Designing a feasible exercise intervention in first-episode psychosis: exercise quality, engagement and effect

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@article{63bdbcf0c4f743e38273be9303a5d59a,
title = "Designing a feasible exercise intervention in first-episode psychosis: exercise quality, engagement and effect",
abstract = "First-episode psychosis (FEP) is the first presentation of a psychotic disorder that usually propagates during early adulthood. FEP represents an important early intervention point to attenuate the metabolic risks associated with psychosis and its treatment. Exercise has potential to improve metabolic and functional outcome, but engaging this population in regular exercise is typically difficult. Promoting enjoyment and attendance may improve participation. 22 men with FEP were randomised to a 12-week intervention of exercise training, or treatment as usual. Exercise was pre-standardised based on measures of heart rate to assess intensity. Symptoms of psychosis were assessed, alongside measures of quality of life, disability and habitual activity. The study observed 83% attendance at exercise sessions, with target intensity attained. There were clinically meaningful decreases in PANSS positive (17.31%) and general psychopathology (10.98%) scores and exercise was protective of negative score increase observed in the control group (13.89%). Assessment of disability declined after training (12.65%) compared with a 20.78% increase in controls. This study demonstrated that engagement of FEP patients in an intervention of high quality exercise was possible. Positive changes in psychopathology scores and disability show that the benefits of regular exercise are achievable with a potential positive impact on clinical presentation. ",
keywords = "First-episode psychosis, Exercise intervention, Exercise adherence, Psychotic symptoms, Heart Rate",
author = "Emily Fisher and Stephen Wood and Rachel Upthegrove and Sarah Aldred",
year = "2020",
month = apr
doi = "10.1016/j.psychres.2020.112840",
language = "English",
volume = "286",
journal = "Psychiatry Research",
issn = "0165-1781",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Designing a feasible exercise intervention in first-episode psychosis

T2 - exercise quality, engagement and effect

AU - Fisher, Emily

AU - Wood, Stephen

AU - Upthegrove, Rachel

AU - Aldred, Sarah

PY - 2020/4

Y1 - 2020/4

N2 - First-episode psychosis (FEP) is the first presentation of a psychotic disorder that usually propagates during early adulthood. FEP represents an important early intervention point to attenuate the metabolic risks associated with psychosis and its treatment. Exercise has potential to improve metabolic and functional outcome, but engaging this population in regular exercise is typically difficult. Promoting enjoyment and attendance may improve participation. 22 men with FEP were randomised to a 12-week intervention of exercise training, or treatment as usual. Exercise was pre-standardised based on measures of heart rate to assess intensity. Symptoms of psychosis were assessed, alongside measures of quality of life, disability and habitual activity. The study observed 83% attendance at exercise sessions, with target intensity attained. There were clinically meaningful decreases in PANSS positive (17.31%) and general psychopathology (10.98%) scores and exercise was protective of negative score increase observed in the control group (13.89%). Assessment of disability declined after training (12.65%) compared with a 20.78% increase in controls. This study demonstrated that engagement of FEP patients in an intervention of high quality exercise was possible. Positive changes in psychopathology scores and disability show that the benefits of regular exercise are achievable with a potential positive impact on clinical presentation.

AB - First-episode psychosis (FEP) is the first presentation of a psychotic disorder that usually propagates during early adulthood. FEP represents an important early intervention point to attenuate the metabolic risks associated with psychosis and its treatment. Exercise has potential to improve metabolic and functional outcome, but engaging this population in regular exercise is typically difficult. Promoting enjoyment and attendance may improve participation. 22 men with FEP were randomised to a 12-week intervention of exercise training, or treatment as usual. Exercise was pre-standardised based on measures of heart rate to assess intensity. Symptoms of psychosis were assessed, alongside measures of quality of life, disability and habitual activity. The study observed 83% attendance at exercise sessions, with target intensity attained. There were clinically meaningful decreases in PANSS positive (17.31%) and general psychopathology (10.98%) scores and exercise was protective of negative score increase observed in the control group (13.89%). Assessment of disability declined after training (12.65%) compared with a 20.78% increase in controls. This study demonstrated that engagement of FEP patients in an intervention of high quality exercise was possible. Positive changes in psychopathology scores and disability show that the benefits of regular exercise are achievable with a potential positive impact on clinical presentation.

KW - First-episode psychosis

KW - Exercise intervention

KW - Exercise adherence

KW - Psychotic symptoms

KW - Heart Rate

U2 - 10.1016/j.psychres.2020.112840

DO - 10.1016/j.psychres.2020.112840

M3 - Article

VL - 286

JO - Psychiatry Research

JF - Psychiatry Research

SN - 0165-1781

M1 - 112840

ER -