Exercise and Physical Activity in Mental Disorders: Clinical and Experimental Evidence

Department of Psychiatry and Psychotherapy, Charité-Universitätsmedizin Berlin, Charité Campus Mitte, Berlin, Germany.
Journal of preventive medicine and public health = Yebang Ŭihakhoe chi 01/2013; 46 Suppl 1(Suppl 1):S12-21. DOI: 10.3961/jpmph.2013.46.S.S12
Source: PubMed

ABSTRACT Several epidemiological studies have shown that exercise (EX) and physical activity (PA) can prevent or delay the onset of different mental disorders, and have therapeutic benefits when used as sole or adjunct treatment in mental disorders. This review summarizes studies that used EX interventions in patients with anxiety, affective, eating, and substance use disorders, as well as schizophrenia and dementia/mild cognitive impairment. Despite several decades of clinical evidence with EX interventions, controlled studies are sparse in most disorder groups. Preliminary evidence suggests that PA/EX can induce improvements in physical, subjective and disorder-specific clinical outcomes. Potential mechanisms of action are discussed, as well as implications for psychiatric research and practice.

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    ABSTRACT: PurposeThis study examines attendance at, and satisfaction with, a group exercise program in an inpatient mental health setting.Design and Method Thirty-two inpatients completed discharge surveys to evaluate group activities. Data were analyzed for participation and satisfaction.FindingsMore inpatients (n = 16, 50%) rated exercise as “excellent” compared with all other activities. Nonattendance rates were lowest for cognitive behavioral therapy (n = 2, 6.3%), highest for the relaxation group (n = 6, 18.8%), and 12.5% (n = 4) for the group exercise program.Practice ImplicationsGroup exercise programs delivered by highly trained personnel are well attended and achieve high satisfaction ratings by inpatient mental health consumers.
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