|Title:||The role of physical activity in the treatment of mental illness|
|Publisher:||University of Sydney.|
School of Public Health.
|Abstract:||This thesis aimed to explore the role of physical activity as an intervention strategy for the treatment of mental illness, with a focus on posttraumatic stress disorder (PTSD). A meta-analysis of randomized controlled trials (RCTs) incorporating physical activity interventions for established mental illness found a large effect of physical activity on depressive symptoms (n=20; standardised mean difference, SMD=0.80). To evaluate the impact of a physical activity intervention on PTSD, an assessor-blinded RCT was conducted. In total 81 participants were randomised to receive either usual care (n=42), or an individualised 12-week exercise program in addition to usual care (n = 39). PTSD symptoms were significantly reduced in the intervention group compared to the usual care group (mean difference at follow-up adjusted for baseline values = -5.4, 95%CI -10.5 to -0.3, p=0.04, n=58). There were also significant between-group differences at follow-up for depression scores, waist circumference, sleep quality and time spent sitting. The trial results support the addition of structured exercise to usual care for PTSD patients. Improving access to, and the provision of, clinical exercise programs within as part of treatment for patients with mental illness is warranted given the results of the studies presented in this thesis.|
|Access Level:||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions:||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work:||PhD Doctorate|
|Type of Publication:||Doctor of Philosophy Ph.D.|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
|ROSENBAUM Simon - Final thesis.pdf||5.35 MB||Adobe PDF|
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