Designing a feasible exercise intervention in first-episode psychosis: Exercise quality, engagement and effect

Abstract

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Exercise as a protective mechanism against the negative effects of oxidative stress in first-episode psychosis: a biomarker-led study

“…This study was commenced following approval from the NIHR HRA ethics committee (West Midlands-Edgbaston REC 17/WM/0412). Intervention design, quality and patient-oriented outcomes were assessed and are summarised by Fisher et al 45 .…”

“…Participants in the exercise group reported a 10.98% decrease in PANSS general score, compared to a 2.82% decrease observed in participants in the control group (SMD = −0.24). These data have been assessed alongside other functional measures that better shape the psychotic state, and the effects of the exercise intervention in Fisher et al 45 .…”

Exercise training complementary to specialised early intervention in patients with first-episode psychosis: a feasibility randomised trial

“…For this reason, early psychosis could be the optimal phase for introducing exercise to prevent or mitigate comorbid metabolic abnormalities and physical disorders [ 14 ]. However, to our knowledge, only few previous studies [ 19 – 23 ] have explored exercise as the primary/dominant intervention module in early psychosis.…”

“…Specifically, Fisher et al recently published the results of a randomised feasibility study investigating exercise quality, engagement and effect of a 12-week intervention involving exercise training (40–60 min 2–3 times a week) in 22 male mental health service users with psychosis (24.8 ± 4.8 years) [ 22 , 23 ]. While the authors did not observe significant changes in weight or body mass index in either group, the study demonstrated that engaging first-episode psychosis patients in exercise was possible [ 22 , 23 ].…”

“…Specifically, Fisher et al recently published the results of a randomised feasibility study investigating exercise quality, engagement and effect of a 12-week intervention involving exercise training (40–60 min 2–3 times a week) in 22 male mental health service users with psychosis (24.8 ± 4.8 years) [ 22 , 23 ]. While the authors did not observe significant changes in weight or body mass index in either group, the study demonstrated that engaging first-episode psychosis patients in exercise was possible [ 22 , 23 ]. Moreover, previous research [ 24 ] assessing which types of exercise were preferred by patients with early psychosis indicated that gym-based activities, both resistance training and cardio, were substantially more popular than other sporting activities, and that increased fitness/energy, taking your mind off things, and being more confident at the gym were the strongest motivating factors.…”