THE EFFECT OF A GOAL SETTING EXERCISE PROGRAM ON IMPROVING UPPER BODY STRENGTH, LOWER EXTREMITY STRENGTH, BALANCE AND COMMITMENT TO EXERCISE OF PATIENTS WITH SCHIZOPHRENIA
Abstract
The purpose was to examine the effect of goal setting on improving upper body strength, lower extremity strength and balance of individuals with schizophrenia and to monitor the effect of goal setting toward commitment to exercise of schizophrenia patients. The sample consisted of four patients with schizophrenia, aged 48 to 58 years old, all randomly selected and separated into two groups (control and experiment). All patients were already involved in exercising twice per week of 45 minutes each session, within psychiatry hospital premises. Additional goals for experimental group individuals included two extra 10-15 minutes of workout per week to improve post measure results. Instruments used prior and after the application of the goal setting intervention program included the Five times sit to stand test, the Arm curl test and the Time up and go test. Results showed that participants of the experiment group improved their performance in all post measures while control group individuals also improved their scores in two out of the three tests used in this study. Although no generalizations can be made due to the small sample of this study, goal setting seems to have the potential to promote exercise commitment and adoption in patients with schizophrenia.
Article visualizations:
Keywords
Full Text:
PDFReferences
Achtyes, E., Simmons, A., Skabeev, A., Levy, N., Jiang, Y., Marcy, P., & Weiden, P. J. (2018). Patient preferences concerning the efficacy and side-effect profile of schizophrenia medications: a survey of patients living with schizophrenia. BMC Psychiatry, 18(1), 292. doi:10.1186/s12888-018-1856-y
Acil, A. A., Doğan, S., & Doğan, O. (2008). The effects of physical exercises to mental state and quality of life in patients with schizophrenia. Journal of Psychiatric & Mental Health Nursing, 15(10), 808-815. doi:10.1111/j.1365-2850.2008.01317.x
Andersson, E. K., & Moss, T. P. (2011). Imagery and implementation intention: A randomised controlled trial of interventions to increase exercise behaviour in the general population. Psychology of Sport and Exercise, 12(2), 63-70. doi:10.1016/j.psychsport.2010.07.004
Andreasen, N. C., & Black D. W. (2001). Introductory Textbook of Psychiatry (3rd Eds.). American Psychiatric Publishing, Washington, DC.
Caldwell, B. A. (2012). Exercise therapy for schizophrenia. International Journal of Evidence-Based Healthcare, (4), 411-412. doi:10.1111/j.1744-1609.2012.00299.x
Brett, C. E., Sykes, C., & Pires-Yfantouda, R. (2017). Interventions to increase engagement with rehabilitation in adults with acquired brain injury: A systematic review. Neuropsychological rehabilitation, 27(6), 959-982. doi:10.1080/09602011.2015.1090459
Cavelti, M., Tschümperlin, R. M., Hubl, D., Kupper, Z., Caspar, F., & Westermann, S. (2018). Therapeutic relationship and concordance of client- and clinician-rated motivational goals in treatment of people with psychosis: An exploratory study. Psychosis: Psychological, Social and Integrative Approaches, 10(2), 90-98. doi:10.1080/17522439.2018.1449885
Clarke, S., Crowe, T., Oades, L., & Deane, F. (2009). Do goal-setting interventions improve the quality of goals in mental health services? Psychiatric Rehabilitation Journal, 32(4), 292-299.
Csuka, M. & McCarty, D. J. (1985). Simple method for measurement of lower extremity muscle strength. The American Journal of Medicine, 78(1), 77-81.
Daley, A. J. (2002). Exercise therapy and mental health in clinical populations: is exercise therapy a worthwhile intervention? Journal of Continuing Professional Development, 8, 262-280.
Deenik, J., Tenback, D. E., Tak, E. C. P. M., Rutters, F., Hendriksen, I. J. M., & van Harten, P. N. (2019). Changes in physical and psychiatric health after a multidisciplinary lifestyle enhancing treatment for in patients with severe mental illness: The MULTI study I. Schizophrenia Research, 204, 360-367. doi:10.1016/j.schres.2018.07.033
Doğan, S., Doğan, O., Tel, H., Coker, F., Polatöz, O., & Doğan, F. B. (2004). Psychosocial approaches in outpatients with schizophrenia. Psychiatric Rehabilitation Journal, 27, 279-282.
Evans, L. & Hardy, L. (2002). Injury rehabilitation: A goal-setting intervention study. Research Quarterly for Exercise and Sport, 73(3), 310-319.
Faulkner, G., & Biddle, S. (1999). Exercise as an adjunct treatment for schizophrenia: A review of the literature. Journal of Mental Health, 8(5), 441-457. doi:10.1080/09638239917157
Knittle, K., Gellert, P., Moore, C., Bourke, N., & Hull, V. (2019). Goal achievement and goal-related cognitions in behavioral activation treatment for depression. Behavior Therapy, 50(5), 898-909. doi:10.1016/j.beth.2019.01.005
Kokaridas, D., Maggouritsa, G., Stoforos, P., Patsiaouras, A., Theodorakis, Y., & Diggelidis, N. (2013). The effect of a token economy system program and physical activity on improving quality of life of patients with schizophrenia: a pilot study. American Journal of Adapted Psychology, 2(6), 80-88.
Latham, G. P., & Locke, E. A. (1991). Self-Regulation through Goal Setting. Organizational Behavior and Human Decision Process, 50, 212-247.
Maggouritsa, G., Kokaridas, D., Stoforos, P., Patsiaouras, A., Diggelidis, N., & Theodorakis, Y. (2014a). The effect of a physical activity program on improving body cathexis and self-esteem of patients with schizophrenia. Inquires in Sport & Physical Education, 12(1), 40-51.
Maggouritsa, G., Kokaridas, D., Theodorakis, I., Patsiaouras, A., Mouzas, O., Dimitrakopoulos, S., & Diggelidis, N., (2014b). The effect of a physical activity programme on improving mood profile of patients with schizophrenia. International Journal of Sport and Exercise Psychology, 12(3), 273-284.
Marder, S. R., & Chopra, V. (2014). Schizophrenia. Oxford: Oxford University Press.
McEwan, D., Harden, S. M., Zumbo, B. D., Sylvester, B. D., Kaulius, M., Ruissen, G. R., … Beauchamp, M. R. (2016). The effectiveness of multi-component goal setting interventions for changing physical activity behaviour: A systematic review and meta-analysis. Health Psychology Review, 10(1), 67-88. doi:10.1080/17437199.2015.1104258
McGuire, A. B., Lysaker, P. H., & Wasmuth, S. (2015). Altered self-experience and goal setting in severe mental illness. American Journal of Psychiatric Rehabilitation, 18(4), 333-362. doi:10.1080/15487768.2015.1089800
Nyman, S. R., Adamczewska, N., & Howlett, N. (2018). Systematic review of behaviour change techniques to promote participation in physical activity among people with dementia. British Journal of Health Psychology, 23(1), 148-170. doi:10.1111/bjhp.12279
Oertel-Knöchel, V., Mehler, P., Thiel, C., Steinbrecher, K., Malchow, B., Tesky, V., … Hänsel, F. (2014). Effects of aerobic exercise on cognitive performance and individual psychopathology in depressive and schizophrenia patients. European Archives of Psychiatry & Clinical Neuroscience, 264(7), 589-604. doi:10.1007/s00406-014-0485-9
Orlick, T. (2016). In pursuit of excellence. Champaign IL. Human Kinetics.
Paul, S. S., & Canning, C. G. (2014). Five-repetition sit-to-stand. Journal of Physiotherapy, 60, 168.
Roick, C., Fritz-Wieacker, A., Matschinger, H., Heider, D., Schindler, J., Riedel-Heller, S., & Angermeyer, M. C. (2007). Health habits of patients with schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 42(4), 268-276. doi:10.1007/s00127-007-0164-5
Różańska-Kirschke, A., Kocur, P., Wilk, M., & Dylewicz, P. (2006). The Fullerton Fitness Test as an index of fitness in the elderly. Medical Rehabilitation, 10(2), 9-16.
Rössler, W., Salize, H. J., van Os, J., & Riecher-Rössler, A. (2005). Size of burden of schizophrenia and psychotic disorders. European Neuropsychopharmacology: The Journal of the European College of Neuropsychopharmacology, 15(4), 399-409. doi:10.1016/j.euroneuro.2005.04.009
Saelens, B. E., Gehrman, C. A., Sallis, J. F., Calfas, K. J., Sarkin, J. A., & Caparosa, S. (2000). Use of self-management strategies in a 2-year cognitive-behavioral intervention to promote physical activity. Behavior Therapy, 31(2), 365-379. doi:10.1016/S0005-7894(00)80020-9
Shumway-Cook, A., & Wollacott, M. H. (2007). Motor Control: Translating Research into Clinical Practice. Philadelphia: Lippincott Williams & Wilkins.
Taylor, J., & Wilson, G. (2005). Applying sport psychology: Four perspectives. Champaign, IL: Human Kinetics.
Tyson, P. J., Laws, K. R., Roberts, K. H., & Mortimer, A. M. (2004). Stability of set-shifting and planning abilities in patients with schizophrenia. Psychiatry Research, 129(3), 229-239. doi:10.1016/j.psychres.2004.09.007
Weinberg, R. S., Harmison, R. J., Rosenkranz, R., & Hookom, S. (2005). Goal Setting. In J. Taylor & G. Wilson (Eds.), Applying sport psychology: Four perspectives. (pp. 101–116). Champaign, IL: Human Kinetics.
Whitney, S. L., Wrisley, D. M., Marchetti, G. F., Gee, M. A., Redfern, M. S., & Furman, J. M. (2005). Clinical measurement of sit-to-stand performance in people with balance disorders: Validity of data for the Five-Times-Sit-to-Stand test. Physical Therapy, 85(10), 1034-1045.
Vancampfort, D., Probst, M., Scheewe, T., Maurissen, K., Sweers, K., Knapen, J., & De Hert, M. (2011). Lack of physical activity during leisure time contributes to an impaired health related quality of life in patients with schizophrenia. Schizophrenia Research, 129, 122-127. doi:10.1016/j.schres.2011.03.018
van Os, J., & Kapur, S. (2009. Schizophrenia. The Lancet, 374(9690), 635-645. doi:10.1016/S0140-6736(09)60995-8
DOI: http://dx.doi.org/10.46827/ejpe.v0i0.2739
Refbacks
- There are currently no refbacks.
Copyright (c) 2019 Lena Gabršček, Dimitrios Kokaridas, Georgia Maggouritsa, George Loules, Periklis Stoforos, Yiannis Theodorakis, Charalampos Krommidas
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright © 2015 - 2023. European Journal of Physical Education and Sport Science (ISSN 2501 - 1235) is a registered trademark of Open Access Publishing Group. All rights reserved.
This journal is a serial publication uniquely identified by an International Standard Serial Number (ISSN) serial number certificate issued by Romanian National Library (Biblioteca Nationala a Romaniei). All the research works are uniquely identified by a CrossRef DOI digital object identifier supplied by indexing and repository platforms. All authors who send their manuscripts to this journal and whose articles are published on this journal retain full copyright of their articles. All the research works published on this journal are meeting the Open Access Publishing requirements and can be freely accessed, shared, modified, distributed and used in educational, commercial and non-commercial purposes under a Creative Commons Attribution 4.0 International License (CC BY 4.0).