Acceptance of the Use of Pedometers in Individuals with Bipolar Disorder

Abstract

Before patients with bipolar disorder (BD) can begin to perform balanced physical activity, they have to overcome many difficulties. The aim of this study was to examine the acceptance of pedometers as a self-assessment tool in people with BD. Patients who participated in an intervention study with body-oriented groups and psychoeducation groups at the Medical University of Graz/ Department of Psychiatry were invited to use pedometers on a daily basis and keep pedometer diaries over a period of 24 weeks. Most of the patients were satisfied with the pedometers and found them helpful for their health. The difficulties in the study were to recruit patients for this exercise trial, their lack of adherence to the programme and a high dropout rate. Out of the 130 invited patients, 41 came to the baseline investigation, 27 of them took part in the group interventions and 14 used pedometers and handed in the pedometer diaries. For clinical practice, specific motivational interventions are recommended to stimulate individuals with BD to engage in regular physical exercise.

Zusammenfassung

PatientInnen mit Bipolaren Störungen (BS) müssen viel Hürden überwinden, um zu einem ausgeglichenen Bewegungsverhalten zu gelangen. Um die Akzeptanz von Schrittzählern (SZ) als Self-Assessment bei Menschen mit BS zu überprüfen, wurden PatientInnen, die an einer Studie mit Psychoedukation und Körperorientierten Gruppen an der Medizinischen Universität Graz/Psychiatrie teilnahmen, eingeladen, 24 Wochen SZ und SZ-Tagebüchern zu benutzen. Zusammenfassend kann gesagt werden, dass die meisten PatientInnen mit dem SZ zufrieden waren und seine Benutzung hilfreich für ihre Gesundheit fanden. Die Schwierigkeit, auf die wir in der Studie stießen, war, PatientInnen für diese Studie mit Übungsgruppen zu rekrutieren bzw. dass sie nur unregelmäßig oder gar nicht zu den Gruppen erschienen. Von den 130 eingeladenen PatientInnen kamen 41 zur Erstuntersuchung, 27 von ihnen nahmen an den Gruppeninterventionen teil und 14 verwendeten die Schrittzähler bzw. Schrittzählertagebücher. Für die klinische Praxis wird empfohlen, gezielt Motivationsmaßnahmen anzubieten, die einen Anreiz zu regelmäßiger körperlicher Betätigung geben.

Key words

bipolar disorders - pedometer - physical activity - motivational intervention

Schlüsselwörter

Bipolare Störungen - Schrittzähler - Bewegung - Bewegungsmotivation

• References

• 1 Parikh SV. Zaretsky A. Beaulieu S. et al. A randomized controlled trial of psychoeducation or cognitive-behavioral therapy in bipolar disorder: a Canadian Network for Mood and Anxiety treatments (CANMAT) study [CME]. J Clin Psychiatry 2012; 73: 803-810
• 2 Morriss RK. Faizal MA. Jones AP. et al. Interventions for helping people recognise early signs of recurrence in bipolar disorder. Cochrane Database Syst Rev 2007;
• 3 Chiesa A. Castagner V. Andrisano C. et al. Mindfulness-based cognitive therapy vs. psycho-education for patients with major depression who did not achieve remission following antidepressant treatment. Psychiatry research 2015; 226: 474-483
• 4 Scharfetter C. Allgemeine Psychopathologie: eine Einführung. Stuttgart: Thieme; 2002
• 5 Vetter B. Psychiatrie. Ein systematisches Lehrbuch. Stuttgart: Schattauer Verlag; 2007
• 6 Hölter G. Bewegungstherapie bei psychischen Erkrankungen. Köln: Deutscher Ärzte-Verlag GmbH; 2011
• 7 Mehling WE. Wrubel J. Daubenmier JJ. et al. Body Awareness: a phenomenological inquiry into the common ground of mind-body therapies. Philos Ethics Humanit Med 2011; 6: 6-6
• 8 Fuchs T. Koch SC. Embodied affectivity: on moving and being moved. Frontiers in psychology 2014; 5: 508
• 9 Proudfoot J. Whitton A. Parker G. et al. Triggers of mania and depression in young adults with bipolar disorder. Journal of affective disorders 2012; 143: 196-202
• 10 Vancampfort D. Stubbs B. Mitchell AJ. et al. Risk of metabolic syndrome and its components in people with schizophrenia and related psychotic disorders, bipolar disorder and major depressive disorder: a systematic review and meta-analysis. World psychiatry: official journal of the World Psychiatric Association (WPA) 2015; 14: 339-347
• 11 Fagiolini A. Chengappa KN. Soreca I. et al. Bipolar disorder and the metabolic syndrome: causal factors, psychiatric outcomes and economic burden. CNS drugs 2008; 22: 655-669
• 12 Vancampfort D. Vansteelandt K. Correll CU. et al. Metabolic syndrome and metabolic abnormalities in bipolar disorder: a meta-analysis of prevalence rates and moderators. The American journal of psychiatry 2013; 170: 265-274
• 13 Kolotkin RL. Crosby RD. Corey-Lisle PK. et al. Performance of a weight-related measure of Quality of Life in a psychiatric sample. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation 2006; 15: 587-596
• 14 Calkin C. van de Velde C. Ruzickova M. et al. Can body mass index help predict outcome in patients with bipolar disorder?. Bipolar disorders 2009; 11: 650-656
• 15 McIntyre RS. Woldeyohannes HO. Soczynska JK. et al. The rate of metabolic syndrome in euthymic Canadian individuals with bipolar I/II disorder. Advances in therapy 2010; 27: 828-836
• 16 McIntyre RS. Konarski JZ. Bipolar disorder: a national health concern. CNS spectrums 2004; 9: 6-15
• 17 Stanton R. Reaburn P. Happell B. The Effect of Acute Exercise on Affect and Arousal in Inpatient Mental Health Consumers. The Journal of nervous and mental disease 2016;
• 18 Vancampfort D. Probst M. Wyckaert S. et al. Physical activity as a vital sign in patients with bipolar disorder. Psychiatry research 2016; 246: 218-222
• 19 Carpiniello B. Primavera D. Pilu A. et al. Physical activity and mental disorders: a case-control study on attitudes, preferences and perceived barriers in Italy. J Ment Health 2013; 22: 492-500
• 20 Choe EK. Lee B. Munson S. et al. Persuasive performance feedback: the effect of framing on self-efficacy. AMIA Annu Symp Proc 2013; 2013: 825-833
• 21 Oja P. Titze S. Physical activity recommendations for public health: development and policy context. Epma J 2011; 2: 253-259
• 22 American Psychiatric Association. SCID-I. Diagnostic and Statistical Manual of Mental Disorders. 4th edition (DSM-IV). Washington DC: The American Psychiatric Association Press; 1994
• 23 Wagner P. Bräunig P. Psychoedukation bei bipolaren Störungen. Stuttgart: Schattauer; 2006
• 24 Kammer D. A study of the psychometric properties of the German Beck Depression Inventory (BDI). Diagnostica 1983; 29: 48-60
• 25 Hamilton M. A rating scale for depression. Journal of neurology, neurosurgery, and psychiatry 1960; 23: 56-62
• 26 Young RC. Biggs JT. Ziegler VE. et al. A rating scale for mania: reliability, validity and sensitivity. The British journal of psychiatry: the journal of mental science 1978; 133: 429-435
• 27 Joraschky P. Loew T. Röhricht F. Körpererleben und Körperbild. Ein Handbuch zur Diagnostik. Stuttgart: Schattauer; 2009
• 28 Bravata DM. Smith-Spangler C. Sundaram V. et al. Using pedometers to increase physical activity and improve health: a systematic review. Jama 2007; 298: 2296-2304
• 29 Tudor-Locke C. Lutes L. Why do pedometers work?: a reflection upon the factors related to successfully increasing physical activity. Sports medicine (Auckland, NZ) 2009; 39: 981-993
• 30 Sallis R. Franklin B. Joy L. et al. Strategies for promoting physical activity in clinical practice. Progress in cardiovascular diseases 2015; 57: 375-386
• 31 Melo MC. Daher Ede F. Albuquerque SG. et al. Exercise in bipolar patients: A systematic review. Journal of affective disorders 2016; 198: 32-38
• 32 Vancampfort D. Firth J. Schuch F. et al. Physical activity and sedentary behavior in people with bipolar disorder: A systematic review and meta-analysis. Journal of affective disorders 2016; 201: 145-152
• 33 Schuch FB. Vancampfort D. Richards J. et al. Exercise as a treatment for depression: A meta-analysis adjusting for publication bias. Journal of psychiatric research 2016; 77: 42-51
• 34 Happell B. Davies C. Scott D. Health behaviour interventions to improve physical health in individuals diagnosed with a mental illness: a systematic review. Int J Ment Health Nurs 2012; 21: 236-247
• 35 Searle A. Haase AM. Chalder M. et al. Participants' experiences of facilitated physical activity for the management of depression in primary care. Journal of health psychology 2013;
• 36 Vancampfort D. Sienaert P. Wyckaert S. et al. The Metabolic Syndrome Is Associated with Self-Reported Physical Complaints in Patients with Bipolar Disorder. Psychiatria Danubina 2016; 28: 139-145
• 37 Rodriguez C. Ruggero CJ. Callahan JL. et al. Does risk for bipolar disorder heighten the disconnect between objective and subjective appraisals of cognition?. Journal of affective disorders 2013; 148: 400-405
• 38 Vancampfort D. Stubbs B. Sienaert P. et al. What are the factors that influence physical activity participation in individuals with depression? A review of physical activity correlates from 59 studies. Psychiatria Danubina 2015; 27: 210-224
• 39 Stanton R. Happell B. Exercise for mental illness: a systematic review of inpatient studies. Int J Ment Health Nurs 2014; 23: 232-242
• 40 Vancampfort D. Stubbs B. Venigalla SK. et al. Adopting and maintaining physical activity behaviours in people with severe mental illness: The importance of autonomous motivation. Preventive medicine 2015; 81: 216-220
• 41 Stubbs B. Vancampfort D. Rosenbaum S. et al. Dropout from exercise randomized controlled trials among people with depression: A meta-analysis and meta regression. Journal of affective disorders 2016; 190: 457-466
• 42 Sylvia LG. Friedman ES. Kocsis JH. et al. Association of exercise with quality of life and mood symptoms in a comparative effectiveness study of bipolar disorder. Journal of affective disorders 2013; 151: 722-727
• 43 Wright K. Armstrong T. Taylor A. et al. 'It's a double edged sword': a qualitative analysis of the experiences of exercise amongst people with Bipolar Disorder. Journal of affective disorders 2012; 136: 634-642
• 44 Malhi GS. Bargh DM. Coulston CM. et al. Predicting bipolar disorder on the basis of phenomenology: implications for prevention and early intervention. Bipolar disorders 2014; 16: 455-470
• 45 Vancampfort D. Rosenbaum S. Schuch FB. et al. Prevalence and predictors of treatment dropout from physical activity interventions in schizophrenia: a meta-analysis. General hospital psychiatry 2016; 39: 15-23
• 46 Rohricht F. Papadopoulos N. Priebe S. An exploratory randomized controlled trial of body psychotherapy for patients with chronic depression. Journal of affective disorders 2013; 151: 85-91
• 47 Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychological review 1977; 84: 191-215
• 48 Niolu C. Barone Y. Bianciardi E. et al. Predictors of poor adherence to treatment in inpatients with bipolar and psychotic spectrum disorders. Rivista di psichiatria 2015; 50: 285-294
• 49 Stanton R. Reaburn P. Exercise and the treatment of depression: a review of the exercise program variables. Journal of science and medicine in sport/Sports Medicine Australia 2014; 17: 177-182
• 50 Janney CA. Ganguli R. Tang G. et al. Physical activity and sedentary behavior measured objectively and subjectively in overweight and obese adults with schizophrenia or schizoaffective disorders. J Clin Psychiatry 2015; 76: e1277-e1284