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Effect of a Motivational Intervention on Exercise Behavior in Persons with Schizophrenia Spectrum Disorders

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Abstract

Ninety seven outpatients with schizophrenia spectrum disorders (SSDs) were randomly assigned to the Walk, Address Sensations, Learn About Exercise, Cue Exercise Behavior for SSDs (WALC-S), a motivational intervention designed to increase exercise in SSDs (n = 48), or a time and attention control group (TAC, n = 49). WALC-S and TAC groups met weekly for 4 weeks before a 16 week walking program was offered to all subjects. We compared the exercise attendance, persistence and compliance of the groups during the walking program. WALC-S recipients attended more walking groups, for more weeks and walked more minutes than those receiving TAC. Percent of WALC-S or TAC groups attended was significantly correlated with overall attendance (r = 0.38, P = 0.001) and persistence (r = −.29, P = 0.01), as well as number of minutes walked. This study is among the first to examine interventions designed to enhance exercise motivation in SSDs.

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References

  • Acil, A. A., Dogan, S., & Dogan, O. (2008). The effects of physical exercises to mental state and quality of life in patients with schizophrenia. Journal of Psychiatric and Mental Health Nursing, 15, 808–815.

    Article  PubMed  CAS  Google Scholar 

  • American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.

    Book  Google Scholar 

  • Ananth, J., Venkatesh, R., Burgoyne, K., Gadasalli, R., Binford, R., & Gunatilake, S. (2004). Atypical antipsychotic induced weight gain: Pathophysiology and management. Annals of Clinical Psychiatry, 16(2), 75–85.

    Article  PubMed  Google Scholar 

  • Archie, W., Wilson, J. H., Osborne, S., Hobbs, H., & McNiven, J. (2003). Pilot study: Access to fitness facility and exercise levels in olanzapine-treated patients. Canadian Journal of Psychiatry, 48(9), 628–632.

    Google Scholar 

  • Ball, M. P., Coons, V. B., & Buchanan, R. W. (2001). A program for treating olanzapine related weight gain. Psychiatric Services, 52, 967–969.

    Article  PubMed  CAS  Google Scholar 

  • Beebe, L. H. (2001). Community nursing support for Schizophrenic clients. Archives of Psychiatric Nursing, 15(5), 214–222.

    Article  PubMed  CAS  Google Scholar 

  • Beebe, L. H., & Smith, K. (2010a). Feasibilty of the Walk, Address, Learn and Cue (WALC) Intervention for schizophrenia spectrum disorders. Archives of Psychiatric Nursing, 24(1), 54–62.

    Article  PubMed  Google Scholar 

  • Beebe, L. H., & Smith, K. (2010b). Informed consent to research in persons with Schizophrenia spectrum disorders. Nursing Ethics, 17(4), 425–434.

    Article  PubMed  Google Scholar 

  • Beebe, L. H., Tian, L. (2004). TIPS: Telephone intervention problem solving for persons with Schizophrenic. Issues in Mental health Nursing, 25(3), 317–320.

    Article  PubMed  Google Scholar 

  • Beebe, L. H., Tian, L., Morris, N., Goodwin, A., Swant-Allen, S., & Kuldau, J. (2005). Effects of exercise on mental and physical health parameters of persons with schizophrenia. Issues in Mental Health Nursing, 26, 661–676.

    Article  PubMed  Google Scholar 

  • Carpenter, W. T., Jr, Gold, J. M., Lahti, A. L., Queem, L. A., Conley, R. R., Bartko, J. J., et al. (2000). Decisional capacity for informed consent in schizophrenia research. Archives of General Psychiatry, 57(6), 533–538.

    Article  PubMed  Google Scholar 

  • Centorrino, F., Wurtman, J. J., Duca, K. A., Fellman, V. H., Fogarty, K. V., Berry, J. M., et al. (2006). Weight loss in overweight patients maintained on atypical antipsychotic agents. International Journal of Obesity, 30, 1011–1016.

    Article  PubMed  CAS  Google Scholar 

  • Chamove, A. S. (1986). Positive short-term effects of activity on behavior in chronic schizophrenic patients. British Journal of Clinical Psychology, 25, 125–133.

    Article  PubMed  Google Scholar 

  • Chen, C. K., Chen, Y. C., & Huang, Y. S. (2009). Effects of a 10-week weight control program on obese patients with schizophrenia or schizoaffective disorder: A 12-month follow up. Psychiatry and Clinical Neuroscience, 63(1), 17–22.

    Article  Google Scholar 

  • DeRenzo, E. G., Conley, R. R., & Love, R. (1998). Assessment of capacity to give consent for research: State of the art and beyond. Journal of HealthCare Law and Policy, 1, 66–87.

    CAS  Google Scholar 

  • Fogarty, M., Happell, B., & Pininkahana, J. (2004). The benefits of an exercise program for people with schizophrenia: A pilot study. Psychiatric Rehabilitation Journal, 28(2), 173–176.

    Article  PubMed  Google Scholar 

  • Gimino, F. A., & Levin, S. J. (1984). The effects of aerobic exercise on perceived self-image in post-hospitalized schizophrenic patients. Medicine and Science in Sports and Exercise, 16, 139.

    Google Scholar 

  • Hardeman, S. M., Harding, R. K., & Narasimhan, M. (2010). Simplifying adherence in schizophrenia. Psychiatric Services, 61(4):405–408.

    Google Scholar 

  • Hogdon, R. E., & Reimer, D. (1960). Some muscular strength and endurance scores of psychiatric patients. Journal of the Association for Physical and Mental Rehabilitation, 14, 38–44.

    Google Scholar 

  • Jin, H., Meyer, J. M., & Jeste, D. V. (2004). Atypical antipsychotics and glucose dysregulation: A systematic review. Schizophrenia Research, 71(2–3), 195–212.

    Article  PubMed  Google Scholar 

  • Kikkert, M. J., Schene, A. H., Koeter, M. W., Robson, D., Born, A., Helm, H., et al. (2006). Medication adherence in schizophrenia: Exploring patients’ careers’ and professionals’ views. Schizophrenia Bulletin, 32(4), 786–794.

    Article  PubMed  Google Scholar 

  • Kwon, J. S., Choi, J. S., Bahk, W. M., Kim, C. Y., Kim, C. H., Shin, Y. C., et al. (2006). Weight management program for treatment-emergent weight gain in Olanzapine–treated patients with schizophrenia or schizoaffective disorder: A 12-week randomized controlled clinical trial. Journal of Clinical Psychiatry, 67(4), 547–553.

    Article  PubMed  Google Scholar 

  • Lindquist, J. E. (1981). Activity and vestibular function in chronic schizophrenics. Occupational Therapy Journal of Research, 1, 56–78.

    Google Scholar 

  • Menza, M., Vreeland, B., Minsky, S., Gara, M., Radler, D. R., & Sakowitz, M. (2004). Managing atypical antipsychotic-associated weight gain: 12-month data on a multimodal weight control program. Journal of Clinical Psychiatry, 65(4), 471–477.

    Article  PubMed  Google Scholar 

  • Morgan, W. P. (1974). Exercise and mental disorders. In A. J. Ryan & J. P. Allman Jr (Eds.), Sports medicine. London: Academic Press.

    Google Scholar 

  • Newcomer, J. W. (2004). Abnormalities of glucose metabolism associated with atypical antipsychotic drugs. Journal of Clinical Psychiatry, 65(Suppl. 18), 36–46.

    PubMed  CAS  Google Scholar 

  • Pelham, T. W., Campagna, P. D., Ritvo, P. G., & Birnie, W. A. (1993). The effects of exercise therapy on clients in a psychiatric rehabilitation program. Psychosocial Rehabilitation Journal, 16, 75–84.

    Google Scholar 

  • Pendlebury, J., Haddad, P., & Dursun, S. (2005). Evaluation of a behavioral weight management programme for patients with severe mental illness: 3 year results. Human Psychopharmacology, 20, 447–448.

    Article  PubMed  Google Scholar 

  • Vreeland, B., Minsk, S., Menza, M., Rigussio-Radler, D., Roemheld-Hamm, B., & Stern, R. (2003). A program for managing weight gain associated with atypical antipsychotics. Psychiatric Services, 54(8), 1155–1157.

    Article  PubMed  Google Scholar 

  • Yalom, I. D. (2005). The theory and practice of group psychotherapy. New York: Basic Books.

    Google Scholar 

Download references

Acknowledgments

This study supported by a grant from the National Institutes of Mental Health, 1R03MH79047-02.

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Authors and Affiliations

  1. University of Tennessee, 1200 Volunteer Blvd, Knoxville, TN, 37922, USA

    Lora Humphrey Beebe, Renee Burk & Olivera Dessieux

  2. Tennessee Wesleyan College, Knoxville, TN, USA

    Kathy Smith

  3. Volunteer Ministries, Knoxville, TN, USA

    Kelly McIntyre

  4. University of South Carolina, Columbia, SC, USA

    Abbas Tavakoli

  5. The Helen Ross McNabb Center, Knoxville, TN, USA

    Clif Tennison

  6. University of Texas Health Science Center, San Antonio, TX, USA

    Dawn Velligan

Authors
  1. Lora Humphrey Beebe
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  2. Kathy Smith
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  3. Renee Burk
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  4. Kelly McIntyre
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  5. Olivera Dessieux
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  6. Abbas Tavakoli
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  7. Clif Tennison
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  8. Dawn Velligan
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Correspondence to Lora Humphrey Beebe.

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Beebe, L.H., Smith, K., Burk, R. et al. Effect of a Motivational Intervention on Exercise Behavior in Persons with Schizophrenia Spectrum Disorders. Community Ment Health J 47, 628–636 (2011). https://doi.org/10.1007/s10597-010-9363-8

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  • DOI: https://doi.org/10.1007/s10597-010-9363-8

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