Center on Mental Health Services Research and Policy, Department of Psychiatry, University of Illinois at Chicago, IL 60612, USA.
Psychiatr Rehabil J. 2013 Mar;36(1):45-7. doi: 10.1037/h0094747.
Lack of exercise is a risk factor for various negative health outcomes. Some research suggests people with severe mental illnesses are less likely to engage in exercise than the general population. The purpose of this report is to document, analyze, and understand self-identified barriers to exercise that may be especially specific to people living with serious mental illnesses. Producing such knowledge can assist in the development of effective interventions.
Thirty-one people with serious mental illnesses participated in in-depth one-on-one interviews to discuss health behaviors in general and exercise more specifically. The authors then engaged in thematic analysis of data to identify common barriers to exercise.
Participants reported psychiatric medication side effects, symptoms related to SMI, and physical comorbidities as barriers.
Clinicians should incorporate physical health goals as a part of treatment planning. Agencies also can play a role in increasing exercise through the implementation of programs.
缺乏运动是各种负面健康结果的一个风险因素。一些研究表明，患有严重精神疾病的人比一般人群更不可能进行锻炼。本报告的目的是记录、分析和了解可能特别针对患有严重精神疾病的人的自我认同的运动障碍因素。产生这样的知识可以帮助制定有效的干预措施。
31 名患有严重精神疾病的人参加了深入的一对一访谈，讨论一般的健康行为和更具体的锻炼。然后，作者对数据进行了主题分析，以确定锻炼的常见障碍。
参与者报告了精神药物的副作用、与 SMI 相关的症状和身体合并症作为障碍。
临床医生应将身体健康目标纳入治疗计划。各机构也可以通过实施相关计划，在增加锻炼方面发挥作用。
