The effects and determinants of exercise participation in first-episode psychosis: a qualitative study.
The effects and determinants of exercise participation in first-episode psychosis: a qualitative study.
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DOI：
10.1186/s12888-016-0751-7
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发表时间：
2016-02-20
期刊：
影响因子：
4.4
通讯作者：
Yung AR
中科院分区：
文献类型：
--
作者：
Firth J;Carney R;Jerome L;Elliott R;French P;Yung AR
先前的定性研究发现，运动可能有助于长期精神分裂症患者的症状和功能恢复。这项研究检查了人们在精神病早期阶段所经历的运动的感知效果，并探讨了运动干预的哪些方面促进或阻碍了他们的参与。对参加过 10 周运动干预的早期干预服务使用者进行了 19 次半结构化访谈。访谈讨论了人们锻炼的动机和障碍、短期和长期影响以及对最佳干预措施的看法。应用主题分析来确定流行主题。该干预措施被认为对参与者有益且有吸引力。主要主题是（a）运动减轻精神症状，（b）运动后改善自我认知，以及（c）决定运动参与的因素，每个主题都有三个各自的子主题。参与者解释了锻炼如何改善他们的心理健康，提高他们的信心并给他们带来成就感。自主性和社会支持被认为是有效让首发精神病患者进行中度至剧烈运动的关键因素。在早期干预服务中实施此类计划可能会改善服务使用者的身体健康、症状管理和社会功能。当前对照试验 ISRCTN09150095。注册日期：2013 年 12 月 10 日。本文的在线版本 (doi:10.1186/s12888-016-0751-7) 包含补充材料，可供授权用户使用。
Previous qualitative studies have found that exercise may facilitate symptomatic and functional recovery in people with long-term schizophrenia. This study examined the perceived effects of exercise as experienced by people in the early stages of psychosis, and explored which aspects of an exercise intervention facilitated or hindered their engagement. Nineteen semi-structured interviews were conducted with early intervention service users who had participated in a 10-week exercise intervention. Interviews discussed people’s incentives and barriers to exercise, short- and long-term effects, and opinions on optimal interventions. A thematic analysis was applied to determine the prevailing themes. The intervention was perceived as beneficial and engaging for participants. The main themes were (a) exercise alleviating psychiatric symptoms, (b) improved self-perceptions following exercise, and (c) factors determining exercise participation, with three respective sub-themes for each. Participants explained how exercise had improved their mental health, improved their confidence and given them a sense of achievement. Autonomy and social support were identified as critical factors for effectively engaging people with first-episode psychosis in moderate-to-vigorous exercise. Implementing such programs in early intervention services may lead to better physical health, symptom management and social functioning among service users. Current Controlled Trials ISRCTN09150095. Registered 10 December 2013. The online version of this article (doi:10.1186/s12888-016-0751-7) contains supplementary material, which is available to authorized users.