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Research Article| Volume 20, ISSUE 5, P205-209, October 2006

Physical Activity in Patients who are Severely Mentally Ill: Feasibility of Assessment for Clinical and Research Applications

      Few studies have examined physical activity in patients who are severely mentally ill. We assessed feasibility and validity of using standardized self-report and objective measures of physical activity in 20 community-dwelling veteran patients, most with psychotic disorders and substance abuse in remission. Test–retest reliability of a past week physical activity survey and the Community Healthy Activities Model Program for Seniors interview were evaluated with repeated interviews. RT3 accelerometer data provided objective physical activity data. Test–retest reliability and validity correlations for the self-report instruments were similar in magnitude to those reported for nonclinical adult samples. Some activity measures were correlated with cognitive status and quality of life. Results indicate that self-reported physical activity can provide valid information for clinical and research applications in mental health settings. Correlations between physical activity measures and psychiatric symptoms suggested interesting patterns for future study.
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      References

        • Ainsworth B.E.
        • Bassett D.R.
        • Scott S.J.
        • Swartz A.M.
        • O'Brien W.L.
        • Thompson R.W.
        • et al.
        Comparison of three methods for measuring the time spent in physical activity.
        Medicine and Science in Sports and Exercise. 2000; 32: S457-S464
        • Allison D.B.
        • Casey D.E.
        Antipsychotic-induced weight gain: A review of the literature.
        Journal of Clinical Psychiatry. 2001; 62: 22-31
        • Brown S.
        • Birtwistle L.R.
        • Thompson C.
        The unhealthy lifestyle of people with schizophrenia.
        Psychological Medicine. 1999; 29: 697-701
        • Centers for Disease Control and Prevention
        Behavioral risk factor surveillance survey questionnaire.
        Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta (GA)2002
        • Cohen J.
        Statistical power analysis for the behavioral sciences.
        2nd ed. Lawrence Erlbaum Associates, Hillsdale (NJ)1988
        • Craft L.L.
        • Landers D.
        The effect of exercise on clinical depression and depression resulting from mental illness: A meta-analysis.
        Journal of Sport and Exercise Psychology. 1998; 20: 339-357
        • Faulkner G.
        • Soundy A.A.
        • Lloyd K.
        Schizophrenia and weight management: A systematic review of interventions to control weight.
        Acta Psychiatrica Scandinavica. 2003; 108: 324-332
        • Kay S.R.
        • Fiszbein A.
        • Opler L.A.
        The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
        Schizophrenia Bulletin. 1987; 13: 261-276
        • Kay S.R.
        • Opler L.A.
        • Fiszbein A.
        Positive and negative syndrome scale user's manual.
        Multi-Health Systems, North Tonawanda, NY1992
        • McCreadie R.G.
        • Scottish Schizophrenia Lifestyle Group
        Diet, smoking, and cardiovascular disease risk in people with schizophrenia: Descriptive study.
        British Journal of Psychiatry. 2003; 183: 534-539
        • McDevitt J.
        • Robinson N.
        • Forest D.
        A group-based walking program at a psychiatric rehabilitation center.
        Psychiatric Services. 2005; 56: 354-355
        • Piette J.D.
        Use of CBT in a walking program for veterans with diabetes and depression.
        Psychiatric Services. 2005; 56: 355
        • Richardson C.R.
        A lifestyle physical activity program for persons with serious mental illness.
        Psychiatric Services. 2005; 56: 354
        • Shipley W.C.
        Shipley institute of living scale.
        Western Psychological Services, Los Angeles, CA1967
        • Stewart A.L.
        • Mills K.M.
        • King A.C.
        • Haskell W.L.
        • Gillis D.
        • Ritter P.L.
        CHAMPS physical activity questionnaire for older adults: Outcomes for interventions.
        Medicine and Science in Sports and Exercise. 2001; 33: 1126-1141