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BMC Psychiatry
Published in: BMC Psychiatry 1/2017

Open Access 01-12-2017 | Research article

Physical activity and quality of life in long-term hospitalized patients with severe mental illness: a cross-sectional study

Authors: Jeroen Deenik, Frank Kruisdijk, Diederik Tenback, Annemarie Braakman-Jansen, Erik Taal, Marijke Hopman-Rock, Aartjan Beekman, Erwin Tak, Ingrid Hendriksen, Peter van Harten

Published in: BMC Psychiatry | Issue 1/2017

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Abstract

Background

Increasing physical activity in patients with severe mental illness is believed to have positive effects on physical health, psychiatric symptoms and as well quality of life. Till now, little is known about the relationship between physical activity and quality of life in long-term hospitalized patients with severe mental illness and knowledge of the determinants of behavioural change is lacking. The purpose of this study was to elucidate the relationship between objectively measured physical activity and quality of life, and explore modifiable psychological determinants of change in physical activity in long-term hospitalized patients with severe mental illness.

Methods

In 184 inpatients, physical activity was measured using an accelerometer (ActiGraph GTX+). Quality of life was assessed by EuroQol-5D and WHOQol-Bref. Attitude and perceived self-efficacy towards physical activity were collected using the Physical Activity Enjoyment Scale and the Multidimensional Self Efficacy Questionnaire, respectively. Patient and disease characteristics were derived retrospectively from electronic patient records. Associations and potential predictors were analysed using hierarchical regression.

Results

Physical activity was positively related with and a predictor of all quality of life outcomes except on the environmental domain, independent of patient and disease characteristics. However, non-linear relationships showed that most improvement in quality of life lies in the change from sedentary to light activity. Attitude and self-efficacy were not related to physical activity.

Conclusions

Physical activity is positively associated with quality of life, especially for patients in the lower spectrum of physical activity. An association between attitude and self-efficacy and physical activity was absent. Therefore, results suggest the need of alternative, more integrated and (peer-)supported interventions to structurally improve physical activity in this inpatient population. Slight changes from sedentary behaviour to physical activity may be enough to improve quality of life.
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Metadata
Title
Physical activity and quality of life in long-term hospitalized patients with severe mental illness: a cross-sectional study
Authors
Jeroen Deenik
Frank Kruisdijk
Diederik Tenback
Annemarie Braakman-Jansen
Erik Taal
Marijke Hopman-Rock
Aartjan Beekman
Erwin Tak
Ingrid Hendriksen
Peter van Harten
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2017
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-017-1466-0

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