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The Effect of Exercise Interventions on Social Outcomes in Individuals with a Psychotic Disorder: A Systematic Review

Vorenholt, Ilse (2024) The Effect of Exercise Interventions on Social Outcomes in Individuals with a Psychotic Disorder: A Systematic Review. Master thesis, Psychology.

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Abstract

Schizophrenia and other psychotic disorders are associated with impaired social functioning. Although earlier research has found positive effects of exercise on mental and physical health, the effect of exercise on overall social functioning in individuals with a psychotic disorder remains unclear. For that reason, this systematic review examined the effect of exercise interventions in individuals with a psychotic disorder on overall social functioning (social-, occupational-, global-, socio-occupational functioning, social support, social network), and quality of life, self-esteem, and stigma. The literature search was finalised on the 13th of April 2023, using the following databases: PubMed, PsycINFO, Web of Science, and Cochrane Central Register of Controlled Trials. In total, 41 controlled trials were included that compared an experimental group with either an active or a passive control group. Overall, the results indicate a promising positive effect of exercise on overall social functioning (global functioning, social functioning, socio-occupational functioning, social support) with 62% of the studies finding a positive effect, whilst in contrast, only 25% of the studies that focused on quality of life found a significant effect of exercise, and no effect was found for occupational functioning, social network, stigma and self-esteem. Current evidence should be interpreted cautiously due to many studies investigating social outcomes as a secondary aim, and due to the heterogeneity of the included studies in study designs, control groups, measurement methods, and interventions. Future research should develop exercise interventions with social components, such as group-based activities or informal social interactions, explore less-studied outcomes like occupational functioning, self-esteem, and stigma, and use consistent methodologies across studies to detect the effectiveness of exercise interventions on overall social functioning.

Item Type: Thesis (Master)
Supervisor name: Steenhuis, L.A. and Ariesen, A.D.
Degree programme: Psychology
Differentiation route: Clinical Psychology (CP) [Master Psychology]
Date Deposited: 08 Oct 2024 11:27
Last Modified: 08 Oct 2024 11:27
URI: http://gmwpublic.studenttheses.ub.rug.nl/id/eprint/4409

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