TY - JOUR
T1 - The importance of self-determined motivation towards physical activity in patients with schizophrenia
AU - Vancampfort, Davy
AU - De Hert, Marc
AU - Vansteenkiste, Maarten
AU - De Herdt, Amber
AU - Soundy, Andrew
AU - Stubbs, Brendon
AU - Probst, Michel
PY - 2013/12/30
Y1 - 2013/12/30
N2 - There is a need for theoretically-based research on the motivational processes linked to the commencement and continuation of physical activity in patients with schizophrenia. Within the Self-Determination Theory (SDT) framework, we investigated the SDT tenets in these patients by examining the factor structure of the Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2) and by investigating associations between motivation and PA. The secondary aim was to study differences in motivation according to gender, educational level, treatment setting and disease stage. A total of 129 patients (44♀) with schizophrenia agreed to participate. Exploratory factor analysis showed sufficient convergence with the original factor for amotivation, external and introjected regulation, while identified and intrinsic regulations loaded on a single factor which we labeled “autonomous regulation”. Significant positive correlations were found between the total physical activity score and the subscales amotivation (r=−0.44, P<0.001), external regulation (r=−0.27, P<0.001), and autonomous regulation (r=0.57, P<0.001). Outpatients reported more external (P<0.05) and introjected (P<0.05) regulations than inpatients. Our results suggest that patients' level of self-determination may play an important role in the adoption and maintenance of health promoting behaviors in patients with schizophrenia
AB - There is a need for theoretically-based research on the motivational processes linked to the commencement and continuation of physical activity in patients with schizophrenia. Within the Self-Determination Theory (SDT) framework, we investigated the SDT tenets in these patients by examining the factor structure of the Behavioral Regulation in Exercise Questionnaire-2 (BREQ-2) and by investigating associations between motivation and PA. The secondary aim was to study differences in motivation according to gender, educational level, treatment setting and disease stage. A total of 129 patients (44♀) with schizophrenia agreed to participate. Exploratory factor analysis showed sufficient convergence with the original factor for amotivation, external and introjected regulation, while identified and intrinsic regulations loaded on a single factor which we labeled “autonomous regulation”. Significant positive correlations were found between the total physical activity score and the subscales amotivation (r=−0.44, P<0.001), external regulation (r=−0.27, P<0.001), and autonomous regulation (r=0.57, P<0.001). Outpatients reported more external (P<0.05) and introjected (P<0.05) regulations than inpatients. Our results suggest that patients' level of self-determination may play an important role in the adoption and maintenance of health promoting behaviors in patients with schizophrenia
U2 - 10.1016/j.psychres.2013.10.004
DO - 10.1016/j.psychres.2013.10.004
M3 - Article
SN - 0165-1781
VL - 210
SP - 812
EP - 818
JO - Psychiatry Research
JF - Psychiatry Research
IS - 3
ER -