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Fang Z, Lin Y, Chen C, Jiang J, Dong L. Mental health in China: exploring the impacts of built environment, work environment, and subjective perception. Front Psychol 2024; 15:1352609. [PMID: 38455120 PMCID: PMC10918749 DOI: 10.3389/fpsyg.2024.1352609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Accepted: 02/08/2024] [Indexed: 03/09/2024] Open
Abstract
Introduction The shifting living and working conditions have profound impacts on the residents' mental health. However, current research in this field has not remarkable investigated. Methods This study used the China Labor-force Dynamic Survey (CLDS) dataset from 2018 and relied on a regression model to examine the effects of the built environment, work environment, and subjective perception on the mental health of Chinese citizens. It also considers the circumstances of both migrants and local residents. Results This study revealed significant correlations between mental health and greening space rate, road network density, commuting time, work feelings, community trust, economic satisfaction, and other factors. Additionally, the mental health of local residents was shown to be significantly affected by community security, while it shows no significance in migrants. Furthermore, a significant spatial autocorrelation was found in terms of mental health within the central and eastern regions of China. Discussion The findings of this study offer valuable insights that can be used to facilitate measures aimed at improving the mental health of residents and promoting the development of healthy cities.
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Affiliation(s)
- Zhou Fang
- Guangzhou Transport Planning Research Institute Co., Ltd., Guangzhou, China
| | - Yu Lin
- School of Architecture and Urban Planning, Guangdong University of Technology, Guangzhou, Guangdong, China
| | - Chuangyuan Chen
- School of Architecture and Urban Planning, Guangdong University of Technology, Guangzhou, Guangdong, China
| | - Jian Jiang
- School of Architecture and Urban Planning, Guangdong University of Technology, Guangzhou, Guangdong, China
| | - Letian Dong
- School of Architecture and Urban Planning, Guangdong University of Technology, Guangzhou, Guangdong, China
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Koomen LE, Deenik J, Cahn W. The association between mental healthcare professionals' personal characteristics and their clinical lifestyle practices: a national cross-sectional study in The Netherlands. Eur Psychiatry 2023; 66:e96. [PMID: 38044627 PMCID: PMC10755571 DOI: 10.1192/j.eurpsy.2023.2475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 11/21/2023] [Accepted: 11/22/2023] [Indexed: 12/05/2023] Open
Abstract
BACKGROUND Lifestyle interventions are important to improve the mental and physical health outcomes of people with mental illness. However, referring patients to lifestyle interventions is still not a common practice for mental healthcare professionals (MHCPs) and their own lifestyle habits may impact this. The aim of this study was to investigate MHCPs' personal lifestyle habits, their lifestyle history and referral practices, and if these are associated with their lifestyle habits, gender, and profession. METHODS In this cross-sectional study, an online questionnaire was distributed across relevant MHCP's in The Netherlands. Ordinal regression analyses on lifestyle habits, gender, profession, and lifestyle history and referral practices were conducted. RESULTS A total of the 1,607 included MHCPs, 87.6% finds that lifestyle should be part of every psychiatric treatment, but depending on which lifestyle factor, 55.1-84.0% take a lifestyle history, 29.7-41.1% refer to interventions, and less than half (44.2%) of smoking patients are advised to quit. MHCPs who find their lifestyle important, who are physically more active, females, and MHCPs with a nursing background take more lifestyle histories and refer more often. Compared to current smokers, MHCPs who never or formerly smoked have higher odds (2.64 and 3.40, respectively, p < 0.001) to advice patients to quit smoking. CONCLUSIONS This study indicates that MHCPs' personal lifestyle habits, gender, and profession affect their clinical lifestyle practices, and thereby the translation of compelling evidence on lifestyle psychiatry to improved healthcare for patients.
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Affiliation(s)
- Lisanne E.M. Koomen
- UMC Utrecht, dep. Psychiatry, Utrecht, The Netherlands
- Lister, Utrecht, The Netherlands
| | - Jeroen Deenik
- Maastricht University, Fac. Health, Medicine and Life Sciences, Maastricht, The Netherlands
- GGz Centraal, dep. Research, Amersfoort, The Netherlands
| | - Wiepke Cahn
- UMC Utrecht, dep. Psychiatry, Utrecht, The Netherlands
- Altrecht Mental Health Institute, Utrecht, The Netherlands
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3
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Muva physical activity intervention to improve social functioning in people with a severe mental illness: study protocol of a pragmatic stepped wedge cluster randomized trial. BMC Psychiatry 2022; 22:695. [PMID: 36368947 PMCID: PMC9652040 DOI: 10.1186/s12888-022-04321-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 10/18/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND People with severe mental illness (SMI) often suffer from long-lasting symptoms that negatively influence their social functioning, their ability to live a meaningful life, and participation in society. Interventions aimed at increasing physical activity can improve social functioning, but people with SMI experience multiple barriers to becoming physically active. Besides, the implementation of physical activity interventions in day-to-day practice is difficult. In this study, we aim to evaluate the effectiveness and implementation of a physical activity intervention to improve social functioning, mental and physical health. METHODS In this pragmatic stepped wedge cluster randomized controlled trial we aim to include 100 people with SMI and their mental health workers from a supported housing organization. The intervention focuses on increasing physical activity by implementing group sports activities, active guidance meetings, and a serious game to set physical activity goals. We aim to decrease barriers to physical activity through active involvement of the mental health workers, lifestyle courses, and a medication review. Participating locations will be divided into four clusters and randomization will decide the start of the intervention. The primary outcome is social functioning. Secondary outcomes are quality of life, symptom severity, physical activity, cardiometabolic risk factors, cardiorespiratory fitness, and movement disturbances with specific attention to postural adjustment and movement sequencing in gait. In addition, we will assess the implementation by conducting semi-structured interviews with location managers and mental health workers and analyze them by direct content analysis. DISCUSSION This trial is innovative since it aims to improve social functioning in people with SMI through a physical activity intervention which aims to lower barriers to becoming physically active in a real-life setting. The strength of this trial is that we will also evaluate the implementation of the intervention. Limitations of this study are the risk of poor implementation of the intervention, and bias due to the inclusion of a medication review in the intervention that might impact outcomes. TRIAL REGISTRATION This trial was registered prospectively in The Netherlands Trial Register (NTR) as NTR NL9163 on December 20, 2020. As the The Netherlands Trial Register is no longer available, the trial can now be found in the International Clinical Trial Registry Platform via: https://trialsearch.who.int/Trial2.aspx?TrialID=NL9163 .
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Delgado-Floody P, Guzmán-Guzmán IP, Caamaño-Navarrete F, Jerez-Mayorga D, Zulic-Agramunt C, Cofré-Lizama A. Depression is associated with lower levels of physical activity, body image dissatisfaction, and obesity in Chilean preadolescents. PSYCHOL HEALTH MED 2020; 26:518-531. [PMID: 32885991 DOI: 10.1080/13548506.2020.1817958] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Mental health during the preadolescent years may be determinant for later periods of life; therefore, the factors that influence it need to be studied deeply. The aim of this study was to determine the association between depressive symptoms with physical activity (PA), body image dissatisfaction and weight status in preadolescents. A total of 269 girls and 329 boys (age 12.02 ± 0.98 years) were included in this study. Body mass index (BMI), waist circumference, body image dissatisfaction, PA and depressive symptoms were assessed. The PA reported an inverse association with depression in girls (β:-2.12, P < 0.0001) and boys (β:-1.13, P = 0.001). Instead, BMI in girls (β: 1.00, P < 0.0001) and boys (β: 0.70, P < 0.0001), and body image dissatisfaction in girls (β: 0.05, P = 0.017) and boys (β: 0.04, P = 0.003) reported positive association with depression. In the same way, depression was associated with obesity (odds ratio [OR] = 2.05, P = 0.020), but, the boys had higher risk (OR = 18.4, P < 0.001) than girls. In conclusion, depression in Chilean preadolescents presented association with low levels of PA, obesity and body image dissatisfaction. Therefore, schools should target and promote PA to improve psychological and physical health in preadolescents, which may reduce the future burden of mental illness.
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Affiliation(s)
- Pedro Delgado-Floody
- Department of Physical Education, Sport and Recreation, Universidad de La Frontera, Temuco, Chile
| | | | | | | | - Christianne Zulic-Agramunt
- Department of Psychiatry and Mental Health, School of Medicine a Universidad de La Frontera, Temuco, Chile
| | - Alfonso Cofré-Lizama
- School of Psychology, Universidad Santo Tomás, Temuco, Chile.,Universidad Mayor, Santiago, Chile
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Fibbins H, Ward PB, Curtis J, Watkins A, Lederman O, Morell R, Rosenbaum S. Effectiveness of a brief lifestyle intervention targeting mental health staff: analysis of physical fitness and activity in the Keeping Our Staff in Mind study. BMJ Open Sport Exerc Med 2020; 6:e000761. [PMID: 32685186 PMCID: PMC7359059 DOI: 10.1136/bmjsem-2020-000761] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/17/2020] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND People with mental illness die on average 15 years less than the general population, primarily to cardiometabolic disease. Lifestyle interventions are effective in reducing cardiometabolic risk but are not routinely provided to mental health consumers. Lifestyle interventions targeting mental health staff may be beneficial in changing culture surrounding physical health and subsequently improving consumer outcomes. This study examines exercise and fitness outcomes of a targeted lifestyle intervention directed at Australian mental health staff. METHODS A pragmatic single-arm intervention study was conducted within an Australian public mental health service. Mental health staff were provided a five-session individualised lifestyle intervention (incorporating exercise and nutritional counselling) over 5 weeks. Two waves of the programme were delivered between 2015 and 2016. This paper examines the exercise and fitness outcomes of the second wave of the study. Participants were assessed at baseline and at a 16-week follow-up. The primary exercise outcome was a measurement of cardiorespiratory fitness. Secondary outcomes included self-reported physical activity and a measurement of handgrip strength. RESULTS A total of 106 staff participated in this component of the study. Cardiorespiratory fitness increased significantly from baseline to follow-up (p<0.001). Significant improvements to physical activity occurred with decreases in sedentary time (p<0.0005) and increases in moderate-to-vigorous physical activity (p<0.005). CONCLUSION Lifestyle interventions incorporating exercise counselling may improve the physical health of mental health staff. Such strategies may be effective in improving culture surrounding physical health and/or increasing the effectiveness of lifestyle interventions targeting mental health consumers.
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Affiliation(s)
- Hamish Fibbins
- School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
- Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia
| | - Philip B Ward
- School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
- Schizophrenia Research Unit, Liverpool Hospital and Ingham Institute of Applied Medical Research, Sydney, New South Wales, Australia
| | - Jackie Curtis
- School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
- Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia
| | - Andrew Watkins
- Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia
- Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
| | - Oscar Lederman
- Keeping the Body in Mind Program, South Eastern Sydney Local Health District, Sydney, New South Wales, Australia
- School of Medical Science, University of New South Wales, Sydney, New South Wales, Australia
| | - Rachel Morell
- School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
| | - Simon Rosenbaum
- School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia
- Black Dog Institute, Randwick, New South Wales, Australia
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Kleemann E, Bracht CG, Stanton R, Schuch FB. Exercise prescription for people with mental illness: an evaluation of mental health professionals' knowledge, beliefs, barriers, and behaviors. ACTA ACUST UNITED AC 2020; 42:271-277. [PMID: 32130402 PMCID: PMC7236166 DOI: 10.1590/1516-4446-2019-0547] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2019] [Accepted: 10/09/2019] [Indexed: 12/17/2022]
Abstract
OBJECTIVE The aim of this study was to understand the knowledge, beliefs, barriers, and behaviors of mental health professionals about physical activity and exercise for people with mental illness. METHODS The Portuguese version of The Exercise in Mental Illness Questionnaire was used to assess knowledge, beliefs, barriers, and behaviors about exercise prescription for people with mental illness in a sample of 73 mental health professionals (68.5% women, mean age = 37.0 years) from 10 Psychosocial Care Units (Centros de Atenção Psicossocial) in Porto Alegre and Canoas, state of Rio Grande do Sul, Brazil. RESULTS Most of respondents had received no formal training in exercise prescription. Exercise ranked fifth as the most important treatment, and most of the sample never or occasionally prescribed exercise. The most frequently reported barriers were lack of training in physical activity and exercise prescription and social stigma related to mental illness. Professionals who themselves met recommended physical activity levels found fewer barriers to prescribing physical activity and did so with greater frequency. CONCLUSION Exercise is underrated and underused as a treatment. It is necessary to include physical activity and exercise training in mental health curricula. Physically active professionals are more likely to prescribe exercise and are less likely to encounter barriers to doing so. Interventions to increase physical activity levels among mental health professionals are necessary to decrease barriers to and increase the prescription of physical activity and exercise for mental health patients.
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Affiliation(s)
- Evelyn Kleemann
- Programa de Pós-Graduação em Saúde e Desenvolvimento Humano, Centro Universitário La Salle, Canoas, RS, Brazil
| | - Claudia G Bracht
- Escola de Fisioterapia, Educação Física e Dança, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Robert Stanton
- School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Queensland, Australia
| | - Felipe B Schuch
- Programa de Pós-Graduação em Saúde e Desenvolvimento Humano, Centro Universitário La Salle, Canoas, RS, Brazil.,Departamento de Métodos e Técnicas Esportivas, Universidade Federal de Santa Maria, Santa Maria, RS, Brazil
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Psychological well-being related to screen time, physical activity after school, and weight status in Chilean schoolchildren. NUTR HOSP 2019; 36:1254-1260. [PMID: 31718203 DOI: 10.20960/nh.02751] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Introduction Background: the relationship between physical activity (PA) patterns and mental health in children is receiving considerable attention. Aims: the aim of this study was to compare psychological well-being in groups of schoolchildren according to PA patterns and weight status, and to determinate the association between psychological well-being and both screen time and PA after school. Material and methods: in a cross-sectional sample of girls (n = 272, aged 11.93 ± 0.94 years) and boys (n = 333, aged 12.09 ± 1.00 years), we assessed body mass index (BMI), waist circumference and body fat. Self-esteem, body image dissatisfaction, depression, screen time, and after-school PA were also included. Results: according to PA patterns, there were significant differences between good PA and bad PA groups in self-esteem (p = 0.013) and depression (p = 0.035). BMI was associated with depression (β: 0.36; 95% CI: 0.19, 0.53; p < 0.001). Screen time was positively associated with depression (β: 0.88; 95% CI: 0.32, 1.44; p = 0.002) and inversely associated with self-esteem (β: -1.12; 95% CI: -1.79, -0.45; p < 0.001). Finally, after-school PA had an inverse association with depression levels (β: -0.55; 95% CI: 0.10, 1.00; p = 0.016). Conclusion: psychological well-being was associated with screen time, after-school PA and weight status in schoolchildren.
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Stanton R, Rosenbaum S. Temporal trends in exercise physiology services in Australia-Implications for rural and remote service provision. Aust J Rural Health 2019; 27:514-519. [PMID: 31713303 DOI: 10.1111/ajr.12563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Revised: 07/17/2019] [Accepted: 07/30/2019] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE To assess temporal trends in service provision by Accredited Exercise Physiologists based on remoteness classification using Australian Bureau of Statistics remoteness classifications of Major Cities, Inner Regional, Outer Regional, Remote and Very Remote. DESIGN AND PARTICIPANTS Cross-sectional analysis of publicly available Medicare Benefits Schedule datasets, for Medicare item number 10953 from 2012-2013 to 2016-2017. MAIN OUTCOME MEASURE(S) Number of claims, benefits paid, fees charges and number of providers for Medicare item number 10953. RESULTS Accredited Exercise Physiologist service delivery demonstrates growth across all areas of remoteness classification. Rebates and fees mirror service delivery trends. The rate of service growth was significantly greater in Major Cities compared with all other remoteness classifications. Provider numbers show a steady increase from 2012-2013 to 2016-2017 but number remains higher in Major Cities compared with all other remoteness locations. CONCLUSION Given the high proportion of chronic and complex illness in rural and remote areas, and the limited access to allied health care services, we propose more needs to be done to position Accredited Exercise Physiologists in these regions of increasing need. These findings have implications for future development of the Accredited Exercise Physiologist profession.
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Affiliation(s)
- Robert Stanton
- School of Health, Medical and Applied Sciences, Central Queensland University, Rockhampton, Qld, Australia.,Appleton Institute, Central Queensland University, Adelaide, SA, Australia
| | - Simon Rosenbaum
- School of Psychiatry, University of New South Wales, Sydney, NSW, Australia.,Black Dog Institute, Sydney, NSW, Australia
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