Evidence map›Paper›PMID 27587302›Full record

Trial reportEarly intervention in psychiatry2018

Long-term maintenance and effects of exercise in early psychosis.

Joseph Firth, Rebekah Carney, Paul French, Rebecca Elliott, Jack Cotter, Alison R Yung

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Early intervention in psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Physical activity interventions to improve cognition in first-episode psychosis: What we know so far.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Joseph FirthInstitute of Brain, Behaviour and Mental Health, University of Manchester, Manchester, UK.
Rebekah CarneyInstitute of Brain, Behaviour and Mental Health, University of Manchester, Manchester, UK.ORCID 0000-0002-2859-6825
Paul FrenchGreater Manchester West Mental Health NHS Foundation Trust, Manchester, UK.
Rebecca ElliottInstitute of Brain, Behaviour and Mental Health, University of Manchester, Manchester, UK.
Jack CotterInstitute of Brain, Behaviour and Mental Health, University of Manchester, Manchester, UK.
Alison R YungInstitute of Brain, Behaviour and Mental Health, University of Manchester, Manchester, UK.
University of Manchester · GBGreater Manchester Mental Health NHS Foundation Trust · GBUniversity of Liverpool · GB

Funding

Medical Research Council
6 · The paper itself

Abstract

aimThe aims of this study were to examine if people with first-episode psychosis (FEP) are able to continue adhering to exercise after a supervised intervention and to explore if the benefits of exercise can be sustained.

methodsTwenty-eight persons with FEP took part in a 10-week exercise intervention that provided each participant with twice-weekly accompaniment to exercise activities of their own choice, of whom 20 were re-assessed 6 months after the intervention. Long-term adherence to exercise was assessed, and measures of psychiatric symptoms, physical health, neurocognition and social functioning were administered at baseline, post-intervention and 6-month follow-up.

resultsDuring the supervised intervention, participants achieved 124.4 min of moderate-to-vigorous exercise per week. After 6 months, physical activity levels had decreased significantly (P = 0.025) and only 55% of participants had continued to exercise weekly. Repeated-measures analysis of variance found that the significant improvements in psychiatric symptoms and social functioning observed immediately after the intervention were maintained at 6 months (P = 0.001). However, post hoc analyses showed that symptomatic reductions were only maintained for those who continued to exercise, whereas symptom scores increased among those who had ceased exercising. Previously observed improvements in waist circumference and verbal memory were lost by 6 months.

conclusionLong-term exercise participation is associated with significant benefits for symptoms, cognition and social functioning in FEP. However, adherence to unsupervised exercise is low. Future research should explore the effectiveness of 'step-down' support following supervised interventions, and aim to establish sustainable methods for maintaining regular exercise in order to facilitate functional recovery and maintain physical health.

Indexed as

Patient ComplianceAdolescentAdultCognitionExercise TherapyFemaleHumansMalePsychotic DisordersSocial AdjustmentTime FactorsYoung Adultearly psychosisexercisefirst-episodephysical activityphysical health

Identifiers

PMID27587302
PMCPMC6099223
OpenAlexW2509099332

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.