Stanton Robert, Happell Brenda
Institute for Health and Social Sciences Research, Centre for Mental Health Nursing Innovation, School of Nursing and Midwifery, Central Queensland University, Rockhampton, Queensland, Australia.
Int J Ment Health Nurs. 2014 Jun;23(3):232-42. doi: 10.1111/inm.12045. Epub 2013 Sep 30.
A substantial body of evidence supports the role of exercise interventions for people with a mental illness. However, much of this literature is conducted using outpatient and community-based populations. We undertook a systematic review examining the effect of exercise interventions on the health of people hospitalized with depression, schizophrenia, bipolar disorder, or anxiety disorders. Eight studies met our inclusion criteria. Several studies show positive health outcomes from short-term and long-term interventions for people hospitalized due to depression. Although positive, the evidence for inpatients with schizophrenia, bipolar disorder, or anxiety disorders is substantially less. There is an urgent need to address the paucity of literature in this area, in particular the optimal dose and delivery of exercise for people hospitalized as a result of mental illness. Standardization of reporting exercise programme variables, the assessment of mental illness, and the reporting of adverse events must accompany future studies.
大量证据支持运动干预对患有精神疾病的人的作用。然而，这类文献大多是针对门诊患者和社区人群开展的。我们进行了一项系统综述，研究运动干预对因抑郁症、精神分裂症、双相情感障碍或焦虑症住院的患者健康状况的影响。八项研究符合我们的纳入标准。几项研究表明，针对因抑郁症住院的患者进行短期和长期干预可产生积极的健康结果。虽然结果是积极的，但针对精神分裂症、双相情感障碍或焦虑症住院患者的证据要少得多。迫切需要解决该领域文献匮乏的问题，尤其是针对因精神疾病住院患者的运动最佳剂量和实施方式。未来的研究必须同时对运动计划变量的报告、精神疾病的评估以及不良事件的报告进行标准化。
