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Increasing physical activity and healthy diet in outpatients with mental disorders

  • IntroductionWhile physical activity (PA) can play an important role in the treatment of mental disorders (MD), large proportions of patients with MD do not meet PA recommendations. The aim of this trial was to evaluate whether structured psychological intervention (MoVo-LISA) is effective in helping outpatients with MD to increase their level of PA. As active control group (CG) we modified MoVo-LISA to target healthy diet behavior.MethodsN=83 outpatients with MD (F1-F4) were randomized to the two conditions. PA (self-report and accelerometry), dietary behavior, social-cognitive determinants of health behavior change, psychiatric symptoms and health-related quality of life were assessed at baseline, 1 and 12 weeks after the intervention.ResultsSignificant time*group interaction effects for objectively measured PA, dietary behavior and fruit and vegetable consumption indicated differential effects of the interventions on these outcomes. PA increased in the MoVo-LISA group (IG) from baseline to follow-up while it decreased in CG. IGIntroductionWhile physical activity (PA) can play an important role in the treatment of mental disorders (MD), large proportions of patients with MD do not meet PA recommendations. The aim of this trial was to evaluate whether structured psychological intervention (MoVo-LISA) is effective in helping outpatients with MD to increase their level of PA. As active control group (CG) we modified MoVo-LISA to target healthy diet behavior.MethodsN=83 outpatients with MD (F1-F4) were randomized to the two conditions. PA (self-report and accelerometry), dietary behavior, social-cognitive determinants of health behavior change, psychiatric symptoms and health-related quality of life were assessed at baseline, 1 and 12 weeks after the intervention.ResultsSignificant time*group interaction effects for objectively measured PA, dietary behavior and fruit and vegetable consumption indicated differential effects of the interventions on these outcomes. PA increased in the MoVo-LISA group (IG) from baseline to follow-up while it decreased in CG. IG showed a significant higher level of objectively measured PA at follow-up compared to CG. Dietary behavior and fruit and vegetable consumption significantly increased from baseline to follow-up in CG, but not IG. IG showed a significant increase in some, but not all social cognitive determinants of health behavior change.ConclusionsMoVo-LISA is effective in helping outpatients with MD to increase their level of PA in short- and mid-term. The used intervention strategies are effective for the promotion of healthy diet in patients with MD as well.show moreshow less

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Author details:Moritz Bruno PetzoldGND, Jennifer Lara Maria Mumm, Sophie BischoffGND, Julia Große, Jens Plag, Ralf BrandORCiDGND, Andreas StröhleORCiDGND
DOI:https://doi.org/10.1007/s00406-018-0941-z
ISSN:0940-1334
ISSN:1433-8491
Pubmed ID:https://pubmed.ncbi.nlm.nih.gov/30194668
Title of parent work (English):European archives of psychiatry and clinical neuroscience : official organ of the German Society for Biological Psychiatry
Subtitle (German):a randomized-controlled evaluation of two psychological interventions
Publisher:Springer
Place of publishing:Heidelberg
Publication type:Article
Language:English
Date of first publication:2018/09/08
Publication year:2019
Release date:2020/12/10
Tag:Intervention; Mental disease; Mental disorder; MoVo; Physical activity; Physical exercise
Volume:269
Issue:5
Number of pages:14
First page:529
Last Page:542
Organizational units:Humanwissenschaftliche Fakultät / Strukturbereich Kognitionswissenschaften / Department Psychologie
DDC classification:1 Philosophie und Psychologie / 15 Psychologie / 150 Psychologie
Peer review:Referiert
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