Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT05449977 |
Other study ID # |
2022/514/227/4 |
Secondary ID |
|
Status |
Completed |
Phase |
|
First received |
|
Last updated |
|
Start date |
July 6, 2022 |
Est. completion date |
August 15, 2022 |
Study information
Verified date |
June 2023 |
Source |
Yeditepe University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
The aim of this study is to evaluate schizophrenic patients who benefit from community mental
health center services in terms of physical activity, physical fitness, and quality of life.
Description:
Mental health is defined (according to the World Health Organization) as a state of
well-being in which a person can realize his/her abilities, coping with the normal stresses
of life, and supporting society by working efficiently and productively. In other words,
mental health is a dynamic internal balance that enables individuals to use their diversity
of skills in harmony with the universal values of the society. For example, it is the
flexibility and ability to cope with negative life experiences and social functioning and the
harmonious connection between body and mind. To be more concrete, mental health includes
different components of life, for example in terms of relationships, good relationships with
friends and family, the ability to talk about feelings. Examples of leisure activities
include taking up a hobby, exercising regularly, and routinely taking vacations. It is also
important to maintain a lifestyle that consists of having a nutritious and regular diet, not
smoking and using over-the-counter drugs, and achieving at least some goals in life.
Mental disorders involve a wide variety of problems. Mental disorders are often characterized
by a combination of abnormal thoughts, behaviors, emotions, and relationships with other
people. Mental disorders include: depression, drug use disorders, mental disabilities,
bipolar disorder and schizophrenia.
Schizophrenia is a chronic mental disorder characterized by the appearance of both positive
symptoms such as hallucinations and delusions and negative symptoms such as apathy and
withdrawal, repetition of cognitive skills and disorganization. The number of schizophrenic
patients in the world is approximately 20 million and this number will continue to increase
every year. According to a systematic review of general population studies, the lifetime
median prevalence of schizophrenia in Turkey was found to be 8.9 per 1000 people. In
addition, schizophrenia patients have irregular self-esteem, inability to maintain social
relationships, deterioration in cognitive skills, and sedentary behaviors in their daily
lives. Sedentary behavior in patients with schizophrenia will increase the risks of
cardiovascular and obstructive pulmonary disease, diabetes mellitus (especially type 2),
cancer that can contribute greatly to death and disability. Therefore, it was found that
patients with schizophrenia have a shorter life expectancy of 10-20 years compared to the
general population.
It has been found that people with schizophrenia are less physically active and less
physically fit than the general population. Physical activity means any bodily movement
produced by skeletal muscles that results in energy expenditure. Exercise is a subset of
physical activity, which is planned, structured and repetitive bodily movements performed to
increase and maintain one or more aspects of physical fitness. Physical fitness can be
defined as a set of independent qualities associated with the ability to perform physical
activities. Components such as cardiorespiratory fitness, muscle strength, muscular endurance
and flexibility are more related to health, while components such as coordination and
whole-body balance are more related to the performance of physical activities.
There is an inverse relationship between sedentary behavior (related to time spent lying or
sitting) and physical activity level in patients with schizophrenia. In addition, physical
activity has a direct relationship with physical fitness and physical health in patients with
schizophrenia. In addition, one study showed that poor physical activity level and poor
physical fitness had a negative effect on the ability of schizophrenia participants to
perform activities of daily living performance causes a decrease in the quality of life in
these patients. According to the World Health Organization, quality of life is defined as
individuals' perceptions of their position in life in the context of the value systems and
culture in which they live and in relation to their goals, expectations, standards and
concerns. Quality of life is a subjective, multidimensional term defined as a standard level
for physical, emotional, material and social well-being.
Community Mental Health Centers are State institutions that provide treatment and
rehabilitation services to patients with certain mental health diseases outside the hospital
and within the scope of State Hospitals. Community Mental Health Centers (CMHC) were opened
in 2011 by the Ministry of Health in Turkey. Patients diagnosed with serious chronic mental
disorders such as depression, drug use-related disorders, mental disabilities, bipolar
disorder and especially schizophrenia are treated. The aim of these centers is to improve
functional recovery, physical activity level and quality of life and integrate it into daily
life, society and business life. It consists of a very comprehensive team of different
professionals, such as physicians, psychologists, social workers, and nurses.
Schizophrenic patients are treated in a community mental health center with a comprehensive
treatment program. The content of the comprehensive rehabilitation program in community
mental health centers includes: Psychosocial skills training / occupational treatments such
as painting, music, and also these are done according to the patient's condition /
psycho-education for patients and their families (information about the disease and
treatment, methods of coping with symptoms are explained) training is provided on issues such
as illness, crisis management of patients and their relatives), social skills training
(patients who cannot participate in social life due to their illness are given training to
gain the ability to reorganize human relations) and group treatment is provided for suitable
patients.
Evaluation of physical activity levels, physical fitness, and quality of life of patients
with schizophrenia is essential to confirm the effectiveness of treatments and care
activities at CMHCs and to plan new therapeutic and rehabilitative activities. In one study,
they found that the level of physical activity - physical fitness has a positive effect on
psychiatric services and can improve the physical health outcomes of people with
schizophrenia. They also reveal improvement in psychological and social outcomes in these
patients. Therefore, physical activity level and physical fitness are critical parameters of
the biopsychosocial approach in recovery-oriented mental health services. In conclusion, our
study aims to decide on physical activity, physical fitness and quality of life levels among
a group of patients with schizophrenia treated at CMHC and to evaluate the relationship
between these three important treatment parameters.
The aim of this study is to evaluate schizophrenic patients who benefit from community mental
health center services in terms of physical activity, physical fitness and quality of life.
Therefore, given the importance of our study, our findings may contribute to the literature
and improvement for mental health systems for people with psychotic disorders, especially
schizophrenia. As a result of this study, an evaluation can be made in terms of physical
activity, physical fitness and quality of life in schizophrenic patients who receive service
from a community mental health center. According to this study, it will be possible to
contribute to the effectiveness of treatments and care activities in CMHCs for patients with
schizophrenia.