Department of Psychiatry, The University of Hong Kong, Hong Kong SAR, China.
Department of Psychiatry, Queen Mary Hospital, The University of Hong Kong, Hong Kong SAR, China.
Aust N Z J Psychiatry. 2022 Oct;56(10):1277-1286. doi: 10.1177/00048674211061496. Epub 2021 Nov 27.
Exercise offers improvement to physical and mental health symptoms as well and cognitive function in patients with psychosis. However, patients with psychosis are often less ready to benefit from exercise intervention because of the difficulties in motivation. This study aimed to examine the effectiveness of adjunctive motivational coaching on exercise intervention in women with psychosis in Hong Kong.
From a community mental health programme for women, patients with a diagnosis of psychotic disorder (within 5 years of first onset) were randomly allocated to receive 12 30-minute sessions of motivational coaching or psychoeducation in a group format. Both groups additionally received exercise intervention sessions consisting of yoga, stretching and high-intensity interval training. Primary outcome was the total physical activity level measured by the International Physical Activity Questionnaire.
Fifty-seven patients (mean [SD] age, 34.47 [12.44] years) were randomised into motivational coaching ( = 30) or psychoeducation ( = 27) treatment groups. The motivational coaching group had a significantly higher total physical activity level (4601.67 [686.59] vs 2524.82 [723.73] metabolic equivalent task-min/week, = 0.473, = 0.04) after the intervention and at 6 months post-intervention. Moderate and light physical activity levels were significantly higher in the motivational coaching group after intervention and at 6 months, respectively. Additionally, symptoms of bizarre behaviour were improved in the motivational coaching group at 6 months. Younger, unemployed, unmarried and those with longer durations of untreated psychosis generally showed larger improvements in the motivational coaching group.
Motivational coaching may augment the effects of exercise interventions, as reflected by higher physical activity participation. Motivational coaching augmentation has the potential to further improve exercise intervention outcomes.
运动对精神疾病患者的身心健康症状和认知功能都有改善作用。然而，由于动机方面的困难，精神疾病患者往往不太愿意从运动干预中受益。本研究旨在探讨辅助动机性教练对香港女性精神病患者运动干预的效果。
从一项针对女性的社区精神健康计划中，将诊断为精神障碍（首次发病后 5 年内）的患者随机分配接受 12 次 30 分钟的动机性教练或小组形式的心理教育。两组均额外接受包括瑜伽、拉伸和高强度间歇训练的运动干预课程。主要结局是通过国际体力活动问卷测量的总体力活动水平。
57 名患者（平均[SD]年龄 34.47 [12.44] 岁）被随机分配到动机性教练（n = 30）或心理教育（n = 27）治疗组。干预后和干预后 6 个月，动机性教练组的总体力活动水平（4601.67 [686.59] vs 2524.82 [723.73] 梅脱分/周， = 0.473， = 0.04）显著更高。干预后和干预后 6 个月，中等和轻度体力活动水平在动机性教练组中也显著更高。此外，动机性教练组在干预后 6 个月时怪异行为的症状也得到改善。年轻、失业、未婚以及未接受精神病治疗时间较长的患者，在动机性教练组中通常表现出更大的改善。
动机性教练可能会增强运动干预的效果，这反映在更高的体力活动参与度上。动机性教练的增强有可能进一步改善运动干预的效果。
