The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric Study
Compared with the general population, people with severe mental disorders have significantly worse physical health and a higher mortality rate, which is partially due to the adoption of unhealthy lifestyle behaviors, such as heavy smoking, use of alcohol or illicit drugs, unbalanced diet, and physic...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-07-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.945650/full |
| _version_ | 1828186646834577408 |
|---|---|
| author | Gaia Sampogna Mario Luciano Matteo Di Vincenzo Ileana Andriola Enrico D'Ambrosio Mario Amore Gianluca Serafini Alessandro Rossi Claudia Carmassi Liliana Dell'Osso Giorgio Di Lorenzo Alberto Siracusano Rodolfo Rossi Rodolfo Rossi Andrea Fiorillo Working Group LIFESTYLE Vincenzo Giallonardo Valeria Del Vecchio Arcangelo Di Cerbo Carlotta Brandi Luigi Marone Bianca Della Rocca Giuseppe Blasi Laura De Mastro Francesco Massari Giulio Pergola Alessandra Raio Antonio Rampino Marianna Russo Pierluigi Selvaggi Angelantonio Tavella Alessandro Bertolino Paolo Stratta Virginia Pedrinelli Carlo Antonio Bertelloni Annalisa Cordone Cinzia Niolu |
| author_facet | Gaia Sampogna Mario Luciano Matteo Di Vincenzo Ileana Andriola Enrico D'Ambrosio Mario Amore Gianluca Serafini Alessandro Rossi Claudia Carmassi Liliana Dell'Osso Giorgio Di Lorenzo Alberto Siracusano Rodolfo Rossi Rodolfo Rossi Andrea Fiorillo Working Group LIFESTYLE Vincenzo Giallonardo Valeria Del Vecchio Arcangelo Di Cerbo Carlotta Brandi Luigi Marone Bianca Della Rocca Giuseppe Blasi Laura De Mastro Francesco Massari Giulio Pergola Alessandra Raio Antonio Rampino Marianna Russo Pierluigi Selvaggi Angelantonio Tavella Alessandro Bertolino Paolo Stratta Virginia Pedrinelli Carlo Antonio Bertelloni Annalisa Cordone Cinzia Niolu |
| author_sort | Gaia Sampogna |
| collection | DOAJ |
| description | Compared with the general population, people with severe mental disorders have significantly worse physical health and a higher mortality rate, which is partially due to the adoption of unhealthy lifestyle behaviors, such as heavy smoking, use of alcohol or illicit drugs, unbalanced diet, and physical inactivity. These unhealthy behaviors may also play a significant role in the personal and functional recovery of patients with severe mental disorders, although this relationship has been rarely investigated in methodologically robust studies. In this paper, we aim to: a) describe the levels of physical activity and recovery style in a sample of patients with severe mental disorders; b) identify the clinical, social, and illness-related factors that predict the likelihood of patients performing physical activity. The global sample consists of 401 patients, with a main psychiatric diagnosis of bipolar disorder (43.4%, N = 174), psychosis spectrum disorder (29.7%; N = 119), or major depression (26.9%; N = 118). 29.4% (N = 119) of patients reported performing physical activity regularly, most frequently walking (52.1%, N = 62), going to the gym (21.8%, N = 26), and running (10.9%, N = 13). Only 15 patients (3.7%) performed at least 75 min of vigorous physical activity per week. 46.8% of patients adopted sealing over as a recovery style and 37.9% used a mixed style toward integration. Recovery style is influenced by gender (p < 0.05) and age (p < 0.05). The probability to practice regular physical activity is higher in patients with metabolic syndrome (Odds Ratio - OR: 2.1; Confidence Interval - CI 95%: 1.2–3.5; p < 0.050), and significantly lower in those with higher levels of anxiety/depressive symptoms (OR: 0.877; CI 95%: 0.771–0.998; p < 0.01). Globally, patients with severe mental disorders report low levels of physical activities, which are associated with poor recovery styles. Psychoeducational interventions aimed at increasing patients' motivation to adopt healthy lifestyle behaviors and modifying recovery styles may improve the physical health of people with severe mental disorders thus reducing the mortality rates. |
| first_indexed | 2024-04-12T07:20:06Z |
| format | Article |
| id | doaj.art-137a9d2860bc411f8f97cd728b5cca08 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-12T07:20:06Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-137a9d2860bc411f8f97cd728b5cca082022-12-22T03:42:20ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-07-011310.3389/fpsyt.2022.945650945650The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric StudyGaia Sampogna0Mario Luciano1Matteo Di Vincenzo2Ileana Andriola3Enrico D'Ambrosio4Mario Amore5Gianluca Serafini6Alessandro Rossi7Claudia Carmassi8Liliana Dell'Osso9Giorgio Di Lorenzo10Alberto Siracusano11Rodolfo Rossi12Rodolfo Rossi13Andrea Fiorillo14Working Group LIFESTYLEVincenzo GiallonardoValeria Del VecchioArcangelo Di CerboCarlotta BrandiLuigi MaroneBianca Della RoccaGiuseppe BlasiLaura De MastroFrancesco MassariGiulio PergolaAlessandra RaioAntonio RampinoMarianna RussoPierluigi SelvaggiAngelantonio TavellaAlessandro BertolinoPaolo StrattaVirginia PedrinelliCarlo Antonio BertelloniAnnalisa CordoneCinzia NioluDepartment of Psychiatry, University of Campania “L. Vanvitelli”, Naples, ItalyDepartment of Psychiatry, University of Campania “L. Vanvitelli”, Naples, ItalyDepartment of Psychiatry, University of Campania “L. Vanvitelli”, Naples, ItalyDepartment of Basic Medical Science, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, ItalyDepartment of Basic Medical Science, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, Genoa, ItalyDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), Section of Psychiatry, University of Genoa, Genoa, ItalyDepartment of Biotechnological and Applied Clinical Sciences (DISCAB), University of L'Aquila, L'Aquila, ItalyPsychiatric Unit, Department of Clinical and Experimental Medicine, AOUP, University of Pisa, Pisa, ItalyPsychiatric Unit, Department of Clinical and Experimental Medicine, AOUP, University of Pisa, Pisa, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyDepartment of Biotechnological and Applied Clinical Sciences (DISCAB), University of L'Aquila, L'Aquila, ItalyDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, ItalyDepartment of Psychiatry, University of Campania “L. Vanvitelli”, Naples, ItalyCompared with the general population, people with severe mental disorders have significantly worse physical health and a higher mortality rate, which is partially due to the adoption of unhealthy lifestyle behaviors, such as heavy smoking, use of alcohol or illicit drugs, unbalanced diet, and physical inactivity. These unhealthy behaviors may also play a significant role in the personal and functional recovery of patients with severe mental disorders, although this relationship has been rarely investigated in methodologically robust studies. In this paper, we aim to: a) describe the levels of physical activity and recovery style in a sample of patients with severe mental disorders; b) identify the clinical, social, and illness-related factors that predict the likelihood of patients performing physical activity. The global sample consists of 401 patients, with a main psychiatric diagnosis of bipolar disorder (43.4%, N = 174), psychosis spectrum disorder (29.7%; N = 119), or major depression (26.9%; N = 118). 29.4% (N = 119) of patients reported performing physical activity regularly, most frequently walking (52.1%, N = 62), going to the gym (21.8%, N = 26), and running (10.9%, N = 13). Only 15 patients (3.7%) performed at least 75 min of vigorous physical activity per week. 46.8% of patients adopted sealing over as a recovery style and 37.9% used a mixed style toward integration. Recovery style is influenced by gender (p < 0.05) and age (p < 0.05). The probability to practice regular physical activity is higher in patients with metabolic syndrome (Odds Ratio - OR: 2.1; Confidence Interval - CI 95%: 1.2–3.5; p < 0.050), and significantly lower in those with higher levels of anxiety/depressive symptoms (OR: 0.877; CI 95%: 0.771–0.998; p < 0.01). Globally, patients with severe mental disorders report low levels of physical activities, which are associated with poor recovery styles. Psychoeducational interventions aimed at increasing patients' motivation to adopt healthy lifestyle behaviors and modifying recovery styles may improve the physical health of people with severe mental disorders thus reducing the mortality rates.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.945650/fulllifestylephysical activitysedentary behaviorsmortalitysevere mental disorders |
| spellingShingle | Gaia Sampogna Mario Luciano Matteo Di Vincenzo Ileana Andriola Enrico D'Ambrosio Mario Amore Gianluca Serafini Alessandro Rossi Claudia Carmassi Liliana Dell'Osso Giorgio Di Lorenzo Alberto Siracusano Rodolfo Rossi Rodolfo Rossi Andrea Fiorillo Working Group LIFESTYLE Vincenzo Giallonardo Valeria Del Vecchio Arcangelo Di Cerbo Carlotta Brandi Luigi Marone Bianca Della Rocca Giuseppe Blasi Laura De Mastro Francesco Massari Giulio Pergola Alessandra Raio Antonio Rampino Marianna Russo Pierluigi Selvaggi Angelantonio Tavella Alessandro Bertolino Paolo Stratta Virginia Pedrinelli Carlo Antonio Bertelloni Annalisa Cordone Cinzia Niolu The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric Study Frontiers in Psychiatry lifestyle physical activity sedentary behaviors mortality severe mental disorders |
| title | The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric Study |
| title_full | The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric Study |
| title_fullStr | The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric Study |
| title_full_unstemmed | The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric Study |
| title_short | The Complex Interplay Between Physical Activity and Recovery Styles in Patients With Severe Mental Disorders in a Real-World Multicentric Study |
| title_sort | complex interplay between physical activity and recovery styles in patients with severe mental disorders in a real world multicentric study |
| topic | lifestyle physical activity sedentary behaviors mortality severe mental disorders |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.945650/full |
| work_keys_str_mv | AT gaiasampogna thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT marioluciano thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT matteodivincenzo thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT ileanaandriola thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT enricodambrosio thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT marioamore thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT gianlucaserafini thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT alessandrorossi thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT claudiacarmassi thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT lilianadellosso thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT giorgiodilorenzo thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT albertosiracusano thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT rodolforossi thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT rodolforossi thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT andreafiorillo thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT workinggrouplifestyle thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT vincenzogiallonardo thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT valeriadelvecchio thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT arcangelodicerbo thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT carlottabrandi thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT luigimarone thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT biancadellarocca thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT giuseppeblasi thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT laurademastro thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT francescomassari thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT giuliopergola thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT alessandraraio thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT antoniorampino thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT mariannarusso thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT pierluigiselvaggi thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT angelantoniotavella thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT alessandrobertolino thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT paolostratta thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT virginiapedrinelli thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT carloantoniobertelloni thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT annalisacordone thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT cinzianiolu thecomplexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT gaiasampogna complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT marioluciano complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT matteodivincenzo complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT ileanaandriola complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT enricodambrosio complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT marioamore complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT gianlucaserafini complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT alessandrorossi complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT claudiacarmassi complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT lilianadellosso complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT giorgiodilorenzo complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT albertosiracusano complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT rodolforossi complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT rodolforossi complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT andreafiorillo complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT workinggrouplifestyle complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT vincenzogiallonardo complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT valeriadelvecchio complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT arcangelodicerbo complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT carlottabrandi complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT luigimarone complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT biancadellarocca complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT giuseppeblasi complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT laurademastro complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT francescomassari complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT giuliopergola complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT alessandraraio complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT antoniorampino complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT mariannarusso complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT pierluigiselvaggi complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT angelantoniotavella complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT alessandrobertolino complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT paolostratta complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT virginiapedrinelli complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT carloantoniobertelloni complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT annalisacordone complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy AT cinzianiolu complexinterplaybetweenphysicalactivityandrecoverystylesinpatientswithseverementaldisordersinarealworldmulticentricstudy |