St-Amour Samuel, Cailhol Lionel, Ruocco Anthony C, Bernard Paquito
Department of Physical Activity Sciences, Université du Québec à Montréal, Montreal, Quebec, Canada.
Mental Health University Institute of Montreal Research Center, Montreal, Quebec, Canada.
Clin Psychol Eur. 2022 Jun 30;4(2):e7495. doi: 10.32872/cpe.7495. eCollection 2022 Jun.
Physical exercise is an evidence-based treatment to reduce symptoms and negative affect in several psychiatric disorders, including depressive, anxiety, and psychotic disorders. However, the effect of physical exercise on negative affect in patients with borderline personality disorder (BPD) has not yet been investigated. In this pilot study, we tested the safety, acceptability, and potential acute effects on negative affect of a single session of aerobic physical exercise in adults with BPD.
After completing a negative mood induction procedure, 28 adults with BPD were randomly assigned to a 20-minute single session of stationary bicycle or a control condition (emotionally neutral video).
No adverse effects attributed to the physical exercise were reported and it was considered acceptable to patients. Following the negative mood induction, both conditions decreased the level of negative affect with a medium effect size but there was no significant difference between them.
The results suggest that a single 20-minute session of physical exercise does not produce a reduction of negative affect in BPD. Future research should consider the duration and intensities of physical exercise with the greatest potential to reduce negative affect both acutely and in a more prolonged manner in this patient group.
体育锻炼是一种循证治疗方法，可减轻包括抑郁、焦虑和精神障碍在内的多种精神疾病的症状及负面影响。然而，体育锻炼对边缘型人格障碍（BPD）患者负面影响的作用尚未得到研究。在这项初步研究中，我们测试了单次有氧体育锻炼对成年BPD患者负面影响的安全性、可接受性及潜在急性效应。
在完成负面情绪诱导程序后，28名成年BPD患者被随机分配至20分钟的单次室内自行车锻炼组或对照组（情绪中性视频组）。
未报告因体育锻炼产生的不良反应，且患者认为该锻炼可接受。在负面情绪诱导后，两组的负面影响水平均有所降低，效应量中等，但两组之间无显著差异。
结果表明，单次20分钟的体育锻炼并未使BPD患者的负面影响减少。未来研究应考虑体育锻炼的时长和强度，其最有可能在该患者群体中急性且更长期地减轻负面影响。
