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Influence of a lifestyle intervention among persons with a psychiatric disability: a cluster randomised controlled trail on symptoms, quality of life and sense of coherence

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  • Karl A Forsberg
  • Tommy Björkman
  • Per O Sandman
  • Mikael Sandlund

Abstract

Aims and objectives. The aim of this study was to investigate how a lifestyle intervention programme influences psychiatric and psychosocial factors among persons with psychiatric disabilities. Background. Persons with psychiatric disabilities often suffer from a simultaneous physical health problem, where circulatory disorder, hyperlipideamia, digestive disease, diabetes mellitus and obesity are prevalent. Studies have also shown a relationship between physical activity and mental health. But few randomised controlled trails have been aimed specifically at lifestyle interventions and their effect on psychiatric health and quality of life among persons with psychiatric disabilities. Design. A cluster randomised controlled trail. Methods. Forty‐one persons with a DSM‐IV diagnosis in eight supported housing facilities and two housing support programmes and their carers were on cluster level randomly assigned to a 12‐month health intervention programme in the form of study circles with diet sessions and physical activities or a control programme. The changes in the mean of quality of life, level of functioning, psychiatric symptoms and sense of coherence was investigated and its relationship to physical health and attendance. Results. A significant increase in the sense of coherence was seen in both programmes but also significant improvements in the intervention group compared to controls at the follow‐up. Conclusions. Structured activities in the form of lifestyle intervention programmes with a sufficient level of challenge that encourage persons with psychiatric disabilities to participate in activities in a social context may contribute to a significant increase in the sense of coherence. Relevance to clinical practice. Improving physical health with lifestyle programmes in the form of study circles and when involving their cares will in addition to increased physical health end in improved sense of coherence.

Suggested Citation

  • Karl A Forsberg & Tommy Björkman & Per O Sandman & Mikael Sandlund, 2010. "Influence of a lifestyle intervention among persons with a psychiatric disability: a cluster randomised controlled trail on symptoms, quality of life and sense of coherence," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(11‐12), pages 1519-1528, June.
    • Handle: RePEc:wly:jocnur:v:19:y:2010:i:11-12:p:1519-1528
    DOI: 10.1111/j.1365-2702.2009.03010.x
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    References listed on IDEAS

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    1. Thomas Lengerke & Christian Janssen & Jürgen John, 2007. "Sense of coherence, health locus of control, and quality of life in obese adults: physical limitations and psychological normalcies," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 52(1), pages 16-26, February.
    2. Sullivan, Marianne & Karlsson, Jan & Ware, John E., 1995. "The Swedish SF-36 Health Survey--I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden," Social Science & Medicine, Elsevier, vol. 41(10), pages 1349-1358, November.
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    1. Etelka Szovák & Károly Varga & Imre Zoltán Pelyva & Rita Soós & Sára Jeges & Zsuzsanna Kívés & Ákos Levente Tóth, 2020. "Insights Gained in the Aftermath of the COVID-19 Pandemic: A Follow-Up Survey of a Recreational Training Program, Focusing on Sense of Coherence and Sleep Quality," IJERPH, MDPI, vol. 17(24), pages 1-17, December.
    2. Janne Brammer Damsgaard & Camilla Lyhne Overgaard & Regner Birkelund, 2021. "Personal recovery and depression, taking existential and social aspects into account: A struggle with institutional structures, loneliness and identity," International Journal of Social Psychiatry, , vol. 67(1), pages 7-14, February.
    3. Catalina López-Martínez & Natalia Serrano-Ortega & Sara Moreno-Cámara & Rafael del-Pino-Casado, 2019. "Association between Sense of Coherence and Mental Health in Caregivers of Older Adults," IJERPH, MDPI, vol. 16(20), pages 1-10, October.
    4. Kento Tanaka & Masatoshi Tahara & Yuki Mashizume & Kayoko Takahashi, 2021. "Effects of Lifestyle Changes on the Mental Health of Healthcare Workers with Different Sense of Coherence Levels in the Era of COVID-19 Pandemic," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
    5. Super, Sabina & Verkooijen, Kirsten & Koelen, Maria, 2021. "A salutogenic perspective on sport-for-development research," Social Science & Medicine, Elsevier, vol. 268(C).
    6. Brenda Happell & Chris Platania‐Phung & David Scott, 2014. "Proposed nurse‐led initiatives in improving physical health of people with serious mental illness: a survey of nurses in mental health," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(7-8), pages 1018-1029, April.

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