Role of exercise in managing substance use disorders

Cabrera, Ivan

doi:10.1002/psb.1841

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…Regular aerobic exercise could modulate a variety of psychological symptoms in addicts, such as anxiety, depression, paranoia, hostility, or compulsion, and thus could effectively improve the physical condition, emotional state, and mental health of addicts, as well as reduce their drug addiction [74]. Although patients of low severity seem to benefit more from exercise interventions than those of higher severity, the exercise prescription should be personalized and its outcomes should be evaluated so as to achieve the objectives [75]. It has been reported that people with opioid use disorders are interested in exercising as part of their treatment to reduce their desire for substance use and improve their overall physical and mental health [76].…”

Section: Discussionmentioning

confidence: 99%

Effects of a Two-Month Exercise Training Program on Concurrent Non-Opiate Substance Use in Opioid-Dependent Patients during Substitution Treatment

Psarianos,

Chryssanthopoulos,

Theocharis

et al. 2024

JCM

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Background: This randomized controlled trial aimed to evaluate the effects of a two-month exercise intervention on the concurrent non-opiate substance use (alcohol, cocaine, cannabis, and benzodiazepines) in opioid users during their medication treatment. Methods: Ninety opioid users (41 females) in methadone and buprenorphine medication treatment were randomly divided into four groups: (a) buprenorphine experimental (BEX; n = 26, aged 41.9 ± 6.1 yrs); (b) buprenorphine control (BCON; n = 25, aged 41.9 ± 5.6 yrs); (c) methadone experimental (MEX; n = 20, aged 46.7 ± 6.6 yrs); and (d) methadone control (MCON; n = 19, aged 46.1 ± 7.5 yrs). The experimental groups (BEX and MEX) followed an aerobic exercise training program on a treadmill for 20 min at 70% HRmax, 3 days/week for 8 weeks. Socio-demographic, anthropometric, and clinical characteristics, as well as non-opioid drug use in days and quantity per week, were assessed before and after the intervention period. Results: Following the exercise training, the weekly non-opioid substance consumption (days) decreased (p < 0.05) in both exercise groups and was lower in BEX compared to MEX, while no differences were observed (p > 0.05) between the control groups (BCON vs. MCON) or compared to their baseline levels. Similarly, the daily amount of non-opiate substance intake was reduced (p < 0.05) post-training in BEX and MEX, whereas it did not differ (p > 0.05) in BCON and MCON compared to the baseline. Conclusions: The two-month exercise intervention reduced the non-opioid drug use in both the methadone and buprenorphine substitution groups compared to the controls, suggesting that aerobic exercise training may be an effective strategy for treating patients with OUDs.

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Section: Discussionmentioning

confidence: 99%

Effects of a Two-Month Exercise Training Program on Concurrent Non-Opiate Substance Use in Opioid-Dependent Patients during Substitution Treatment

Psarianos,

Chryssanthopoulos,

Theocharis

et al. 2024

JCM

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“…The results showed that aerobic exercises were effective in reducing the recurrence and increasing the duration of the treatment and presented it as a suitable treatment solution [39]. In 2020, Cabrera showed in his article that mental and physical health improved by doing physical exercise as part of a healthier lifestyle, and patients could avoid the immediate reinforcing symptoms of drug use and reduce cravings and causes a decrease in the risk of relapse [40]. Another introduced dimension is responsibility.…”

Section: Discussionmentioning

confidence: 99%

Development and Psychometric Properties of a health-promoting self-care behavior scale (HPSCB-S) in recovered patients from Drug Addiction

2023

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Background and objectives Drug addiction is a chronic and relapsing brain disease. Practicing self-care is one of the rules offered by therapists to improve the withdrawal process and prevent relapse. Based on the evidence, health beliefs, including Pender’s proposed model, are significantly effective in adopting self-care behaviors in patients. On the other hand, in order to evaluate preventive interventions regarding drug use and relapse of drug use; Having a good and appropriate tool is a special priority. Therefore, the present study aims to design and determine the psychometric characteristics of the questionnaire for measuring health-promoting self-care behaviors in patients recovered from drug addiction has been carried out in the west of Mazandaran province. Methods The current study is a cross-sectional descriptive methodological research. In the first stage, the items and primary classes of the new tool were extracted based on the review of studies consistent with Pender’s self-care promotion and a questionnaire was designed. In the second stage, the psychometric characteristics of the designed questionnaire were examined using face validity, content validity, construct validity and reliability. In the construct validity, the number of participants was 245 for exploratory factor analysis and 203 for confirmatory factor analysis. In the reliability test, 25 people participated to check internal consistency and test-retest. Random sampling was done from 12 drug addiction treatment clinics in two cities of Tonkabon and Ramsar in the west of Mazandaran province during 2021–2022. Data were analyzed using SPSS and AMOS software version 23. Results The exploratory factor analysis revealed 7 factors containing 29 item explained more than 61% of the total observed variance. The results of confirmatory factor analysis showed that the data fit the model. In the reliability test, Cronbach’s alpha coefficient indicated the appropriate internal consistency of the tool and retesting the tool with an interval of 2 weeks showed acceptable stability of the tool. Conclusion The present study showed that the researcher-made questionnaire has good validity and reliability and can be used to measure self-care behaviors of patients who have recovered from addiction in order to provide appropriate solutions to prevent the relapse of drug use.

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“…One example is interventions aiming to increase physical activity levels while simultaneously reducing problematic substance use (An et al, 2013). These interventions are based on research indicating that increased physical activity may yield a decrease in reported substance use outcomes in youth (Kirkcaldy et al, 2002;Linke & Ussher, 2015;Moore & Werch, 2005;Simonton et al, 2018) and studies using physical activity prescriptions to both increase physical activity and decrease substance use (Cabrera, 2020;Gustavsson et al, 2018;Kallings, 2016). (Michie et al, 2011;Michie et al, 2013;Teixeira et al, 2020;West et al, 2019).…”

Section: Introduction and Review Rationalementioning

confidence: 99%

Behaviour change techniques in physical activity‐focused interventions for young people at risk of problematic substance use: A systematic review and meta‐analysis

Klamert,

Craike,

Bedi

et al. 2023

Early Intervention Psych

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AimThis systematic review investigates behaviour change techniques in interventions promoting physical activity for young people aged 12–25 years at heightened risk of problematic substance use, and the effect of these techniques on physical activity participation and substance use outcomes.MethodsFour databases (PsycINFO, CINAHL, SPORTDiscus and Medline) were searched between November 2020 and November 2022 for randomized and non‐randomized controlled studies according to inclusion criteria. Meta‐analyses were calculated using weighted, standardized averages of effect sizes (Hedges' g).ResultsTwenty‐eight studies were included, 14 studies in the meta‐analysis (intervention n = 1328; control n = 845). Reported BCTs included behavioural instructions, social comparison and goal setting. There was a significant effect of behaviour change techniques on combined substance use outcomes, such as cravings and consumption, for interventions reporting multiple behaviour change techniques (g = −0.33, p < .001, 95% CI [−0.50,−0.16]) or one single behaviour change technique (g = −1.84, p < .001, 95% CI [−2.89,−0.8]). Limitations include unexplained variance and limited reporting of relevant behaviour change technique data in the included studies.ConclusionThe results indicate that using behaviour change techniques in interventions that promote physical activity for young people has an effect on substance use. Further research needs to be completed comparing the impact of the number and type of behaviour change technique, and improved reporting of intervention content is required.

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Role of exercise in managing substance use disorders

Abstract: The introduction of physical exercise as part of a comprehensive healthier lifestyle has been shown to improve the mental and physical health of people who use drugs. This article examines the theoretical basis behind this and provides practical advice on how to deliver such interventions.

Cited by 3 publications

References 23 publications

Effects of a Two-Month Exercise Training Program on Concurrent Non-Opiate Substance Use in Opioid-Dependent Patients during Substitution Treatment

Effects of a Two-Month Exercise Training Program on Concurrent Non-Opiate Substance Use in Opioid-Dependent Patients during Substitution Treatment

Development and Psychometric Properties of a health-promoting self-care behavior scale (HPSCB-S) in recovered patients from Drug Addiction

Behaviour change techniques in physical activity‐focused interventions for young people at risk of problematic substance use: A systematic review and meta‐analysis

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