Users. A secondary aim was to utilise these findings to develop recommendations for peer-supported physical activity programmes.

Methods

Thirty-one PV's (15 male, 16 female, M age = 48 years, SD = 9.5 years) were recruited from local programme delivery sites across four regions in England (Midlands n = 10, London n = 5, North East n = 8 and North West n = 8). A hybrid approach of inductive and deductive thematic analysis, was adopted and themes generated from data.

Results

Four overarching themes representing PV's experiences of their role included: (i) Reciprocity – a two-way relationship, (ii) Commitment to Volunteering, (iii) Establishing Boundaries: necessary but challenging and (iv) Support Network for Peer Volunteers Results are discussed in the context of wider literature, and their implications for peer-supported physical activity programmes. Based on these findings, we developed a series of recommendations for the inclusion of PVs within physical activity programmes. Our recommendations highlight the incorporation of structured training that provides clear guidance on roles and responsibilities, while also addressing boundary maintenance. Additionally, we advocate for the provision of consistent and accessible support to PVs to ensure they can perform their roles effectively.

Conclusion

This study highlights the valuable contribution of PVs in the delivery of peer supported physical activity programmes. We provide insights into their experiences of the challenges, and advantages of their role. We provide practical recommendations for the inclusion of PVs in peers supported physical activity programmes.

具有精神卫生问题生活经验的志愿者可以在为精神卫生服务使用者提供身体活动干预方面发挥宝贵作用。然而，研究尚未从同伴志愿者的角度探讨个体与心理健康服务使用者的同伴志愿服务体验。目的：本研究探讨心理健康服务使用者在社区体育活动计划中的经验。第二个目的是利用这些发现为同伴支持的体育活动规划提出建议。方法从英格兰四个地区（中部地区n = 10，伦敦n = 5，东北地区n = 8，西北地区n = 8）的当地项目实施地点招募31名PV（男性15名，女性16名，年龄48岁，SD = 9.5岁）。采用归纳和演绎主题分析的混合方法，并从数据中生成主题。结果代表PV角色经验的四个总体主题包括：(i)互惠-双向关系，（ii）对志愿服务的承诺，（iii）建立边界：必要但具有挑战性和（iv）同伴志愿者的支持网络结果在更广泛的文献背景下讨论，以及它们对同伴支持的体育活动计划的影响。基于这些发现，我们提出了一系列将pv纳入体育活动计划的建议。我们的建议强调结合结构化的培训，为角色和责任提供明确的指导，同时也解决边界维护问题。此外，我们提倡为pv提供一致和可访问的支持，以确保他们能够有效地发挥作用。结论：本研究强调了pv在同伴支持体育活动项目中的重要贡献。我们提供了他们的挑战经验，以及他们的角色优势的见解。我们为将pv纳入同伴支持的体育活动计划提供了实用建议。

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引用次数: 0

The longitudinal relationship among physical activity, loneliness, and mental health in middle-aged and older adults: Results from the Edad con Salud cohort 中老年人身体活动、孤独感和心理健康之间的纵向关系：来自Edad con Salud队列的结果

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-12-21 DOI: 10.1016/j.mhpa.2024.100667

Jordi Rodeiro , Beatriz Olaya , Josep Maria Haro , Aina Gabarrell-Pascuet , José Luis Ayuso-Mateos , Lea Francia , Cristina Rodríguez-Prada , Blanca Dolz-del-Castellar , Joan Domènech-Abella

Objectives

Existing research suggests there to be interrelated connections among physical activity, loneliness, and mental health. However, the possible mediating effects between them in middle-aged and older adults is unclear. This study aims to investigate the longitudinal relationship among physical activity, loneliness, and common mental disorders to clarify potential mediation effects.

Methods

We analysed longitudinal data from 1973 participants aged 50 and over, drawn from the Longitudinal Ageing and Health Study Spain (“Edad con Salud”, ageingandhealth.com). Loneliness was evaluated using the 3-item UCLA loneliness scale, while physical activity was measured with the Global Physical Activity Questionnaire version 2 (GPAQ v2). Common mental disorders were assessed by considering lifetime episodes of major depressive and generalized anxiety disorders (MDD and GAD) following the criteria outlined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Employing a crosslagged panel model (CLPM), cross-lagged and autoregressive longitudinal associations among loneliness, common mental disorders, and physical activity were examined.

Results

Physical inactivity predicted higher subsequent loneliness, which in turn predicted common mental disorders. The reverse pathways were statistically supported as well, suggesting bi-directional influences. All autoregressive associations were statistically significant.

Discussion

The improvement of mental health through physical activity is facilitated by the mediation of loneliness, indicating the potential of the social aspect of physical activity as a preventive measure for MDD and GAD, as well as the need to address feelings of loneliness in individuals with common mental disorders in order to facilitate their participation in physical activities.

目的现有研究表明，体育活动、孤独感和心理健康之间存在相互联系。然而，在中老年人中，两者之间可能的中介作用尚不清楚。本研究旨在探讨体育活动、孤独感和常见精神障碍之间的纵向关系，以阐明潜在的中介作用。方法：我们分析了1973名50岁及以上参与者的纵向数据，这些数据来自西班牙纵向老龄化与健康研究（“Edad con Salud”，ageingandhealth.com）。孤独感采用UCLA孤独感量表进行评估，身体活动采用全球身体活动问卷第2版（GPAQ v2）进行测量。根据精神疾病诊断与统计手册（DSM-5）列出的标准，通过考虑重度抑郁症和广泛性焦虑症（MDD和GAD）的终生发作来评估常见精神障碍。采用交叉滞后面板模型（CLPM），研究了孤独感、常见精神障碍和身体活动之间的交叉滞后和自回归纵向关联。结果缺乏运动预示着更高的孤独感，进而预示着常见的精神障碍。相反的途径在统计上也得到支持，表明双向影响。所有自回归关联均具有统计学意义。孤独的调解促进了通过体育活动改善心理健康，这表明体育活动的社会方面有可能作为重度抑郁症和广泛性焦虑症的预防措施，以及有必要解决患有常见精神障碍的个体的孤独感，以促进他们参与体育活动。

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引用次数: 0

Time spent in physical activities, TV watching and sleep and its association with executive functioning in middle age and older adults: An isotemporal substitution analysis 中老年人花在体育活动、看电视和睡眠上的时间及其与执行功能的关系：一项等时间替代分析

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-12-20 DOI: 10.1016/j.mhpa.2024.100668

Rosa Palazuelos-González , Richard C. Oude Voshaar , Sacha la Bastide-van Gemert , Nynke Smidt

Background

Time spent in physical activities, sedentary behavior and sleep during the day are interrelated and are differentially associated with executive functioning (EF). Most studies have not analyzed these three activities simultaneously when examining this association. We examined the association between these activities and EF, and estimated the influence of time reallocation of sedentary behavior (TV watching) for other activities on EF.

Methods

Baseline data (≥40y) from Lifelines Cohort study (n = 58,582) was used to assess the association between self-reported time spent in TV-watching, sleep, and physical activities (active commuting, leisure, sports, household, and work) with EF (Ruff Figural Fluency Test) using multivariable linear regression. Isotemporal substitution analyses were applied to estimate the impact of time replacement of TV-watching by other activities on CP. Analyses were stratified by age (middle age (<60y) and older adults) and sleep duration (short, normal (7–8 h/day), and long).

Results

In participants with normal sleep (75%), TV-watching time was inversely associated with EF in middle aged (β −0.30, 95%CI -0.41, −0.19) and older (β −0.33, 95%CI -0.51, −0.14) participants. Replacing 30 min of TV-watching with leisure (β 0.22, 95%CI 0.11, 0.34), sports (β 0.51, 95%CI 0.48, 0.97), household (β 0.21, 95%CI 0.09, 0.33), or work (β 0.39, 95%CI 0.28, 0.50) showed a stronger and positive association with EF. Associations were less pronounced in short sleepers, and absent among long sleepers aged ≥60y.

Conclusion

Substituting 30 min of TV-watching by with physical activities may be a potential strategy to improve or preserve EF. Future research should explore this theoretical implication.

体力活动的时间、久坐行为和白天的睡眠是相互关联的，并且与执行功能（EF）有不同的关联。大多数研究并没有同时分析这三种活动。我们研究了这些活动与EF之间的关系，并估计了久坐行为（看电视）对其他活动的时间重新分配对EF的影响。方法使用生命线队列研究（n = 58,582）的基线数据（≥40y），使用多变量线性回归评估自我报告的看电视时间、睡眠时间和身体活动（积极通勤、休闲、运动、家庭和工作）与EF （Ruff图形流畅性测试）之间的关系。等时间替代分析用于估计其他活动替代看电视时间对CP的影响。分析按年龄（中年（60岁）和老年人）和睡眠时间（短、正常（7-8小时/天）和长）分层。结果在睡眠正常的受试者（75%）中，中年受试者（β - 0.30, 95%CI -0.41, - 0.19）和老年受试者（β - 0.33, 95%CI -0.51, - 0.14）看电视时间与EF呈负相关。用休闲（β 0.22, 95%CI 0.11, 0.34）、运动（β 0.51, 95%CI 0.48, 0.97）、家庭（β 0.21, 95%CI 0.09, 0.33）或工作（β 0.39, 95%CI 0.28, 0.50）代替30分钟的电视观看时间与EF有更强的正相关。这种关联在短睡眠者中不太明显，在≥60岁的长睡眠者中不存在。结论用体育活动代替30分钟的电视观看可能是改善或保持EF的潜在策略。未来的研究应该探索这一理论含义。

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引用次数: 0

The relationship between device-measured movement behaviors and optimal mental health in Chinese youth: A compositional data analysis 中国青少年设备测量运动行为与最佳心理健康的关系：一个成分数据分析

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-12-14 DOI: 10.1016/j.mhpa.2024.100664

Zan Huang , Jiayu Li

Background

This study explores the relationship between movement behaviors and mental health indicators (depression, anxiety, and perceived stress) in youth, aiming to identify optimal balance of movement behaviors for mental health benefits.

Methods

327 participants aged 17–24years wore accelerometers for 7 consecutive days to measure moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), and sedentary behavior (SB). Sleep (SLP) was self-reported. Depression, anxiety, and perceived stress were assessed using self-report questionnaires. Compositional data analysis examined the relationship between movement behaviors and mental health indicators. Optimal time-use were identified by investigating all possible 24-h combinations associated with the best 5% of outcomes.

Results

More SB time was associated with higher scores for depression (b = 6.34, p < 0.05), anxiety (b = 7.94, p < 0.05), and perceived stress (b = 5.14, p < 0.05). More MVPA time was associated with lower scores for depression (b = −2.24, p < 0.05) and perceived stress scores (b = −1.56, p < 0.05). Substituting 30 min of SB with LPA or MVPA improved depression and perceived stress, while substituting SB with LPA reduced anxiety. Optimal time-use compositions were 503 min for sleep, 503 min for sedentary, 322 min for LPA, and 112 min for MVPA.

Conclusion

This study emphasizes the association between movement behaviors and mental health in youth. Reducing sedentary time and increasing MVPA were linked to better mental health. Achieving optimal mental health requires balancing time spent on various daily activities, minimizing sedentary behavior, and maximizing time allocated to MVPA whenever possible.

本研究旨在探讨青少年运动行为与心理健康指标（抑郁、焦虑和感知压力）之间的关系，以确定运动行为对心理健康的最佳平衡。方法327名17 - 24岁的参与者连续7天佩戴加速度计，测量中高强度体力活动（MVPA）、轻度体力活动（LPA）和久坐行为（SB）。睡眠（SLP）是自我报告的。使用自我报告问卷对抑郁、焦虑和感知压力进行评估。成分数据分析检验了运动行为与心理健康指标之间的关系。通过调查与最佳5%结果相关的所有可能的24小时组合来确定最佳时间利用。结果SB时间越长抑郁评分越高(b = 6.34, p <；0.05)、焦虑(b = 7.94, p <；0.05)，感知应激(b = 5.14, p <；0.05)。MVPA时间越长，抑郁评分越低(b = - 2.24, p <；0.05)和感知压力评分(b = - 1.56, p <；0.05)。用LPA或MVPA替代30分钟的SB可改善抑郁和感知压力，而用LPA替代SB可减轻焦虑。最佳时间使用组合为睡眠503分钟，久坐503分钟，LPA 322分钟，MVPA 112分钟。结论本研究强调青少年运动行为与心理健康的关系。减少久坐时间和增加MVPA与更好的心理健康有关。达到最佳的心理健康需要平衡各种日常活动的时间，尽量减少久坐行为，尽可能最大化分配给MVPA的时间。

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引用次数: 0

Burdens of sedentary behaviour and symptoms of mental health disorders and their associations among 297,354 school-going adolescents from 68 countries 来自68个国家的297,354名在校青少年的久坐行为负担和精神健康障碍症状及其相关性

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-12-14 DOI: 10.1016/j.mhpa.2024.100665

Md Shajedur Rahman Shawon , Fariha Binte Hossain , Anupama Thabrew , Sadia Fatema Kabir , Sultan Mahmood , Md Saiful Islam

Background

Sedentary behaviour has become a critical public health issue among adolescents, with growing evidence linking it to adverse mental health outcomes. This study aimed to quantify the prevalence of sedentary behaviour and mental health symptoms among adolescents and explore their associations using data from countries across various WHO regions.

Methods

We analysed data from the Global School-based Health Survey (GSHS) covering 68 countries between 2009 and 2018, including 297,354 adolescents aged 13–17 years. A meta-analysis with random effects was conducted to estimate the prevalence of sedentary behaviour (defined as spending 3 or more hours per day sedentary) and mental health symptoms (including loneliness, anxiety, suicidal ideation, suicide planning, and suicide attempts). Multi-level mixed-effect logistic regressions were used to investigate the associations between these factors.

Results

Overall, 37.2% of adolescents engaged in sedentary behaviour, with a slightly higher prevalence among girls than boys (38.5% vs. 35.8%). The highest prevalence was in the Region of the Americas (46.9%), while the lowest was in the South-East Asia Region (25.7%), with significant variations between countries within each WHO region. Additionally, 19.0% of adolescents reported psychological distress, defined as experiencing at least two mental health symptoms. Sedentary behaviour was significantly associated with psychological distress (OR 1.34, 95% CI: 1.32–1.37) and each mental health symptom, with stronger associations observed among girls, younger adolescents, and those with lower parental support. A dose-response relationship was evident, with the odds of psychological distress increasing almost linearly with more hours spent sedentary (P for trend <0.001).

Conclusions

This study highlights the high prevalence of sedentary behaviour and mental health symptoms among adolescents and demonstrates a clear dose-response association between sedentary behaviour and mental health outcomes. These findings underscore the urgent need for strategies aimed at reducing sedentary time among adolescents to promote better mental health.

久坐行为已经成为青少年中一个重要的公共健康问题，越来越多的证据表明它与不良的心理健康结果有关。本研究旨在量化青少年中久坐行为和心理健康症状的流行程度，并利用来自世卫组织各区域国家的数据探讨两者之间的关联。方法：我们分析了2009年至2018年全球学校健康调查（GSHS）的数据，涵盖68个国家，其中包括297354名13-17岁的青少年。采用随机效应的荟萃分析来估计久坐行为（定义为每天坐3小时或更长时间）和心理健康症状（包括孤独、焦虑、自杀意念、自杀计划和自杀企图）的流行程度。采用多层级混合效应逻辑回归来研究这些因素之间的关联。结果总体而言，37.2%的青少年有久坐行为，女孩的患病率略高于男孩（38.5%比35.8%）。流行率最高的是美洲区域（46.9%），最低的是东南亚区域（25.7%），世卫组织各区域内国家之间存在显著差异。此外，19.0%的青少年报告有心理困扰，定义为经历至少两种心理健康症状。久坐行为与心理困扰（OR 1.34, 95% CI: 1.32-1.37）和每种心理健康症状显著相关，在女孩、青少年和父母支持较少的儿童中观察到更强的相关性。剂量-反应关系很明显，随着久坐时间的增加，心理困扰的几率几乎呈线性增加（P代表趋势<；0.001）。结论本研究强调了青少年中久坐行为和心理健康症状的高患病率，并证明了久坐行为和心理健康结果之间存在明确的剂量反应关系。这些发现强调，迫切需要制定旨在减少青少年久坐时间的策略，以促进更好的心理健康。

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引用次数: 0

Barriers and facilitators to increasing physical activity in medium secure mental health settings: An exploration of staff perceptions 在中等安全的心理健康环境中增加身体活动的障碍和促进因素：对工作人员看法的探讨

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-12-07 DOI: 10.1016/j.mhpa.2024.100663

Kiara Lewis , Gloria Roden-Lui , Guy Faulkner , Simon Gibbon , Catherine Hewitt , Elizabeth Hughes , Wajid Khan , Mike Lucock , Bal Singh , Phil Walters , Judith Watson , Tammi Walker

Purpose

The benefits of physical activity for people with severe mental illness (SMI) is widely recognised but for those in medium secure settings there are additional environmental barriers to being active that have not been fully explored. The aim of this study was to explore the perceived barriers and facilitators from the perspective of staff within the medium secure setting.

Method

Semi-structured focus groups were conducted with qualified and unqualified staff (n = 24) across two UK medium secure NHS settings. Michie's COM-B framework was used to inform the topic guide and the analysis of the data.

Results

The opportunities to be active in medium secure settings depend not only on access to facilities but also staff availability and willingness to support such activities. When an individualised approach is taken, and staff are skilled and motivated to support such activities then it is possible for people with SMI in medium secure settings to be physically active.

Conclusion

People with SMI in secure settings have reduced autonomy to increase their own physical activities but it was suggested that with the appropriate opportunities and the motivation of staff their capability to be active could be enhanced.

体育活动对严重精神疾病（SMI）患者的益处已得到广泛认可，但对于处于中等安全环境中的患者来说，还存在额外的环境障碍，这些障碍尚未得到充分探索。本研究的目的是从员工的角度探讨在中等安全环境中的感知障碍和促进因素。方法在两个英国中等安全的NHS设置中，对合格和不合格的工作人员（n = 24）进行半结构化焦点小组。Michie的COM-B框架被用于主题指南和数据分析。结果在中等安全环境中活动的机会不仅取决于设施的可用性，还取决于工作人员的可用性和支持此类活动的意愿。当采取个性化的方法时，工作人员熟练且积极地支持这些活动，那么在中等安全环境中，重度精神障碍患者就有可能进行身体活动。结论在安全环境中，重度精神障碍患者增加自身体育活动的自主性较弱，但建议通过适当的机会和工作人员的激励，可以提高他们的活动能力。

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引用次数: 0

Association between physical activity and mortality across levels of psychological stress and distress among Korean adults 韩国成年人心理压力和痛苦水平的体育活动与死亡率之间的关系

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-12-06 DOI: 10.1016/j.mhpa.2024.100662

Suyeon Kim , Younghwan Choi , Yeon Soo Kim

Background

Psychological issues persist in South Korea. We investigated the protective effects of physical activity (PA) on all-cause mortality among individuals with psychological issues.

Methods

We included 35,011 Korean adults from the 2007–2013 Korean National Health and Nutrition Examination Survey with all-cause mortality data up to 2019. Participants were classified into following three PA levels: insufficiently active, active, and highly active. Psychological issues were defined as a composite measure encompassing the following three factors: perceived stress, depressive symptoms, and suicidal thoughts. The participants were categorized based on their psychological status. Differences in mortality risk according to the PA levels and psychological status were examined using subgroup analyses. Hazard ratios (HRs) for mortality were estimated using the Cox proportional hazards model.

Results

Over a mean follow-up period of 9.2 years, 1925 deaths occurred. Compared to no symptoms, the HRs for mortality were 1.09 (95% confidence interval [CI]: 0.93–1.29), and 1.26 (95%CI: 1.14–1.40) for psychological stress and distress, respectively. Highly active individuals showed a significantly lower HR for mortality at 0.83 (95%CI: 0.75–0.92). Among individuals experiencing psychological distress, active individuals (HR = 0.81, 95%CI: 0.63–1.03) or highly active ones (HR = 0.80, 95%CI: 0.67–0.95) showed a low risk of mortality.

Conclusion

Psychological status and PA are independent predictors of mortality. Engaging in PA significantly reduces mortality risk associated with psychological issues, emphasizing the importance of promoting PA in individuals with psychological issues as a key strategy for reducing mortality risk in public health.

心理问题在韩国持续存在。我们调查了身体活动（PA）对有心理问题个体的全因死亡率的保护作用。方法：我们纳入了2007-2013年韩国国家健康与营养调查的35,011名韩国成年人，其中包括截至2019年的全因死亡率数据。参与者被分为以下三个PA水平：不充分活跃、活跃和高度活跃。心理问题被定义为包含以下三个因素的综合测量：感知压力、抑郁症状和自杀念头。参与者根据他们的心理状态被分类。根据PA水平和心理状态对死亡风险的差异进行亚组分析。使用Cox比例风险模型估计死亡率的风险比（hr）。结果随访9.2年，死亡病例1925例。与无症状组相比，心理压力和痛苦组死亡率的hr分别为1.09（95%可信区间[CI]: 0.93-1.29）和1.26（95%可信区间：1.14-1.40）。高运动个体的死亡率比显著降低，为0.83 （95%CI: 0.75-0.92）。在有心理困扰的个体中，活动者（HR = 0.81, 95%CI: 0.63 ~ 1.03）和活动者（HR = 0.80, 95%CI: 0.67 ~ 0.95）的死亡风险较低。结论心理状态和PA是死亡率的独立预测因素。参与PA可显著降低与心理问题相关的死亡风险，强调在有心理问题的个体中推广PA作为降低公共卫生死亡风险的关键策略的重要性。

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引用次数: 0

Fostering physical activity motivation at substance use disorder treatment facilities: A qualitative study grounded in self-determination theory 在药物使用障碍治疗机构中培养体育锻炼动机：以自我决定理论为基础的定性研究

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100650

Sascha Thal , Chloe Graham , Nikos Ntoumanis , Bronwyn Myers , Stephen Bright , Jocelyn Jones , Eleanor Quested

Background and aims

Studies have found inconclusive results for the effects of physical activity (PA) interventions on substance use, mental health, and physiological health of people experiencing substance use disorders (SUDs). To improve PA interventions for individuals with SUDs, a deeper understanding of the underlying motivational processes is imperative. This study employs self-determination theory as a framework to explore factors impacting PA motivation in SUD treatment contexts.

Methods

A qualitative research design utilising semi-structured interviews explored the experiences and perspectives of five people with lived or living experience of SUD treatment and five stakeholders within SUD treatment facilities across Western Australia. A reflexive thematic analysis was employed for the data analysis.

Results

Five themes were developed: (i) Belonging to a Community, describing the sense of community fostered by group PA (ii) Mind, Body, and Soul, outlining the impact of PA on mental and physical well-being and sense of self; (iii) Physical Activity and Recovery Integration, describing how structured PA supports individuals transitioning from SUD treatment to community environments, (iv) Goals and Rewards, illustrating how setting goals fosters a sense of accomplishment, and (v) Safe Space, describing the importance of creating safe environments for PA exploration.

Conclusion

Insights gained from this study could be used to design PA interventions that address individuals’ basic psychological needs and promote more autonomous motivation while fostering peer connections, PA knowledge, and independence. These implementations may lead to greater PA engagement and adherence.

背景和目的研究发现，体育锻炼（PA）干预措施对药物使用障碍（SUDs）患者的药物使用、心理健康和生理健康的影响尚无定论。为了改善针对药物滥用障碍患者的体育锻炼干预，必须深入了解其潜在的动机过程。本研究以自我决定理论为框架，探讨了影响药物滥用性精神障碍（SUD）治疗过程中的动力因素。研究方法采用半结构式访谈的定性研究设计，探讨了西澳大利亚州药物滥用性精神障碍（SUD）治疗过程中的五位亲身经历者和五位利益相关者的经验和观点。数据分析采用了反思性主题分析法。结果形成了五个主题：(i) 归属社区，描述了集体 PA 所培养的社区感；(ii) 心灵、身体和灵魂，概述了 PA 对身心健康和自我意识的影响；(iii) 身体活动与康复融合，描述了有组织的 PA 如何支持个人从药物依赖治疗过渡到社区环境；(iv) 目标和奖励，说明了设定目标如何培养成就感；以及 (v) 安全空间，描述了为 PA 探索创造安全环境的重要性。结论从本研究中获得的启示可用于设计PA干预措施，以满足个人的基本心理需求，促进更自主的动机，同时培养同伴联系、PA知识和独立性。这些措施的实施可能会提高人们对体育锻炼的参与度和坚持度。

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引用次数: 0

An integrative overview of physical activity for people with opioid use disorder 阿片类药物使用障碍患者体育锻炼综合概述

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100651

Evan Matthews , Hannah Fabian , Martina Gooney , Denise Rogers , Joseph Firth

Background

People with and in recovery from opioid use disorder face a burden of poor physical and mental health. However, an emergent and growing body of evidence shows that physical activity has a multidimensional therapeutic potential to help people with opioid use disorders during recovery.

Methods

We conducted a narrative review that incorporated a broad range of quantitative and qualitative evidence, in addition to key review evidence, to offer an overview of the benefits of physical activity on (i) abstinence and related outcomes, (ii) other mental health and cognitive outcomes, (iii) physical health outcomes, (iv) social health and wellbeing outcomes. We also discuss the evidence for (v) physical activity levels and behaviour in people with opioid use disorder, (vi) and, key factors of influences on physical activity behaviour among people with opioid use disorder. The article concludes with key recommendations for future research and practice.

Results

A limited body of evidence exists for using physical activity to improve outcomes of abstinence, improved physical health, mental health and social health among people with opioid use disorder. To date, such interventions are somewhat limited in quality and scale, and few have examined effects beyond light and moderate intensity, including high intensity PA and resistance exercise intervention. People with opioid use disorder appear to have nuanced physical activity behaviours that are influenced by a plethora of individual, interpersonal and environmental factors. Such populations also typically have low levels of physical activity, but more research is required to understand this.

Conclusion

There is an apparent need for integrated efforts to improve opportunities for physical activity as part of treatment for opioid use disorders. There is also a need for the inclusion of people with opioid use disorder in PA implementation research.

背景阿片类药物滥用障碍患者和康复者面临着身心健康状况不佳的负担。方法我们进行了一项叙述性综述，除关键综述证据外，还纳入了大量定量和定性证据，概述了体育活动对以下方面的益处：(i) 戒烟及相关结果；(ii) 其他心理健康和认知结果；(iii) 身体健康结果；(iv) 社会健康和福祉结果。我们还讨论了以下方面的证据：(v) 阿片类药物滥用障碍患者的体育锻炼水平和行为；(vi) 以及影响阿片类药物滥用障碍患者体育锻炼行为的关键因素。文章最后对未来的研究和实践提出了重要建议。结果关于利用体育活动改善阿片类药物使用障碍患者的戒断、身体健康、心理健康和社会健康状况的证据有限。迄今为止，此类干预措施在质量和规模上都有一定的局限性，很少有人研究过轻度和中度强度以外的效果，包括高强度体育锻炼和阻力运动干预。阿片类药物滥用障碍患者的体育锻炼行为似乎存在细微差别，受到大量个人、人际和环境因素的影响。这些人群的体育锻炼水平通常也较低，但还需要更多的研究来了解这一点。结论显然需要采取综合措施，改善体育锻炼机会，以此作为阿片类药物使用障碍治疗的一部分。还需要将阿片类药物使用障碍患者纳入体育锻炼实施研究。

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引用次数: 0

Acute effect of different types of moderate intensity physical exercise on affective response and mood state in individuals with substance use disorder 不同类型的中等强度体育锻炼对药物使用障碍患者的情感反应和情绪状态的急性影响

IF 2.3 3区医学 Q2 PSYCHIATRY

Mental Health and Physical Activity

Pub Date : 2024-10-01 DOI: 10.1016/j.mhpa.2024.100634

Bruno Marson Malagodi , Marcia Greguol , Vagner Deuel de Oliveira Tavares , Attilio Carraro , Helio Serassuelo Júnior

Substance use disorder (SUD) affects a significant percentage of people around the world, negatively influencing aspects of physical and mental health. Physical exercise can promote acute and chronic effects on the affective response and mood of individuals and has shown promising effects in all phases of rehabilitation. The objective of this study was to verify the acute effects of two types of physical exercises at moderate intensity on the mood state and on the affective response of individuals hospitalized for the treatment of SUD. For this purpose, 43 individuals (31 men and 12 women) underwent two physical exercise sessions (one aerobic and one functional) and a control session. Before and immediately after the sessions, subjects answered questionnaires about mood, affective valence, and perceived arousal. Generalized estimating equations (GEE) followed by the Bonferroni post hoc test were used to assess the effect of timing and session on the variables. The results showed significant improvements after both physical exercise sessions in mood (reduction in levels of tension, depression, anger, fatigue, and confusion) and in affective valences (feeling of pleasure and arousal perception), with no changes after the control session. It is observed that different types of physical exercises can positively impact the mental health of individuals undergoing treatment for SUD and should be used as a non-pharmacological strategy in the rehabilitation process.

药物使用失调症（SUD）影响着全世界相当大比例的人，对身心健康造成了负面影响。体育锻炼可以促进个人情感反应和情绪的急性和慢性效应，并在康复的各个阶段显示出良好的效果。本研究的目的是验证两种中等强度的体育锻炼对住院治疗精神分裂症患者的情绪状态和情感反应的急性影响。为此，43 名受试者（31 名男性和 12 名女性）进行了两次体育锻炼（一次有氧运动，一次功能运动）和一次对照运动。在运动前后，受试者回答了有关情绪、情感价位和知觉唤醒的问卷。研究人员使用了广义估计方程（GEE）和 Bonferroni 事后检验来评估运动时间和运动次数对变量的影响。结果显示，两次体育锻炼后，情绪（紧张、抑郁、愤怒、疲劳和困惑程度的降低）和情感价值（愉悦感和唤醒感）都有明显改善，而对照组锻炼后没有变化。据观察，不同类型的体育锻炼可对接受药物滥用治疗者的心理健康产生积极影响，应作为康复过程中的一种非药物策略。

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引用次数: 0