Knapen J, Van de Vliet P, Van Coppenolle H, David A, Peuskens J, Knapen K, Pieters G
Faculty of Physical Education and Physiotherapy, Katholieke Universiteit Leuven, Belgium.
Clin Rehabil. 2003 Sep;17(6):637-47. doi: 10.1191/0269215503cr659oa.
To compare the changes in cardiorespiratory and muscular fitness, and the changes in physical self-concept after participation in one of two psychomotor therapy programmes in a sample group of psychiatric patients. To study the relationship between the changes in physical fitness and the changes in physical self-concept.
Randomized controlled parallel-group trial with repeated measures.
Three treatment units of a university psychiatric hospital in Belgium.
One hundred and ninety-nine patients with severe symptoms of depression and/or anxiety, and/or personality disorders.
A general programme of psychomotor therapy, consisting of different forms of physical exercises and relaxation training, and a personalized psychomotor fitness programme, consisting of aerobic and resistance training. These programmes were followed three times a week for a period of 16 weeks.
The maximum dynamic strength, the strength endurance, physical work capacity at 60% and 80% of the estimated maximal heart rate reserve, and the physical self-concept by means of the Dutch version of the Physical Self-Perception Profile.
After eight weeks, both groups exhibited an improvement in muscular fitness (both p-values < 0.0001), but only the psychomotor fitness group had improved in cardiorespiratory fitness (p < 0.01). After 16 weeks, the patients in the general programme of psychomotor therapy had not increased in cardiorespiratory fitness. At the end of the 16-week programmes, both groups showed a more positive physical self-concept (p from 0.01 to < 0.0001). However, these improvements were not related to the progress in physical fitness.
The main difference in the effectiveness of the two programmes was the increase in cardiorespiratory fitness in the psychomotor fitness group. The gains in fitness did not play an essential role in the enhancement of physical self-concept.
比较精神科患者样本组参与两种心理运动治疗方案之一后心肺功能和肌肉适能的变化，以及身体自我概念的变化。研究体能变化与身体自我概念变化之间的关系。
重复测量的随机对照平行组试验。
比利时一所大学精神病医院的三个治疗单元。
199名有严重抑郁和/或焦虑症状及/或人格障碍的患者。
一个心理运动治疗通用方案，包括不同形式的体育锻炼和放松训练，以及一个个性化心理运动适能方案，包括有氧训练和抗阻训练。这些方案每周进行三次，为期16周。
最大动态力量、力量耐力、估计最大心率储备的60%和80%时的身体工作能力，以及通过荷兰版身体自我感知量表测量的身体自我概念。
八周后，两组的肌肉适能均有所改善（p值均<0.0001），但只有心理运动适能组的心肺适能得到改善（p<0.01）。16周后，心理运动治疗通用方案组的患者心肺适能没有提高。在16周方案结束时，两组的身体自我概念都更积极（p值从0.01至<0.0001）。然而，这些改善与体能进步无关。
两种方案有效性的主要差异在于心理运动适能组的心肺适能有所提高。体能的提升在增强身体自我概念方面并未起到关键作用。
