Early Intervention in Psychosis: Effectiveness and Implementation of a Combined Exercise and Health Behavior Intervention Within Routine Care.

Frontiers in Endocrinology
Jo SmithDominic Horne

Abstract

Young people with psychosis have higher rates of obesity, premature cardiovascular disease, and death compared to non-psychotic peers in the general population due to changes in metabolic regulation linked to antipsychotic medication and adverse health risk behaviors. The aim of this paper is to outline the development, implementation, and evaluation of a combined 12-week exercise and health behavior intervention delivered as part of an Early Intervention in Psychosis (EIP) routine service, within the UK. Participants (n = 27) completed a 12-week combined intervention program, engaging in weekly, 90-min sessions comprising a healthy behavior education session (45 min), followed by a facilitated exercise session (45 min). Anthropometric data from participants (n = 26) were collected at baseline, 12 weeks, and 12 months post-intervention. Health behaviors and clinical measurements were assessed at baseline and 12 months. Mean baseline data suggests participants were at an increased health risk on entry to the program, with elevated values in mean body mass index (BMI; 70% overweight/obese), waist circumference, resting heart rate, and triglycerides. Fifty percent reported smoking daily, 64% ate < 5 fruits/vegetables per day, and ...Continue Reading

References

Mar 5, 2005·Psychiatric Services : a Journal of the American Psychiatric Association·Caroline R RichardsonJohn D Piette
Oct 29, 2009·JAMA : the Journal of the American Medical Association·Christoph U CorrellAnil K Malhotra
Jul 14, 2010·Circulation·Nancy T ArtinianUNKNOWN American Heart Association Prevention Committee of the Council on Cardiovascular Nursing
Oct 15, 2010·Journal of Psychopharmacology·Chris J BusheJari Haukka
Jun 3, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Marc De HertChristoph U Correll
Sep 3, 2011·Psychiatric Services : a Journal of the American Psychiatric Association·Jennifer P WisdomRobert E Drake
Oct 20, 2011·Nature Reviews. Endocrinology·Marc De HertChristoph U Correll
Dec 2, 2011·The British Journal of Psychiatry : the Journal of Mental Science·Graham Thornicroft
Dec 20, 2011·Acta Psychiatrica Scandinavica·D VancampfortM De Hert
Apr 27, 2012·International Journal of Mental Health Nursing·Jeanette Blythe, Jacquie White
Jun 13, 2012·Medicine and Science in Sports and Exercise·Karen Jacqueline ColemanRobert E Sallis
Jul 5, 2012·The Australian and New Zealand Journal of Psychiatry·Cherrie A GalletlyVera A Morgan
Nov 22, 2013·BMJ : British Medical Journal·David H PetersNhan Tran
Feb 15, 2014·BMJ : British Medical Journal·Gemma TaylorPaul Aveyard
Feb 19, 2014·Psychiatric Services : a Journal of the American Psychiatric Association·Roisin DoyleMary Clarke
Apr 26, 2014·PloS One·Maarten BakMarjan Drukker
Oct 31, 2014·Journal of Sport & Exercise Psychology·Benjamin D SylvesterMark R Beauchamp
Dec 17, 2014·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Colin P MendelsohnDavid J Castle
Sep 27, 2015·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Davy VancampfortChristoph U Correll
Jan 26, 2016·Schizophrenia Research·Brendon StubbsTom Craig
Mar 19, 2016·Early Intervention in Psychiatry·Joseph FirthAlison R Yung
Jun 3, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Steve Kisely
Jun 16, 2016·Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association·A AveryJ A Swift
Sep 3, 2016·Early Intervention in Psychiatry·Joseph FirthAlison R Yung
Oct 27, 2016·JAMA : the Journal of the American Medical Association·Nancy E AdlerJonathan Fielding
Nov 5, 2016·The British Journal of Psychiatry : the Journal of Mental Science·Scott B TeasdaleBrendon Stubbs
Nov 20, 2016·Early Intervention in Psychiatry·Lisa Anne HahnCherrie A Galletly
Feb 7, 2017·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·M-P St-Onge
Mar 30, 2017·Sports Medicine·Mark StevensRemco Polman

❮ Previous
Next ❯

Software Mentioned

SPSS Statistics
MyFitness Pal
SHAPE

Related Concepts

Related Feeds

Antipsychotic Drugs

Antipsychotic drugs are a class of medication primarily used to manage psychosis (including delusions, hallucinations, paranoia or disordered thought), principally in schizophrenia and bipolar disorder. Discover the latest research on antipsychotic drugs here

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Antipsychotic-Induced Weight Gain

Antipsychotic-induced weight gain (aiwg) is a common adverse effect of this treatment, particularly with second-generation antipsychotics, and it is a major health problem around the world. Here are the latest discoveries pertaining to AIWG.