Indeed, most of the exercise interventions were gymnasium-based, which may make it difficult to generalise the benefits to community members who do not have access to the facilities. Despite numerous benefits, many patients with psychosis have poor self-motivation, little social support, cognitive deficits, and self-stigma, which may hinder their participation in exercise. Although a recent study found that a dose-response relationship is not linear, high-dose exercise was found to be associated with greater improvement in cognitive functioning. Particularly, previous studies found that aerobic exercise and yoga, in conjunction with an increase in hippocampal volume, were associated with improvements in both working memory and depressive symptoms, and yoga can additionally improve verbal acquisition and attention. Regarding the improvement in cognitive function, several studies suggested that not only the type and duration of the exercise matter, but also the amount and intensity. Įxercise interventions, such as aerobic exercise and yoga, can be effective in improving not only a patient’s clinical symptoms, but also cognitive functioning, interpersonal, and functional outcomes. Therefore, to complement the insufficiency of medication treatment alone for rehabilitation, adjunctive psychosocial interventions are needed. While the effectiveness of antipsychotic medications in improving positive symptoms is well established, the findings were less robust for negative symptoms and cognitive impairment, but they are more important for overall functioning. Specifically, those with schizophrenia lose an average of 28.5 years of life expectancy. Individuals with psychosis have a lower life expectancy, reflected in a higher overall mortality rate than the general population. Further systematic studies are needed to examine the long-term beneficial effects of the programme. The FITMIND exercise programme is a feasible community-based intervention that can improve PA participation and mood in patients with psychosis. After the 12-week programme, participants demonstrated significant improvement in vigorous-intensity PA, moderate-to-vigorous PA, compliance with international guidelines for PA, and mood symptoms. ResultsĪt baseline, seven participants (14.3%) met the recommendation of the PA for severe mental illnesses. The outcome measures were working memory, physical activity (PA) participation, quality of life, and mood symptoms. This study analysed the profiles of 49 patients with psychosis who were referred by the case manager of the early psychosis programme in the public hospital in Hong Kong or enrolled in the programme through the project website. This study evaluated a 12-week community exercise programme named FITMIND, which aims to help patients with psychosis establish exercise habits through easy-to-learn aerobic exercise and yoga, with the support of trained volunteers. However, their benefits may not be maximally generalised to those who cannot access gymnasium facilities, which were commonly required previously. Exercise interventions can improve clinical symptoms and cognition in patients with psychosis in addition to their physical health.
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