Psychother Psychosom Med Psychol 2020; 70(09/10): 412-428
DOI: 10.1055/a-1193-2584
CME-Fortbildung

Sportliche Aktivität und psychische Erkrankungen

Sports Activity and Mental Diseases
Sebastian Wolf*
,
Johanna-Marie Zeibig*
,
Katrin Giel
,
Hanna Granz
,
Gorden Sudeck
,
Ansgar Thiel

Abstract

Current meta-analyses demonstrate convincing evidence regarding the efficacy of exercise on depression, insomnia, anxiety disorders, schizophrenia and ADHD. However, exercise and sports therapy approaches for patients with psychological disorders are mostly integrated in psychiatric inpatient or rehabilitation settings, but not applied in the outpatient sector. Thus, the German Health sector does not take the advantage of the compelling therapeutic effects of exercise. This review covers the theoretical and empirical fundamentals of the effects of exercise and illustrates practical implications by means of the presentation of the group-therapeutic exercise program ImPuls, that was specifically designed for patients with psychological disorders in outpatient settings. ImPuls integrates current evidence of the effects of exercise (type of sport, duration, frequency, intensity) and the facilitation of motivational and volitional strategies to support patients to integrate exercise in their daily life routines.

* geteilte Erstautorenschaft




Publication History

Article published online:
12 October 2020

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  • Literatur

  • 1 Jacobi F, Hofler M, Strehle J. et al. Mental disorders in the general population: Study on the health of adults in Germany and the additional module mental health (DEGS1-MH). Nervenarzt 2014; 85: 77-87
  • 2 Meyer M, Wenzel J, Schenkel A. Krankheitsbedingte Fehlzeiten in der deutschen Wirtschaft im Jahr 2017. In: Badura B, Ducki A, Schröder H. et al Fehlzeiten-Report 2018: Sinn erleben – Arbeit und Gesundheit. Berlin, Heidelberg: Springer; 2018: 331-536
  • 3 Nübling R, Bär T, Jeschke K. et al. Versorgung psychisch kranker Erwachsener in Deutschland – Bedarf und Inanspruchnahme sowie Effektivität und Effizienz von Psychotherapie. Psychotherapeutenjournal 2014; 13: 389-397
  • 4 Sudeck G, Thiel A. Sport, Wohlbefinden und psychische Gesundheit. In Schüler J, Wegner M, Plessner H. Hrsg Sportpsychologie. Berlin: Springer; 2019
  • 5 Ashdown-Franks G, Firth J, Carney R. et al. Exercise as Medicine for Mental and Substance Use Disorders: A Meta-review of the Benefits for Neuropsychiatric and Cognitive Outcomes. Sports Med 2020; 50: 151-170
  • 6 Ainsworth BE, Haskell WL, Herrmann SD. et al. 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc 2011; 43: 1575-1581
  • 7 Rütten A, Pfeifer K. Nationale Empfehlungen für Bewegung und Bewegungsförderung. BZgA Forschung und Praxis der Gesundheitsförderung 2016; 3: 87
  • 8 Mammen G, Faulkner G. Physical Activity and the Prevention of Depression A Systematic Review of Prospective Studies. Am J Preventive Med 2013; 45: 649-657
  • 9 LeardMann CA, Kelton ML, Smith B. et al. Prospectively assessed posttraumatic stress disorder and associated physical activity. Public Health Rep 2011; 126: 371-383
  • 10 Schuch FB, Stubbs B, Meyer J. et al. Physical activity protects from incident anxiety: A meta-analysis of prospective cohort studies. Depress Anxiety 2019; 36: 846-858
  • 11 Lingineni RK, Biswas S, Ahmad N. et al. Factors associated with attention deficit/hyperactivity disorder among US children: results from a national survey. BMC Pediatr 2012; 12: 50
  • 12 Sporndly-Nees S, Asenlof P, Lindberg E. High or increasing levels of physical activity protect women from future insomnia. Sleep Medicine 2017; 32: 22-27
  • 13 Sormunen E, Saarinen MM, Salokangas RKR. et al. Effects of childhood and adolescence physical activity patterns on psychosis risk-a general population cohort study. Npj Schizophrenia 2017; 3 DOI: 10.1038/s41537-016-0007-z.
  • 14 Panza GA, Taylor BA, MacDonald HV. et al. Can exercise improve cognitive symptoms of Alzheimerʼs disease?. J Am Geriatr Soc 2018; 66: 487-495
  • 15 Rhodes RE. The evolving understanding of physical activity behavior: a multi-process action control approach. In: Elliot AJ. ed Advances in motivation Science. München: Elsevier; 2017: 171-205
  • 16 Morres ID, Hatzigeorgiadis A, Stathi A. et al. Aerobic exercise for adult patients with major depressive disorder in mental health services: A systematic review and meta-analysis. Depress Anxiety 2019; 36: 39-52
  • 17 Cuijpers P, Karyotaki E, Reijnders M. et al. Was Eysenck right after all? A reassessment of the effects of psychotherapy for adult depression. Epidemiol Psychiatr Sci 2019; 28: 21-30 DOI: 10.1017/s2045796018000057.
  • 18 Cipriani A, Furukawa TA, Salanti G. et al. Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: A systematic review and network meta-analysis. The Lancet 2018; 391: 1357-1366 DOI: 10.1016/S0140-6736(17) 32802-32807.
  • 19 Bandelow B, Wiltink J, Alpers GW. et al. Deutsche S3-Leitlinie Behandlung von Angststörungen. 2014; Available from: www.awmf.org/leitlinien.html
  • 20 Rosenbaum S, Vancampfort D, Steel Z. et al. Physical activity in the treatment of Post-traumatic stress disorder: A systematic review and meta-analysis. Psychiatry Res 2015; 230: 130-136
  • 21 Hoskins M, Pearce J, Bethell A. et al. Pharmacotherapy for post-traumatic stress disorder: systematic review and meta-analysis. Br J Psychiatry 2015; 206: 93-100 DOI: 10.1192/bjp.bp.114.148551.
  • 22 Cusack K, Jonas DE, Forneris CA. et al. Psychological treatments for adults with posttraumatic stress disorder: A systematic review and meta-analysis. Clin Psychol Rev 2016; 43: 128-141 DOI: 10.1016/j.cpr.2015.10.003.
  • 23 Stubbs B, Vancampfort D, Rosenbaum S. et al. An examination of the anxiolytic effects of exercise for people with anxiety and stress-related disorders: A meta-analysis. Psychiatry Res 2017; 249: 102-108
  • 24 Aylett E, Small N, Bower P. Exercise in the treatment of clinical anxiety in general practice – a systematic review and meta-analysis. BMC Health Serv Res 2018; 18: 559
  • 25 Dauwan M, Begemann MJ, Heringa SM. et al. Exercise Improves Clinical Symptoms, Quality of Life, Global Functioning, and Depression in Schizophrenia: A Systematic Review and Meta-analysis. Schizophr Bull 2016; 42: 588-599
  • 26 Jauhar S, McKenna PJ, Radua J. et al. Cognitivebehavioural therapy for the symptoms of schizophrenia: Systematic review and metaanalysis with examination of potential bias. Br J Psychiatry 2014; 204: 20-29 DOI: 10.1192/bjp. bp.112.116285.
  • 27 Cerrillo-Urbina AJ, Garcia-Hermoso A, Sanchez-Lopez M. et al. The effects of physical exercise in children with attention deficit hyperactivity disorder: a systematic review and meta-analysis of randomized control trials. Child Care Health Dev 2015; 41: 779-788
  • 28 Banno M, Harada Y, Taniguchi M. et al. Exercise can improve sleep quality: a systematic review and meta-analysis. Peer J 2018; 6: e5172
  • 29 Liu Y, Xu X, Dong M. et al. Treatment of insomnia with tricyclic antidepressants: a meta-analysis of polysomnographic randomized controlled trials. Sleep Med 2017; 34: 126-133 DOI: 10.1016/j.sleep.2017.03.0070.
  • 30 Koffel EA, Koffel JB, Gehrman PR. A meta-analysis of group cognitive behavioral therapy for insomnia. Sleep Med Rev 2015; 19: 6-16 doi: 10.1016/j.smrv.2014.05.001
  • 31 Jacquart J, Dutcher CD, Freeman SZ. et al. The effects of exercise on transdiagnostic treatment targets: A meta-analytic review. Behav Res Ther 2019; 115: 19-37
  • 32 Scheewe TW, Backx FJ, Takken T. et al. Exercise therapy improves mental and physical health in schizophrenia: a randomised controlled trial. Acta Psychiatr Scand 2013; 127: 464-473
  • 33 Powers MB, Medina JL, Burns S. et al. Exercise Augmentation of Exposure Therapy for PTSD: Rationale and Pilot Efficacy Data. Cogn Behav Ther 2015; 44: 314-327
  • 34 Wolf S, Zeibig J, Hautzinger M. et al. Psychische Gesundheit durch Bewegung. ImPuls: Ein sport- und bewegungstherapeutisches Programm für Menschen mit psychischen Erkrankungen. Weinheim: Verlagsgruppe Beltz; 2020: 250
  • 35 Montero D, Lundby C. Refuting the myth of non-response to exercise training:‘non-responders’ do respond to higher dose of training. J Physiology 2017; 595: 3377-3387
  • 36 Ekkekakis P, Lind E. Exercise does not feel the same when you are overweight: the impact of self-selected and imposed intensity on affect and exertion. Int J Obesity 2006; 30: 652
  • 37 Rhodes RE, Kates A. Can the affective response to exercise predict future motives and physical activity behavior? A systematic review of published evidence. Ann Behav Med 2015; 49: 715-731
  • 38 Biddle SJ, Batterham AM. High-intensity interval exercise training for public health: a big HIT or shall we HIT it on the head?. Int J Behav Nutrition Physical Activity 2015; 12: 95
  • 39 Möller-Leimkühler AM. Stigmatisierung psychisch Kranker aus der Perspektive sozialpsychologischer Stereotypenforschung. Fortschr Neurologie Psychiatrie 2004; 72: 36-44
  • 40 Heath GW, Parra DC, Sarmiento OL. et al. Evidence-based intervention in physical activity: lessons from around the world. The Lancet 2012; 380: 272-281
  • 41 Sudeck G, Pfeifer K. Physical activity-related health competence as an integrative objective in exercise therapy and health sports-conception and validation of a short questionnaire. Sportwissenschaft 2016; 46: 74-87
  • 42 Geidl W, Fangmann C, Deprins J. et al. Inhalte und Methoden der Bewegungsförderung in der Bewegungstherapie: Die Sichtweisen bewegungstherapeutischer Akteure in der medizinischen Rehabilitation. B&G Bewegungstherapie und Gesundheitssport 2018; 34: 162-167