Austin Felicity, Wright Kemi E, Jackson Ben, Budden Timothy, McMahen Caleb, Furzer Bonnie J
School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Perth, Australia.
School of Human Sciences (Exercise & Sport Science), The University of Western Australia, Perth, Australia; Fremantle Hospital Mental Health Service, Fremantle, Australia.
Psychol Sport Exerc. 2025 May;78:102826. doi: 10.1016/j.psychsport.2025.102826. Epub 2025 Feb 16.
Regular exercise can be beneficial for people living with a severe mental illness. By better understanding the perspectives and challenges of adults with severe mental illness who are engaged in exercise, we can enhance the design and implementation of exercise programs to better support their mental health and recovery. Nineteen adults (aged 19-73 years) were recruited from transdiagnostic mental health services and local disability services in Western Australia. Patients had engaged in structured exercise services within last 6 months as part of the treatment and/or management of their mental illness. Thematic analysis was used to understand participants' experiences and health outcomes. Participants described themes relating to their exercise experience including establishment of human connection, routine and purpose, and emotional experiences in exercise. Exercise engagement was perceived to improve acute and sustained mental health effects, and behavioural replacement. Patients reported better symptom management, replacing harmful behaviours with positive ones, and reported gains in overall physical health and personal strength. Our findings demonstrate the importance of incorporating the voice of those with lived experience to better understand how exercise impacts their health, treatment, and recovery outcomes. This research has provided valuable insights for clinicians and researchers to develop sustainable client-centred interventions, that may improve health outcomes for this population.
规律运动对患有严重精神疾病的人有益。通过更好地了解参与运动的严重精神疾病成年人的观点和挑战，我们可以改进运动项目的设计与实施，以更好地支持他们的心理健康和康复。从西澳大利亚的跨诊断心理健康服务机构和当地残疾服务机构招募了19名成年人（年龄在19 - 73岁之间）。患者在过去6个月内参与了结构化运动服务，作为其精神疾病治疗和/或管理的一部分。采用主题分析法来了解参与者的经历和健康结果。参与者描述了与他们的运动经历相关的主题，包括建立人际关系、日常活动和目标以及运动中的情感体验。参与运动被认为能改善急性和持续的心理健康效果以及行为替代。患者报告称症状得到了更好的管理，用积极行为取代了有害行为，并且整体身体健康和个人力量都有所增强。我们的研究结果表明，纳入有实际经历者的声音对于更好地理解运动如何影响他们的健康、治疗和康复结果非常重要。这项研究为临床医生和研究人员开发以患者为中心的可持续干预措施提供了有价值的见解，这些干预措施可能会改善这一人群的健康结果。
