Effects of Brief Aerobic Dance or Kickboxing on Psychiatric Symptoms and Physical Fitness for Patients with Schizophrenia

短期有氧舞蹈與拳擊對精神分裂症病患之精神症狀及體適能之效應

10.29478/TJP.201012.0003

鄭淑利(Shu-Li Cheng)；葉美玲(Mei-Ling Yeh)；鍾玉珠(Yu-Chu Chung)；黃光琪(Kuang-Chi Huang)

aerobic dance ； kickboxing ； psychiatric symptoms ； physical fitness

台灣精神醫學

24卷4期（2010 / 12 / 01）

269 - 279

英文

Objective: Psychiatric symptoms and drug-induced side effects impact patients with mental disorders. The impact can lead to their inactivity and weight gain, further increasing risks of diabetes mellitus, hypertension, and hypercholesterolemia. Exercise can reverse the diseases caused by decreased mobility. In this study, we aimed to examine the effects of exercise on psychiatric symptoms, behaviors, and physical fitness of inpatients with schizophrenia. Methods: A posttest quasi-experimental research design was used. We recruited 29 inpatients with schizophrenia from a psychiatric hospital and divided them into three groups: aerobic dance, aerobic kickboxing, and control, respectively. The exercise program took 50 minutes each time, and three times per week for four weeks. Data were collected before and after the program. Results: After the four-week experiment, we found that the mean differences of scores between the posttest and pretest among the three groups were significantly different on psychiatric symptoms (p＜0.05), muscular endurance (p＜0.05), and flexibility (p＜0.01). Conclusion: In this study, we found that the effects of the aerobic exercise programs, especially aerobic dance, significantly improved psychiatric symptoms and physical fitness, but not behavioral change of inpatients with schizophrenia. The aerobic kickboxing participants had the problem to follow the rhythm and intensity of the exercise. We suggest that we need to adopt easier, simpler and regular exercise to reduce stress and to promote mastery for patients with schizophrenia, and that future research should also be focused on the topics related to intensity, frequency, duration, and mode of exercise.

1. Acil, A.A.,Dogan, S.,Dogan, O.(2008).The effects of physical exercises to mental state and quality of life in patients with schizophrenia.J Psychiatr Ment Health Nurs,15,808-815.
2. Acorn, S.(1993).Use of the brief psychiatric rating scale by nurses.J Psychosoc Nurs Ment Health Serv,31,9-12.
3. Adams, L.(1995).How exercise can help people with mental health problems.Nurs Times,91,37-39.
4. American College of Sports Medicine(2006).ACSM'S Guidelines for Exercise Testing and Prescription.Philadelphia:Lippincott, Williams & Williams.
5. Andreasen, N.C.,Black, D.W.(2001).Introductory Textbook of Psychiatry.Washington DC:American Psychiatric Publishing Inc..
6. Ball, M.P.,Coons, V.B.,Buchanan, R.W.(2001).A program for treating olanzapine-related weight gain.Psychiatr Serv,52,967-969.
7. Beebe, L.H.,Tian, L.,Morris, N.,Goodwin, A.,Allen, S.S.,Kuldau, J.(2005).Effects of exercise on mental and physical health parameters of persons with schizophrenia.Issues Ment Health Nurs,26,661-676.
8. Brugman, T.,Ferguson, A.(2002).Physical exercise and improvements in mental health.J Psychosoc Nurs Ment Health Serv,40,24-31.
9. Challagan, P.(2004).Exercise: a neglected intervention in mental health care?.J Psychiatr Ment Health Nurs,11,476-483.
10. Ching, Y.D.T.S.,Ismail, A.B.,Hong, CS,Leh, L.S.,Kumari, P.M.,Varadaraju, V.(2005).Effects of exercise on the functional status of the elderly persons living in the longterm care setting of a psychiatric hospital.Singapore Nursing Journal,32,33-39.
11. Daley, A.J.(2002).School based physical activities in the United Kingdom: can it create physically active adults?.Quest,54,21-33.
12. Davidson, S.,Judd, F.,Jolley, D.,Hocking, B.,Thompson, S.,Hyland, B.(2001).Cardiovascular risk factors for people with mental illness.Aust N Z J Psychiatry,35,196-202.
13. Duraiswamy, G.,Thirthalli, J.H.R.,Nagendra, H.R.,Gangadhar, B.N.(2007).Yoga therapy as an add-on treatment in the management of patients with schizophrenia-a randomized the controlled trial.Acta Psychiatr Scand,116,226-232.
14. Faulkner, G.,Biddle, S.(1999).Exercise as an adjunct treatment for schizophrenia: a review of the literature.J Ment Health,8,441-457.
15. Faulkner, G.,Cohn, T.,Remington, G.,Irving, H.(2007).Body mass index, waist circumference and quality of life in individuals with schizophrenia.Schizophr Res,90,174-178.
16. Faulkner, G.,Sparkes, A.(1999).Exercise as therapy for schizophrenia: an ethnographic study.J Sport Exerc Psychol,21,52-69.
17. Fogarty, M.,Happell, B.,Pinikahana, J.(2004).The benefits of an exercise program for people with schizophrenia: a pilot study.Psychiatr Rehabil J,28,173-176.
18. Green, A.I.,Patel, J.K.,Goisman, R.M.,Allison, D.B.,Blackbum, G.(2000).Weight gain from novel antipsychotic drug: need for action.Gen Hosp Psychiatry,22,224-235.
19. Haskell, W.L.,Lee, I.M.,Pate, R.R.(2007).Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association.Circulation,116,1081-1093.
20. Honigfeld, G.(1974).NOSIE-30: History and current status of its use in pharmacopsychiatric research.Mod Probl Pharmacopsychiatry,7,238-263.
21. Honigfeld, G.,Gillis, R.D.,Klett, C.J.(1966).NOSIE-30: a treatment-sensitive ward behavior scale.Psychol Rep,19,180-182.
22. Lambert, T.,Velakoulis, D.,Pantelis, C.(2003).Medical comor-bidity in schizophrenia.Med J Aust,178,S67-S70.
23. Lyall, D.,Hawley, C.,Scott, K.(2004).Nurses' Observation Scale for Inpatient Evaluation: reliability update.J Adv Nurs,46,390-394.
24. McCreadie, R.G.(2003).Diet, smoking and cardiovascular risk in people with schizophrenia.Br J Psychiatry,183,534-539.
25. McDevitt, J.,Wilbur, J.,Kogan, J.,Briller, J.(2005).A walking program for outpatients in psychiatric rehabilitation: pilot study.Biol Res Nurs,7,87-97.
26. McLeod, H.J.,Jaques, S.,Deane, F.P.(2009).Base rates of physical activity in Australians with schizophrenia.Psychiatr Rehabil J,32,269-275.
27. Overall, J.E.,Gorham, D.R.(1962).Brief psychiatric rating scale.Psychol Rep,10,799-812.
28. Pack, S.(2009).Poor physical health and mortality in patients with schizophrenia.Nurs Stand,23,41-45.
29. Palleschi, L.,Vetta, F.,De Gennaro, E.(1996).Effect of aerobic training on the cognitive performance of elderly patients with senile dementia of Alzheimer type.Arch Gerontol Geriatr,22,47-50.
30. Panesar, N.P.(2006).A survey of the physical health screening of all in-patients in a residential rehabilitation population.J R Soc Promot Health,126,38-40.
31. Pelham, T.W.,Campagna, P.D.(1991).Benefits of exercise in psychiatric rehabilitation of persons with schizophrenia.Can J Rehabil,4,159-168.
32. Richardson, C.R.,Faulkner, G.,McDevitt, J.,Skrinar, G.S.,Hutchinson, D.S.,Piette, J.D.(2005).Integrating physical activity into mental health services for persons with serious mental illness.Psychiatr Serv,56,324-331.
33. Schmitz, N.,Kruse, J.,Kugler, J.(2004).The association between physical exercise and health-related of life in subjects with mental disorders: results from a crosssectional survey.Prev Med,39,1200-1207.
34. Thachuk, G.A.,Martin, G.L.(1999).Exercise therapy for patients with psychiatric disorders: research and clinical implications.Profess Psychol Res Pra,30,275-282.
35. Volavka, J.,Nolan, K.A.,Kline, L.(2005).Efficacy of clozapine, olanzapine, risperidone, and haloperidol in schizophrenia and schizoaffective disorder assessed with nurses observation scale for inpatient evaluation.Schizophr Res,76,127-129.
36. von Hausswolf-Juhlin, Y.,Bjartveit, M.,Lindstöm, E.,Jones, P.(2009).Schizophrenia and physical health problems.Acta Psychiatr Scand,438,15-21.
37. Vreeland, B.,Minsky, S.,Menza, M.,Radler, D.R.,Roemheld-Hamm, B.,Stern, R.(2003).A program for managing weight gain associated with atypical antipsychotics.Psychiatr Serv,54,1155-1157.

1. Yeh, Mei-Ling,Sun, Huey-Fang,Cheng, Shu-Li(2017).Effects of an 8-Week Aerobic Dance Program on Health-Related Fitness in Patients With Schizophrenia.護理研究,25(6),429-435.