Is sport an untapped resource for recovery from first episode psychosis? A narrative review and call to action

Brooke, Lauren; Lin, Ashleigh; Ntoumanis, Nikos; Gucciardi, Daniel F.

doi:10.1111/eip.12720

Cited by 19 publications

(22 citation statements)

References 76 publications

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“…It is widely acknowledged in the mental health literature that exercise and lifestyle interventions supervised by professionals with relevant training, including physical educators, physiotherapists and exercise physiologists is associated with greater improvements in comparison to unsupervised interventions and/or intervention supervised by other health professionals [31, 32]. Furthermore, previous studies have found that exercise instructors can play an important role in creating a feeling among participants of partaking in a normalised activity, helping to reverse the negative stigma of mental illness [33]. A qualitative review of mental health and physical activity including exercise (in participants with severe and enduring mental health difficulties) also found that exercise instructors played an important role, and were described by participants as key to providing a sense of safety and support [34].…”

Section: Discussionmentioning

confidence: 99%

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The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial

et al. 2019

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Background Burgeoning evidence suggests that exercise improves physical and mental health in people with schizophrenia. However, little is known about the feasibility and acceptability of high-intensity training in patients with first-episode psychosis. This qualitative study explored motivation, social interaction and experiences of participants and instructors in relation to an eight-week moderate to high intensity exercise training programme in a clinical trial including patients with first-episode psychosis. Methods The study used a combination of method, source and investigator triangulation. Data were collected by means of semi-structured individual interviews with participants at baseline ( n = 16) and at follow-up ( n = 9), as well as by means of participant observations during the programme (8 sessions × 1.5 h, 12 h in total) and focus group discussions with participants ( n = 3) and instructors ( n = 4), respectively, after the programme. Data were analysed using thematic analysis as described by Braun and Clarke. Results Three main themes and ten subthemes emerged during the analysis: 1) motivation and expectations for enrolment (subthemes: routines and structure, social obligation, goal setting and self-worth); 2) new demands and opportunities (subthemes: practicalities of the training, an understanding exercise setting, and alone and together); and 3) looking ahead – reflections on impact (subthemes: restored sleep and circadian rhythm, energy and sense of achievement, changed everyday life, and hope of finding a new path). Findings suggest that the programme was appealing to, and appreciated by, the participants because of its potential to create an equally challenging and caring non-clinical environment. Conclusions This study indicates that supervised, group-based, moderate to high intensity exercise training complementary to early intervention in psychosis is acceptable. Specifically, the intervention appeared to provide patients an opportunity to integrate the notion of being a young individual along with being a patient with a psychiatric diagnosis, thus supporting and promoting recovery. Trial registration ClinicalTrials.gov identifier: NCT03409393. Registered January 24, 2018.

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Section: Discussionmentioning

confidence: 99%

“…Furthermore, long-term studies are warranted to explore potential post-intervention adherence, including the potential implications of exercise for participants’ experience of recovery, i.e. how exercising may be used as a means to improve recovery in association with mental health services [33].…”

Section: Discussionmentioning

confidence: 99%

The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial

et al. 2019

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“…Published interventions that combine PA, social connectivity, and life skills development for FEP are scarce. Sport has been forwarded as a useful intervention platform from which to combine these three components (Brooke et al, ). First, sport is a type of PA “involving physical exertion and skill as the primary focus of the activity, with elements of competition where rules and patterns of behaviour governing the activity exist formally through organisations” (Commonwealth of Australia, , p. 7).…”

Section: Introductionmentioning

confidence: 99%

“…Given the documented need for dynamic early‐intervention approaches (Santesteban‐Echarri et al, ), combined with the call for more PA‐based interventions for people with FEP (iPHYS, ) and a recent call to action for further exploration into the use of sport within psychosis recovery (Brooke et al, ), we sought to develop a sport‐based life skills intervention for young people recovering from FEP. As a starting point, an intervention mapping approach was employed (Bartholomew Eldredge et al, ).…”

Section: Introductionmentioning

confidence: 99%

Qualitative investigation of perceived barriers to and enablers of sport participation for young people with first episode psychosis

Brooke¹,

Gucciardi²,

Ntoumanis³

et al. 2019

Early Intervention Psych

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Aims:The aim and objective of the study was building on a previous call for the development of sport-based life skills interventions for young people with first episode of psychosis (FEP) (Brooke, Lin, Ntoumanis, & Gucciardi, 2018), to explore the barriers and enablers to sport participation for young people with FEP. Method:We used a semi-structured interview format to conduct one-to-one interviews with young people (aged 16-25; n = 10) with FEP, and one-to-one interviews and focus groups with their clinicians (n = 33). Questions focused on barriers and facilitators (intrapersonal, interpersonal, psychological, environment, health/safety, logistical) to sport participation young people with FEP. Thematic analysis was used to analyse the data. Results: Four themes (and 11 sub-themes) emerged from the analysis: (a) the need for sport in FEP recovery (perceived benefits; resource gap); (b) barriers (logistical; psychological); (c) enablers (positive environmental expectations and experiences) and (d) programme design (sport programme/type; life skills training; application to barriers/enablers). Conclusion:The participants responded favourably to the idea of using sport to promote recovery post-FEP, and provided an insight into why sport is currently underutilized within FEP recovery efforts. The barriers, enablers, and specific suggestions for how to limit the barriers and strengthen the enablers are valuable for sport-based intervention design, and may be applicable to non-sport-based interventions for people with FEP. K E Y W O R D S early intervention, first episode psychosis, functional recovery, life skills, sports

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“…In this sense, sporting activities in normalized contexts can also be an essential element of social inclusion and the fight against stigma and self-stigma [17]. Until now, studies exploring the effects of sports on mental health have focused on the physical and social benefits of playing sports rather than the reduction of stigma or self-stigma [18,19,20,21].…”

Section: Introductionmentioning

confidence: 99%

Reducing Self-Stigma in People with Severe Mental Illness Participating in a Regular Football League: An Exploratory Study

Ruano

Casado

Cangas

2019

IJERPH

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For the past 15 years, a regular indoor football competition has been taking place in Madrid (Spain) with 15 teams from different mental health services in the city, in which teams face off weekly as part of a competition lasting nine months of the year. We are not aware of whether a similar competition experience is offered in other cities. The purpose of the present study was to evaluate whether participating in this league, called Ligasame, has an influence on participants’ self-stigma. To do so, the Internalized Stigma of Mental Illness scale (ISMI) was adapted into Spanish and applied to 108 mental health patients, 40% of which participated in Ligasame, and the remainder of which did not. The results obtained reflect significant differences between those participating in Ligasame and those that did not in terms of two specific dimensions related to self-stigma (stereotype endorsement and stigma resistance) and total score. On the other hand, no significant differences were found in terms of other variables, such as patients’ prior diagnosis, age or belonging to different resources/associations. In this article, we discuss the importance of these results in relation to reducing self-stigma through participation in a regular yearly mental health football league.

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Is sport an untapped resource for recovery from first episode psychosis? A narrative review and call to action

Cited by 19 publications

References 76 publications

The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial

The impact of exercise training complementary to early intervention in patients with first-episode psychosis: a qualitative sub-study from a randomized controlled feasibility trial

Qualitative investigation of perceived barriers to and enablers of sport participation for young people with first episode psychosis

Reducing Self-Stigma in People with Severe Mental Illness Participating in a Regular Football League: An Exploratory Study

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