Pascoe Michaela C, Bailey Alan P, Craike Melinda, Carter Tim, Patten Rhiannon, Stepto Nigel K, Parker Alexandra G
Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia.
Department of Cancer Experiances, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
BMJ Open Sport Exerc Med. 2020 May 4;6(1):e000678. doi: 10.1136/bmjsem-2019-000678. eCollection 2020.
This scoping review determines the breadth and outcomes of controlled trials testing the effect of physical activity/exercise interventions across mental health outcomes in young people with a mental disorder.
The literature search was conducted using the open-access 'Evidence Finder', a comprehensive youth mental health-specific database that is systematically populated from MEDLINE, Embase, PsycINFO and Cochrane CENTRAL databases.
Sixteen publications were identified after meeting the following eligibility criteria: (1) participants were young people (mean age 12-25.9 years) with a mental disorder diagnosed by a trained clinician or by reaching a predefined cut score on a symptom measure, (2) interventions were exercise, (3) designs were randomised or non-randomised controlled trials, (4) outcomes were mental health related. Eight studies included young people with depression, three included people with psychosis/schizophrenia, three included people with eating disorders and two included people with anxiety. The available evidence suggests that moderate-to-vigorous-intensity exercise may be beneficial, particularly for reducing depression. The available evidence for other intervention intensities, and for other mental disorders, is mixed.
Overall, the evidence regarding the impact of exercise interventions on a range of mental health outcomes in clinical populations of young people with various mental disorders looks promising but requires further development. Findings from this scoping review can inform the development of future exercise interventions in the youth mental health field.
本综述性研究确定了针对患有精神障碍的年轻人，测试体育活动/运动干预对心理健康结果影响的对照试验的范围和结果。
使用开放获取的“证据查找器”进行文献检索，这是一个全面的针对青少年心理健康的数据库，系统地从MEDLINE、Embase、PsycINFO和Cochrane CENTRAL数据库中提取数据。
在满足以下纳入标准后，共识别出16篇出版物：（1）参与者为患有精神障碍的年轻人（平均年龄12 - 25.9岁），由经过培训的临床医生诊断或在症状测量中达到预先定义的分数；（2）干预措施为运动；（3）研究设计为随机或非随机对照试验；（4）结果与心理健康相关。八项研究纳入了患有抑郁症的年轻人，三项纳入了患有精神病/精神分裂症的人，三项纳入了患有饮食失调症的人，两项纳入了患有焦虑症的人。现有证据表明，中等至高强度运动可能有益，特别是对于减轻抑郁。关于其他干预强度以及其他精神障碍的现有证据则好坏参半。
总体而言，关于运动干预对患有各种精神障碍的年轻临床人群一系列心理健康结果影响的证据看起来很有前景，但需要进一步完善。本综述性研究的结果可为青少年心理健康领域未来运动干预的发展提供参考。
