ESCOBAR-ROLDAN, BABYAK, BLUMENTHAL: Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC.
J Psychiatr Pract. 2021 Jul 28;27(4):273-282. doi: 10.1097/PRA.0000000000000554.
There is growing evidence that higher levels of physical activity are associated with better mental health. Furthermore, interventional studies have shown that exercise may improve symptoms in a number of psychiatric conditions. Despite this evidence, relatively little information is available about how these findings have been translated into clinical practice. The goal of this study was to characterize the exercise prescribing practices of health care providers from different subspecialties and evaluate factors that may influence their prescribing practices.
We conducted a cross-sectional survey among faculty and staff from a large academic tertiary care medical center in the southeastern United States. Participants were invited to complete the survey via email or departmental newsletters. Descriptive statistics were used to characterize the sample and ordered logistic regression was used to analyze practices about exercise as a therapy for psychiatric illness.
A total of 185 respondents completed the survey. More than half of the providers (58%) reported that they regularly recommend exercise as part of the treatment for patients with psychiatric conditions; however, few providers offered specific exercise instructions (24%) or followed national guidelines (30%). Depression (84.9%) and anxiety (69.2%) were the most common indications for exercise prescription, while insufficient knowledge or training was the most common barrier to prescribing exercise. We also found significant differences in prescription practices depending on the providers' formal clinical degree and their reported personal exercise habits.
Exercise is recognized by most clinicians as a therapeutic option for psychiatric conditions. Despite this recognition, only a small proportion provide recommendations consistent with national guidelines or empirical research.
越来越多的证据表明，较高水平的身体活动与更好的心理健康有关。此外，干预性研究表明，运动可以改善多种精神疾病的症状。尽管有这些证据，但关于这些发现如何转化为临床实践的信息相对较少。本研究的目的是描述来自不同专业的医疗保健提供者的运动处方实践，并评估可能影响他们处方实践的因素。
我们在美国东南部的一家大型学术三级保健医疗中心对教职员工进行了横断面调查。邀请参与者通过电子邮件或部门通讯完成调查。描述性统计数据用于描述样本，有序逻辑回归用于分析将运动作为治疗精神疾病的疗法的实践情况。
共有 185 名受访者完成了调查。超过一半的提供者（58%）报告说，他们经常建议患者进行体育锻炼作为治疗精神疾病的一部分；然而，很少有提供者提供具体的运动指导（24%）或遵循国家指南（30%）。运动处方最常见的适应症是抑郁症（84.9%）和焦虑症（69.2%），而缺乏知识或培训是开运动处方的最常见障碍。我们还发现，根据提供者的正式临床学位和他们报告的个人运动习惯，处方实践存在显著差异。
大多数临床医生都将运动视为治疗精神疾病的一种选择。尽管有这种认识，但只有一小部分人提供符合国家指南或实证研究的建议。
