A Walking Program for Outpatients in Psychiatric Rehabilitation: Pilot Study

2005 ◽  
Vol 7 (2) ◽  
pp. 87-97 ◽  
Author(s):  
Judith McDevitt ◽  
JoEllen Wilbur ◽  
Joseph Kogan ◽  
Joan Briller
Keyword(s):  
Heart Rate ◽  
Mental Illness ◽  
Pilot Study ◽  
Psychosocial Functioning ◽  
Decisional Balance ◽  
Moderate Intensity ◽  
Target Heart Rate ◽  
Cardiovascular Risk Reduction ◽  
Persistent Mental Illness ◽  
Walking Program

The purposes of this quasi-experimental pilot study were to determine adherence to a 12-week group-based moderate-intensity walking program for sedentary adult outpatients with serious and persistent mental illness and to examine change from baseline to after the walking program in health status (mental and physical health, mood, and psychosocial functioning) and exercise motivation (exercise outcomes expectancies, exercise decisional balance). The 15 volunteers in this study were aged 21 to 65 years and enrolled in psychosocial rehabilitation; they participated in a 12-week walking program meeting three times per week for 1 hr, supplemented with four health information workshops delivered at the beginning of the study. Participants received individual exercise prescriptions determined by preprogram fitness testing and used heart rate monitors during walking sessions. Thirteen participants (87%) completed the study and attended 76% of the walking sessions. Overall, they walked at lower intensity than prescribed, with pulses within target heart rate ranges 35% of the time during Weeks 1 through 4, 26% of the time during Weeks 5 through 8, and 22% of the time during Weeks 9 through 12. However, mood improved (Profile of Mood States, t = -2.51, two-tailed, df = 12, p = .02), as did psychosocial functioning (Multnomah Community Ability Scale, two-tailed, df = 12, t = 2.49, p = .02). The findings indicate a walking group may be feasible for rehabilitation programs. In addition to the known cardiovascular risk-reduction benefits of regular walking, walking may improve mood and psychosocial functioning in adults with serious and persistent mental illness.

Acceptability of Assisted Suicide in Patients With Severe and Persistent Mental Illness

GeroPsych ◽  
2020 ◽  
pp. 1-8
Author(s):  
Sophie Gloeckler ◽  
Manuel Trachsel
Keyword(s):  
Mental Illness ◽  
Pilot Study ◽  
Psychiatric Diagnosis ◽  
Assisted Suicide ◽  
Shared Values ◽  
Psychiatric Nurses ◽  
Attitudes And Beliefs ◽  
Future Studies ◽  
Persistent Mental Illness ◽  
Moral Attitudes

Abstract. In Switzerland, assisted suicide (AS) may be granted on the basis of a psychiatric diagnosis. This pilot study explored the moral attitudes and beliefs of nurses regarding these practices through a quantitative survey of 38 psychiatric nurses. The pilot study, which serves to inform hypothesis development and future studies, showed that participating nurses supported AS and valued the reduction of suffering in patients with severe persistent mental illness. Findings were compared with those from a previously published study presenting the same questions to psychiatrists. The key differences between nurses’ responses and psychiatrists’ may reflect differences in the burden of responsibility, while similarities might capture shared values worth considering when determining treatment efforts. More information is needed to determine whether these initial findings represent nurses’ views more broadly.

Perceptions of the Heart-Rate Guide

1998 ◽  
Vol 87 (1) ◽  
pp. 315-320
Author(s):  
Avery D. Faigenbaum ◽  
Joseph Ciccolo ◽  
Joseph R. Libonati
Keyword(s):  
Physical Activity ◽  
College Students ◽  
Heart Rate ◽  
Self Report ◽  
Moderate Intensity ◽  
Target Heart Rate ◽  
Heart Rates ◽  
Moderate Intensity Physical Activity ◽  
Intensity Physical Activity ◽  
Do So

Preliminary assessment was made concerning perceptions of the newly developed bean-rate guide, devised as an educational tool to promote physical activity. Unlike the traditional target heart-rate chart, the heart-rate guide illustrates the value of low to moderate intensity physical activity. Following a brief lecture about the Surgeon General's report on physical activity and health and the usefulness of heart-rate charts and guides, 120 college students ( M age 21.5 ± 2.8 yr.) completed a self-report survey consisting of statements regarding their use of target heart rates during exercise and their perceptions of the new heart-rate guide as compared to the traditional heart-rate chart. 83% of the subjects reported that the new guide better illustrated the findings from the Surgeon General's report, 5% reported no difference between the guide and the chart, and 12% reported that the chart better illustrated the report's findings ( p<.01). 48% never measure their heart rates when they exercise, 48% sometimes measure their heart rates and 4% always do so ( p< 01). While the new guide should not replace the traditional chart, these results suggest that college students perceive the heart-rate guide as a useful tool despite the fact that only a small percentage of students regularly measure their heart rates when they exercise.

scholarly journals KADAR NATRIUM SERUM PADA LATIHAN FISIK INTENSITAS SEDANG MAHASISWA FAKULTAS KEDOKTERAN UNIVERSITAS SAM RATULANGI

2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Victor B. F. P. Untu ◽  
Diana S. Purwanto ◽  
Youla A. Assa
Keyword(s):  
Heart Rate ◽  
Serum Sodium ◽  
Extracellular Fluid ◽  
Wilcoxon Test ◽  
Moderate Intensity ◽  
Target Heart Rate ◽  
Moderate Intensity Exercise ◽  
Excessive Sweating ◽  
Before And After ◽  
Post Test

Abstract: Sweat losses during exercise that is not balanced by adequate fluid intake can lead to increased concentrations of electrolytes, including sodium in the extracellular fluid. Excessive sweating can also cause loss of electrolytes, particularly sodium and chloride. Excessive sodium loss in sweat may cause a decrease in the concentration of sodium in the extracellular fluid. This study aimed to determine the differences of serum sodium levels before and after moderate intensity exercise in the students of the Faculty of Medicine, Sam Ratulangi University. This study was a pre-experimental with one group pre-post test design. Thirty respondents did brisk walking on the treadmill to maintain target heart rate 64-76% of maximum heart rate (200-age) for 30 minutes. The results showed that the average of serum sodium levels before moderate intensity exercise was 142,37±1,771 mEq/L, while after moderate intensity exercise was 143,07±1,639. Wilcoxon test significance value ​​in this study was p=0.033. The conclusion of this study is there are significant differences between serum sodium levels before and after moderate intensity exercise in the students of Faculty of Medicine, Sam Ratulangi University. Keywords: serum sodium, moderate intensity exercise, students    Abstrak: Pengeluaran keringat saat latihan fisik yang tidak diimbangi dengan konsumsi cairan yang cukup dapat menyebabkan terjadinya peningkatan konsentrasi natrium di dalam cairan ekstrasel. Keringat yang berlebihan dapat juga menyebabkan kehilangan elektrolit, terutama natrium dan klorida. Kehilangan natrium yang berlebihan pada keringat dapat menyebabkan penurunan konsentrasi natrium di dalam cairan ekstrasel. Penelitian ini bertujuan untuk mengetahui bagaimana perbedaan kadar natrium serum sebelum dan sesudah latihan fisik intensitas sedang pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Jenis penelitian ini ialah pre-eksperimental dengan rancangan penelitian one group pre-post test. Latihan fisik yang dilakukan yaitu berjalan cepat di atas treadmill selama 30 menit dengan mempertahankan target heart rate 64-76% dari heart rate maksimal (200-umur) yang diikuti oleh 30 orang responden. Hasil yang diperoleh menunjukkan bahwa rata-rata kadar natrium serum sebelum latihan fisik intensitas sedang ialah 142,37±1,771 mEq/L, sedangkan rata-rata kadar natrium serum sesudah latihan fisik intensitas sedang ialah 143,07±1,639 mEq/L. Nilai signifikansi uji Wilcoxon pada penelitian ini ialah p=0,033. Kesimpulan penelitian ini ialah terdapat perbedaan yang signifikan antara kadar natrium serum sebelum dan sesudah latihan fisik intensitas sedang pada mahasiswa Fakultas Kedokteran Universitas Sam Ratulangi. Kata kunci: natrium serum, latihan fisik intensitas sedang, mahasiswa

345 Percentage of target heart rate for exercise prescription is lower with beta-blocker compared to placebo

2003 ◽  
Vol 2 (1) ◽  
pp. 66
Author(s):  
M WONISCH ◽  
P HOFMANN ◽  
F FRUHWALD ◽  
W KRAXNER ◽  
R HOEDL ◽  
...  
Keyword(s):  
Heart Rate ◽  
Beta Blocker ◽  
Exercise Prescription ◽  
Target Heart Rate

Crisis Occurrence and Resolution in Patients with Severe and Persistent Mental Illness

Crisis ◽  
2005 ◽  
Vol 26 (4) ◽  
pp. 160-169 ◽  
Author(s):  
Paul S. Links ◽  
Rahel Eynan ◽  
Jeffrey S. Ball ◽  
Aiala Barr ◽  
Sean Rourke
Keyword(s):  
Mental Illness ◽  
Suicide Ideation ◽  
Rating Scale ◽  
Psychiatric Symptoms ◽  
Self Report ◽  
Community Treatment ◽  
Persistent Mental Illness ◽  
Crisis Events ◽  
Symptom Distress Scale ◽  
Distress Scale

Abstract. Assertive community treatment appears to have limited impact on the risk of suicide in persons with severe and persistent mental illness (SPMI). This exploratory prospective study attempts to understand this observation by studying the contribution of suicidality to the occurrence of crisis events in patients with SPMI. Specifically, an observer-rated measure of the need for hospitalization, the Crisis Triage Rating Scale, was completed at baseline, crisis occurrence, and resolution to determine how much the level of suicidality contributed to the deemed level of crisis. Second, observer-ratings of suicidal ideation, the Modified Scale for Suicide Ideation, and psychopathology and suicidality, Brief Psychiatric Rating Scale, were measured at baseline, crisis occurrence, and resolution. A self-report measure of distress, the Symptom Distress Scale, was completed at baseline, crisis occurrence, and resolution. Finally, the patients' crisis experiences were recorded qualitatively to compare with quantitative measures of suicidality. Almost 40% of the subjects experienced crisis events and more than a quarter of these events were judged to be severe enough to warrant the need for hospitalization. Our findings suggest that elevation of psychiatric symptoms is a major contributor to the crisis occurrences of individuals with SPMI; although the risk of suicide may have to be conceived as somewhat separate from crisis occurrence.

scholarly journals Perceived Coercion of Persons with Mental Illness Living in a Community

2021 ◽  
Vol 18 (5) ◽  
pp. 2290
Author(s):  
Min Hwa Lee ◽  
Mi Kyung Seo
Keyword(s):  
Mental Illness ◽  
Life Satisfaction ◽  
Therapeutic Relationship ◽  
Psychosocial Functioning ◽  
Structural Equation ◽  
Therapeutic Relationships ◽  
Equation Modeling ◽  
Perceived Coercion ◽  
Clinical Variables ◽  
People With Mental Illness

Aims: The purpose of this study is to analyze the effect of the perceived coercion of people with mental illness living in a community on their therapeutic satisfaction and life satisfaction, mediated by therapeutic relationships. Methods: We evaluated several clinical variables (symptoms, psychosocial functioning, and insight), levels of perceived coercion, therapeutic relationships, therapeutic satisfaction, and life satisfaction in 185 people with mental illness (Mean age = 47.99, standard deviation (SD) = 12.72, male 53.0%, female 45.9%) who live in the community and use community-based mental health programs. The data collected were analyzed to test the proposed hypotheses using structural equation modeling (SEM). Results: The correlation analysis of all variables showed that clinical variables had statistically significant correlations with therapeutic relationship, therapeutic satisfaction, and life satisfaction, but no significant correlation with perceived coercion. Furthermore, perceived coercion was found to have significant predictive power for treatment satisfaction and life satisfaction mediated by therapeutic relationship. Specifically, the lower the perceived coercion, the better the therapeutic relationship. This, in turn, has a positive effect on the therapeutic satisfaction and life satisfaction of participants. Conclusions: Based on these findings, we suggest strategies to minimize coercion in a community.

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