Physical activity and mental health in caregivers of mental ill patients in Greece
Keywords:
Physical activity, Exercise, Mental health, Caregivers, Stress, Anxiety, DepressionAbstract
The present study is one of the first attempts to examine the connection of physical activity with the mental health of people that care for family members with mental illness. Caregiving is a load with negative effects on well-being but caring for a family member with mental illness results to a higher psychological burden, due to other factors involved (i.e. stigma). Physical activity and exercise have been found to be variables that lead to better quality of life for caregivers in many chronic illnesses. The participants of the study were 300 caregivers of patients with mental illness – family members (96 men, 204 women) of a mean age 60.64 (±10.08) years old. They were administered the Leisure Time Physical Activity questionnaire and according to their responses, they were divided in two groups: physically active and sedentary. Mental health was assessed using the DASS 21 questionnaire, with three subscales: depression, anxiety and stress. According to the results of the one-way MANOVA, physically active caregivers had a better score than their sedentary counterparts on all three DASS 21 subscales: anxiety (p < .001), stress (p < .01), depressive symptoms (p < .001). According to the results, physical activity and exercise of even low intensity, seems to play an important role on caregivers’ mental health by leading to reduced stress, anxiety and depressive symptoms. Although more research is needed in this area, it seems that physical activity interventions should be considered as an additional type of support offered to caregivers of mental ill patients.
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Abu-Omar, K., Rütten, A. & Robine, J. (2004). Self-rated health and physical activity in the European Union. Soz.-Präventivmed. 49, 235-242. https://doi.org/10.1007/s00038-004-3107-x
Caqueo Urízar, A., Miranda Castillo, C., Lemos Giraldez, S., Lee Maturana, S. L., Ramírez Pérez, M., & Mascayano Tapia, F. (2014). An updated review on burden on caregivers of schizophrenia patients. Psicothema, 26 (2), 235-243.
Ekkekakis, P., & Petruzzello, S. J. (1999). Acute aerobic exercise and affect. Sports Med., 28(5), 337-347. https://doi.org/10.2165/00007256-199928050-00005
Etkin, C. D., Prohaska, T. R., Connell, C. M., Edelman, P., & Hughes, S. L. (2008). Antecedents of physical activity among family caregivers. J Appl Gerontol, 27(3), 350-367. https://doi.org/10.1177/0733464808315276
Godin, G., & Shephard, R. J., (1985). A simple method to assess exercise behavior in the community. Can J Appl Sport Sci, 10, 141-146.
Goodwin, R. D. (2003). Association between physical activity and mental disorders among adults in the United States. Prev Med, 36(6), 698-703. https://doi.org/10.1016/S0091-7435(03)00042-2
Gurney, S. (2013). The person with a bipolar affective disorder. The art and science of mental health nursing (3rd ed). Maidenhead: McGraw-Hill Education.
Knock, J., Kline, E., Schiffman, J., Maynard, A., & Reeves, G. (2011). Burdens and difficulties experienced by caregivers of children and adolescents with schizophrenia-spectrum disorders: A qualitative study. Early Interv Psychia, 5(4), 349-354. https://doi.org/10.1111/j.1751-7893.2011.00305.x
Loi, S. M., Dow, B., Ames, D., Moore, K., Hill, K., Russell, M., & Lautenschlager, N. (2014). Physical activity in caregivers: What are the psychological benefits?. Arch Gerontol Geriat, 59(2), 204-210. https://doi.org/10.1016/j.archger.2014.04.001
Long, B. C., & Stavel, R. V. (1995). Effects of exercise training on anxiety: A meta- analysis. J Appl Sport Psychol, 7(2), 167-189. https://doi.org/10.1080/10413209508406963
Lyrakos, G. N., Arvaniti, C., Smyrnioti, M., & Kostopanagiotou, G. (2011). Translation and validation study of the Depression Anxiety Stress Scale in the Greek general population and in a psychiatric patient's sample. Eur Psychiat, 26(S2), 1731. https://doi.org/10.1016/S0924-9338(11)73435-6
Macleod, S.H., Elliott, L., & Brown, R. (2011). What support can community mental health nurses deliver to carers of people diagnosed with schizophrenia? Findings from a review of the literature. Int J Nurs Stud, 48(1), 100-120. https://doi.org/10.1016/j.ijnurstu.2010.09.005
Noghani, F., Seyedfatemi, N., Karimirad, M. R., Akbarzadeh, A., & Hasanpour-Dehkordi, A. (2016). Health related quality of life in family caregivers of patients suffering from mental disorders. J Clin Diagn Res: JCDR, 10(11), VC05-VC09. https://dx.doi.org/10.7860/JCDR/2016/19671.8792
Parkitny, L., & McAuley, J. (2010). The depression anxiety stress scale (DASS). J Physiother, 56(3), 204. https://doi.org/10.1016/S1836-9553(10)70030-8
Perlick, D. A., Rosenheck, R. A., Miklowitz, D. J., Chessick, C., Wolff, N., Kaczynski, R., ... & STEP‐BD Family Experience Collaborative Study Group. (2007). Prevalence and correlates of burden among caregivers of patients with bipolar disorder enrolled in the Systematic Treatment Enhancement Program for Bipolar Disorder. Bipolar Disord, 9(3), 262-273. https://doi.org/10.1111/j.1399-5618.2007.00365.x
Perlick, D. A., Rosenheck, R. A., Miklowitz, D. J., Kaczynski, R., Link, B., Ketter, T., ... & STEP-BD Family Experience Collaborative Study Group. (2008). Caregiver burden and health in bipolar disorder: a cluster analytic approach. J Ner Ment Dis, 196(6), 484-491. https://doi.org/10.1097/NMD.0b013e3181773927
Puterman, E., Weiss, J., Lin, J., Schilf, S., Slusher, A. L., Johansen, K. L., & Epel, E. S. (2018). Aerobic exercise lengthens telomeres and reduces stress in family caregivers: A randomized controlled trial-Curt Richter Award Paper 2018 Psychoneuroendocrinology, 98, 245-252. https://doi.org/10.1016/j.psyneuen.2018.08.002
Salmon, P. (2001). Effects of physical exercise on anxiety, depression, and sensitivity to stress: a unifying theory. Clin Psychol Rev, 21(1), 33-61. https://doi.org/10.1016/S0272-7358(99)00032-X
Sanderson, B. K., & Taylor Jr, H. A. (1999). Physical activity. In Handbook of Health Promotion and Disease Prevention (pp. 191-206). Springer. https://doi.org/10.1007/978-1-4615-4789-1_10
Sharma, A., Madaan, V., & Petty, F. D. (2006). Exercise for mental health. Prim Care Companion J Clin Psychiatry, 8(2), 106.
Ströhle, A. (2009). Physical activity, exercise, depression and anxiety disorders. J Neural Transm, 116(6), 777-784. https://doi.org/10.1007/s00702-008-0092-x
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