Barriers to exercise among people with severe mental illnesses.
Abstract
OBJECTIVE: Lack of exercise is a risk factor for various negative health outcomes. Some research suggests people with severe mental illnesses are less likely to engage in exercise than the general population. The purpose of this report is to document, analyze, and understand self-identified barriers to exercise that may be especially specific to people living with serious mental illnesses. Producing such knowledge can assist in the development of effective interventions. METHODS: Thirty-one people with serious mental illnesses participated in in-depth one-on-one interviews to discuss health behaviors in general and exercise more specifically. The authors then engaged in thematic analysis of data to identify common barriers to exercise. RESULTS: Participants reported psychiatric medication side effects, symptoms related to SMI, and physical comorbidities as barriers. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Clinicians should incorporate physical health goals as a part of treatment planning. Agencies also can play a role in increasing exercise through the implementation of programs.
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People with mental illness specifically identify medication side-effects and condition-related symptoms as significant barriers to participation in regular exercise.
“Glover et al. (2013) reported people with a mental illness speci fi cally identify medication side-effects and conditionrelated symptoms as signi fi cant barriers to participation in regular exercise.”
From A call to action: Exercise as treatment for patients with mental illness (2015) · cites this paper as Glover et al. 2013
Certain pharmacological treatments may contribute to lack of motivation to exercise because psychiatric patients have reported medication side effects as a primary factor inhibiting their capacity to engage in regular exercise.
“It is possible that certain pharmacological treatments may contribute to this issue as psychiatric patients have previously reported medication side effects as a primary factor that inhibits their capacity to engage in regular exercise (Glover et al., 2013).”
From Aerobic Exercise as a Tool to Improve Hippocampal Plasticity and Function in Humans: Practical Implications for Mental Health Treatment (2016) · cites this paper as Glover et al., 2013
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- Authors
- Glover, C. M., Ferron, J. C., & Whitley, R.
- Affiliations
- University of Illinois Chicago (US)
- Dartmouth Psychiatric Research Center (US)
- Douglas Mental Health University Institute (CA)
- Venue
- Psychiatric Rehabilitation Journal
- Published
- 2013-03
- Volume
- 36
- Issue
- 1
- Pages
- 45-47
- ISSN
- 1095-158X (ISSN-L)
- 1559-3126
- OpenAlex
- W2024567043
- Cited by
- 57
- References
- 12
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 6 · 2018: 4 · 2017: 8 · 2016: 9 · 2015: 6 · 2014: 6
- FWCI
- 4.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Rehabilitation Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- US Department of Education
- Substance Abuse and Mental Health Services Administration (H133B100028)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- barriers to exercise, severe mental illness, physical activity, psychiatric medication side effects, somatic comorbidity, psychiatric symptoms, physical health, health behavior, exercise intervention
- MeSH terms
- Adult, Mental Disorders, Female, Humans, Interview, Psychological, Male, Middle Aged, Severity of Illness Index, Health Behavior, Exercise
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