Mindful exercise versus non-mindful exercise for schizophrenia: A systematic review and meta-analysis of randomized controlled trials
Abstract
Objective To investigate whether the mindful exercise was more beneficial than non-mindful exercise for people with schizophrenia.Methods PubMed, Embase, Cochrane Library, and PsycINFO were searched from their onset to April 2017. Randomized controlled trials of schizophrenia were selected. Mindful exercises were yoga, tai chi or qigong. Non-mindful exercises included any type of purely physical exercise. Risk of bias was assessed using criteria in the Cochrane Handbook for Systematic Reviews of Interventions.Results Seven studies were identified. There were significant differences in favour of mindful exercise in psychiatric symptoms (total PANSS, 2 RCT, n = 101, MD -8.94, low-quality evidence) and "working memory" (1 RCT, n = 194, MD 0.39, low-quality). For outcomes of "attention" and social functioning, there was no clear difference. Four studies reported no adverse events.Conclusions Mindful exercise was more beneficial over non-mindful exercise on some outcomes of psychiatric symptoms and cognitive performance for schizophrenia.
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Previous meta-analyses have shown that MBE, based on the exercise trinity (body, mind, and breathing), is a well-established complementary therapy for people with schizophrenia.
“Previous meta-analyses [187, 188] have shown that MBE, which is based on the exercise trinity (i.e., body, mind, and breathing), is a well-established complementary therapy for people with schizophrenia.”
From Comparative Effectiveness of Multiple Exercise Interventions in the Treatment of Mental Health Disorders: A Systematic Review and Network Meta-Analysis (2022) · cites this paper as [188]
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- Authors
- Li, J., Shen, J., Wu, G., Tan, Y., Sun, Y., Keller, E., Jiang, Y., & Wu, J.
- Affiliations
- Affiliated Zhongshan Hospital of Dalian University (CN)
- Dalian Medical University (CN)
- University of Michigan (US)
- Dalian University (CN)
- Corresponding author
- Wu, Jianlin
- Venue
- Complementary Therapies in Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 32
- Pages
- 17-24
- ISSN
- 1744-3881 (ISSN-L)
- OpenAlex
- W2796325540
- Cited by
- 44
- References
- 50
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 9 · 2023: 5 · 2022: 12 · 2021: 5 · 2020: 8 · 2019: 1
- FWCI
- 0.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Complementary Therapies in Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- schizophrenia, yoga, Tai Chi, qigong, physical activity, psychiatric symptoms, working memory, cognitive performance, social functioning, attention
- MeSH terms
- Humans, Schizophrenia, Randomized Controlled Trials as Topic, Mind-Body Therapies, Mindfulness
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