[SportMed] SPORTS MEDICINE : PHYSICAL EXERCISE AND FITNESS : MENTAL ILLNESS : PSYCHOLOGY: DISORDERS : MEDICAL RESEARCH : PSCYCHIATRY : JOURNAL ARTICLES: Integrating Physical Activity Into Mental Health Services for Persons With Serious Mental Illness

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SPORTS MEDICINE :

PHYSICAL EXERCISE AND FITNESS :

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JOURNAL ARTICLES:

Integrating Physical Activity Into Mental Health Services
for Persons With Serious Mental Illness

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Integrating Physical Activity Into Mental Health Services
for Persons With Serious Mental Illness

Caroline R. Richardson, M.D., Guy Faulkner, Ph.D., Judith McDevitt, Ph.D., F.N.P., Gary S. Skrinar, Ph.D., Dori S. Hutchinson, Sc.D., John D. Piette, Ph.D.

Psychiatry Online

Psychiatric Services

Volume 56 Issue 3, March 2005, pp. 324-331

http://dx.doi.org/10.1176/appi.ps.56.3.324

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From the Abstract

This article reviews evidence supporting the need for interventions to promote physical activity among persons with serious mental illness. Principles of designing effective physical activity interventions are discussed along with ways to adapt such interventions for this population. Individuals with serious mental illness are at high risk of chronic diseases associated with sedentary behavior, including diabetes and cardiovascular disease. The effects of lifestyle modification on chronic disease outcomes are large and consistent across multiple studies. Evidence for the psychological benefits for clinical populations comes from two meta-analyses of outcomes of depressed patients that showed that effects of exercise were similar to those of psychotherapeutic interventions. Exercise can also alleviate secondary symptoms such as low self-esteem and social withdrawal. Although structured group programs can be effective for persons with serious mental illness, especially walking programs, lifestyle changes that focus on accumulation of moderate-intensity activity throughout the day may be most appropriate. Research suggests that exercise is well accepted by people with serious mental illness and is often considered one of the most valued components of treatment. Adherence to physical activity interventions appears comparable to that in the general population. Mental health service providers can provide effective, evidence-based physical activity interventions for individuals with serious mental illness.

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In this article, we first review the evidence for the benefits of physical activity in the general population and more specifically among individuals with serious mental illness. We then summarize what is currently known about the epidemiology of physical activity in the population of persons with serious mental illness. We also present an overview of the principles of designing effective physical activity interventions. Finally, we argue that such interventions should become a routine component of comprehensive psychiatric care for individuals with serious mental illness.

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Topics Covered in This Article:

Physical health benefits of physical activity

Mental health benefits of physical activity

Epidemiology of physical activity and serious mental illness

Designing effective physical activity programs

Recommended levels of physical activity

Structured versus lifestyle activity

Individually tailored interventions

Self-monitoring

Group versus one-on-one sessions

Self-efficacy

Participants’ safety

Physical activity resources for mental health service providers

Books

National organizations

Local resources

Web sites

Adherence

Integrating activity interventions into psychiatric services

Limitations of current research and future directions

Conclusions

Strategies to change physical activity behavior that have been successful in healthier populations can be adopted for those with serious mental illness. These interventions are feasible and popular and can result in clinically significant behavior change in a mental health services setting. Physical activity has an important role to play in the lives of individuals with serious mental illness. By integrating physical activity programs into psychiatric services, we can substantially improve the physical health outcomes of people with serious mental illness, and we may also see improvements in psychological and social outcomes. Thus physical activity interventions are a critical component of a biopsychosocial approach in recovery-oriented mental health services (98).

Acknowledgment

References

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Selected Sources Citing This Work

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Author  Jill L. Bezyak
Contributor     The University of Wisconsin – Madison
Publisher       ProQuest, 2008
ISBN    0549792961, 9780549792963
Dissertation

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The Physical Care of People with Mental Health Problems: A Guide For Best Practice
Editors Eve Collins, Mandy Drake, Maureen Deacon
Publisher       SAGE, 2013
ISBN    1446291022, 9781446291023
Length  248 pages

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Title   Clinical Manual of Prevention in Mental Health
Editor  Michael T. Compton
Edition illustrated
Publisher       American Psychiatric Pub, 2009
ISBN    1585629235, 9781585629237
Length  438 pages

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Essential Mental Health Nursing Skills
Authors Madeline O’Carroll, Alistair Park
Contributor     Maggie Nicol
Edition revised
Publisher       Elsevier Health Sciences, 2007
ISBN    072343526X, 9780723435266
Length  256 pages

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Integrating Health Promotion and Mental Health :
An Introduction to Policies, Principles, and Practices: An
Author  Vikki L. Vandiver
Associate Professor of Social Work
Portland State University
Publisher       Oxford University Press, USA, 2008
ISBN    019972170X, 9780199721702
Length  416 pages

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The Oxford Handbook of Prevention in Counseling Psychology
Oxford Library of Psychology
Author  Elizabeth Vera
Editor  Elizabeth Vera
Edition illustrated
Publisher       OUP USA, 2012
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Length  542 pages

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Psychology of Physical Activity: Determinants, Well-Being and Interventions
Authors Stuart J. H. Biddle, Nanette Mutrie, Trish Gorely
Edition illustrated, revised
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Editors Graham Thornicroft, Mirella Ruggeri, David Goldberg
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Psychiatric Intensive Care
Authors M. Dominic Beer, Stephen M. Pereira, Carol Paton
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Authors Michaela Amering, Margit Schmolke
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Assistive Technology Assessment Handbook
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Editors Stefano Federici, Marcia Scherer
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Integrated Care: Working at the Interface of Primary Care and Behavioral Health
Editor  Lori E. Raney
Edition illustrated
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Length  300 pages

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Psychiatric Nursing
Authors Norman L. Keltner, Debbie Steele
Edition 7
Publisher       Elsevier Health Sciences, 2014
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Forensic Issues in Adolescents with Developmental Disabilities
Volume 32 of Forensic focus
Author  Ernest Gralton
Edition illustrated
Publisher       Jessica Kingsley Publishers, 2011
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Length  287 pages

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Author  Roland A. Carlstedt, PhD
Edition illustrated
Publisher       Springer Publishing Company, 2009
ISBN    0826110959, 9780826110954
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Trauma Rehabilitation After War and Conflict: Community and Individual Perspectives
Editor  Erin Martz
Edition illustrated
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Length  436 pages

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Managing Metabolic Abnormalities in the Psychiatrically Ill: A Clinical Guide for Psychiatrists
Author  Evelyn McElroy
Editors Richard A. Bermudes, Paul E. Keck
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[SportMed] SPORTS MEDICINE : PHYSICAL EXERCISE AND FITNESS : MENTAL ILLNESS : PSYCHOLOGY: DISORDERS : MEDICAL RESEARCH : PSCYCHIATRY : JOURNAL ARTICLES: Integrating Physical Activity Into Mental Health Services for Persons With Serious Mental Illness

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