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Background Mental disorders are prevalent and cause considerable burden of disease. Exercise has been shown to be efficacious to treat major depressive disorders, insomnia, panic disorder with and without agoraphobia and post traumatic stress disorder (PTSD). Methods This pragmatic, two arm, multi-site randomised controlled trial will evaluate the...
Background The Covid-19 pandemic is affecting the entire world population. During the first spread, most governments have implemented quarantine and strict social distancing procedures. Similar measures during recent pandemics resulted in an increase in post-traumatic stress, anxiety and depression symptoms. The development of novel interventions t...
Background: Exercise efficaciously reduces disorder-specific symptoms of psychiatric disorders. The current study aimed to examine the efficacy of a group exercise intervention on global symptom severity and disorder-specific symptoms among a mixed outpatient sample. Methods: Groups of inactive outpatients, waiting for psychotherapy, with depres...
Current meta-analyses demonstrate convincing evidence regarding the efficacy of exercise on depression, insomnia, anxiety disorders, schizophrenia and ADHD. However, exercise and sports therapy approaches for patients with psychological disorders are mostly integrated in psychiatric inpatient or rehabilitation settings, but not applied in the outpa...
The Covid-19 pandemic is affecting the entire world population. During the first spread, most governments have implemented quarantine and strict social distancing procedures. Similar measures during recent pandemics resulted in an increase in post-traumatic stress, anxiety and depression symptoms. The development of novel interventions to mitigate...
Regelmäßige sportliche Aktivität wirkt sich nicht nur auf das körperliche Wohlbefinden aus, sondern hat auch positive Effekte auf die psychische Verfassung. Sport verringert bei Depressionen, Angststörungen, Schlafstörungen und ADHS die Symptomatik deutlich. Trotz dieser klinisch relevanten Effekte gibt es bisher vor allem im ambulanten Versorgungs...
A growing body of research suggests moderate to vigorous physical activity (MVPA) to be ef-fecacious in improving psychopathological symptoms of mental disorders with a high preva-lence, such as major depression, anxiety disorders and insomnia. In spite of its efficacy and applicability, no exercise intervention has yet been developed for the outpatient psychothera-peutic context. To fill this gap, we developed the 12-week exercise intervention “ImPuls”, based on the current evidence about the therapeutic efficacy and (sustainable) promotion of MVPA in outpatients with mental disorders. Between February 2018 and October 2019, the department of Clinical Psychology and Psychotherapy, in cooperation with the Institute of Sports Science (Prof. Dr. Gorden Sudeck) of the University of Tuebingen, evaluated the efficacy (i.e., reduc-tion of psychopathological symptoms, increase of the extent of MVPA) of ImPuls in a random-ized controlled trial. A sample of N = 75 outpatients, suffering from at least one diagnosed men-tal disorder (major depression, anxiety disorders, insomnia), aged between 18 and 65 (M = 35.36, SD = 13.28) and waiting for psychotherapeutic treatment, participated in the study. Using stratified block randomization (stratified variables were age and severity of symptoms), partici-pants were allocated to an intervention group (IG; n = 38) or passive control group (CG; n = 37) when 6 to 10 patients were eligible (IG: n = 3-5; CG: n = 3-5) for study participation. To analyze the change in psychopathological symptoms (Symptom-Checklist-90®-Standard; Pittsburgh Sleep Quality Index, heart rate variability), we included group (IG vs. CG) as a between-subject variable and time (T1: pre); T3: post) as a within subject variable. To analyze the extent of sub-jectively reported MVPA (Physical Activity, Exercise, and Sport Questionnaire, BSA-F) we in-cluded group as a between-subject variable and time (T1; T2: week 9; T3) as a within subject var-iable. Objectively assessed MVPA (accelerometer) was analyzed with group as a between-subject variable at one time point (T2). Linear mixed models will be conducted to determine the change of psychopathological symptoms and extent of MVPA at T3. A linear regression model will be conducted to determine whether the change of symptom reduction was predicted by the increase of MVPA at T2 and T3. Analyses will be conducted using the intention-to-treat-sample. TRIAL REGISTRATION: ClinicalTrials.gov NCT03542396. We are currently collecting one-year follow-up data to test the maintenance of effects on psy-chopathological symptoms and the extent of exercise. Furthermore, between June 2020 and June 2023, ImPuls will be implemented and evaluated as an innovative health care project fund-ed by the “Innovationsfonds des Gemeinsamen Bundesausschusses (G-BA)” (see for more in-formation: https://innovationsfonds.g-ba.de/downloads/media/167/Liste-gefoerderte-Projekte-nVF-FBK-19-10-2018.pdf). The aim of the research project will be to evaluate the increase of care efficiency/reduction in waiting time for psychotherapy and the reduction of care costs by the implementation of ImPuls at 10 regional sports and exercise therapy centers in Baden-Württemberg (Germany).