Shannon Annabelle, McGuire Declan, Brown Ellie, O'Donoghue Brian
Orygen, Melbourne, Victoria, Australia; Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia.
Orygen, Melbourne, Victoria, Australia; Centre for Youth Mental Health, University of Melbourne, Melbourne, Victoria, Australia..
Psychiatry Res. 2020 Nov;293:113402. doi: 10.1016/j.psychres.2020.113402. Epub 2020 Aug 19.
Treating first episode psychosis represents a critical time to improve the trajectory of people's physical health, mental health, functioning, and quality of life. Individuals should be offered a variety of evidence-based interventions to promote physical activity and social connectedness. This review aimed to establish the effectiveness of group-based exercise interventions for improving outcomes in people with first episode psychosis.
We undertook a systematic review of the following databases; Medline (Ovid), PsycINFO (Ovid), Embase (Ovid) and CINAHL, to identify studies in first episode psychosis populations that implemented a group-based exercise intervention and examined outcomes in physical health, mental health or functioning and quality of life.
From 1431 studies screened, five met our inclusion criteria. Whilst group-based exercise interventions did not have a significant impact on physical health, there was a significant effect on psychiatric symptomatology, quality of life and functioning (including cognition). The overall risk of bias was high.
Group-based exercise interventions may be feasible and acceptable in first episode psychosis populations. However, more, high quality research is required to understand the best mode of delivery of exercise interventions to maximise patient outcomes and optimise patient contact with services using an engaging and cost-effective approach.
治疗首次发作的精神病是改善患者身体健康、心理健康、功能和生活质量轨迹的关键时期。应向个体提供各种循证干预措施，以促进身体活动和社会联系。本综述旨在确定基于团体的运动干预对改善首次发作精神病患者结局的有效性。
我们对以下数据库进行了系统综述；医学数据库（Ovid）、心理学文摘数据库（Ovid）、荷兰医学文摘数据库（Ovid）和护理学与健康领域数据库，以识别在首次发作精神病患者群体中实施基于团体的运动干预并检查其对身体健康、心理健康、功能或生活质量影响的研究。
在筛选的1431项研究中，有5项符合我们的纳入标准。虽然基于团体的运动干预对身体健康没有显著影响，但对精神症状、生活质量和功能（包括认知）有显著影响。总体偏倚风险较高。
基于团体的运动干预在首次发作精神病患者群体中可能是可行且可接受的。然而，需要更多高质量的研究来了解运动干预的最佳实施方式，以通过一种引人入胜且具有成本效益的方法最大限度地提高患者结局并优化患者与服务的接触。
